复发性喉神经麻的临床分类
Chisato Tomoda1, Kana Yoshioka1, Yoshiyuki Saito1
1Department of Surgery, Ito Hospital, Tokyo, Japan.
Gland surgery
|October 16, 2023
概括
在手术期间的全球信号损失 (LOS) 导致声带功能恢复比细分LOS更好. 与全球性损伤相比,患有细分神经损伤的癌症患者经历的长期功能障碍更多.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 甲状腺手术 甲状腺手术
背景情况:
- 术内神经生理监测 (IONM) 对于预防甲状腺切除术期间的喉神经 (RLN) 复发性损伤至关重要.
- 在IONM期间信号损失 (LOS) 表明神经损伤,分类为细分或全局类型.
研究的目的:
- 在反复的喉神经监测过程中,研究在信号 (LOS) 类型的最终损失后的声带功能恢复.
- 为了比较甲状腺切除术后的细分和全局神经麻之间的恢复模式.
主要方法:
- 对1442名接受甲状腺切除术的患者的回顾性分析 (2018年1月 - 2021年12月).
- 通过手术前和手术后喉镜检查,评估了2,752个处于危险的神经.
- 根据手术内神经监测数据将LOS分为细分和全局类型的分类.
主要成果:
- 信号损失 (LOS) 发生在11.7%的患者和6.2%的危险神经中.
- 全球类型的LOS在良性瘤中更频繁 (74.2%),而细分在癌症病例中更常见 (51.3%).
- 在14%的细分 LOS 神经和29.4%的全局 LOS 神经中观察到手术内恢复. 术后声带的发病率在2-3天后对于全球LOS (63.6%) 比细分LOS (84.9%) 低. 在6个月后,与全球LOS (3.4%) 相比,细分LOS的癌症患者的声带功能障碍显著增加 (40.0%).
结论:
- 全球信号损失 (LOS) 与细分 LOS 相比,显示了较高的手术内和早期神经恢复率.
- 癌症患者的细分LOS与术后6个月的持续声带功能障碍相关,比全球LOS更明显.
更多相关视频
19:53Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
105.9K
07:22Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
549
相关概念视频
Cranial Nerves: Overview and Anatomy
1.8K
The cranial nerves are an important part of the complex network of nerves in the human body. These nerves emerge directly from the brain and are responsible for transmitting essential information between the brain and various parts of the head and neck. There are 12 pairs of cranial nerves, systematically numbered using Roman numerals from I to XII, beginning from the anterior and moving to the posterior of the brain. Each cranial nerve is uniquely identified by names that reflect its function...
1.8K
Classification of Illness
7.6K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.6K
Spinal Nerves: Plexus I
995
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
995
Cranial Nerves: Types Part II
2.5K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
2.5K
Larynx
1.6K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.6K
Pneumonia I: Introduction
250
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
250
