从部脊柱硬件中挤出螺丝,导致声麻
Meriam Deeb1, Keith R Conti2, Jason F Ohlstein2
1St. Luke's/Temple School of Medicine, Bethlehem, PA, USA.
Ear, nose, & throat journal
|October 26, 2023
概括
延迟复发性喉神经 (RLN) 损伤可能是由迁移的椎脊柱硬件引起的. 一个案例报告详细介绍了导致声麻的螺丝挤出,突出了以前未经证实的RLN损伤原因.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 神经学 神经学
背景情况:
- 重复性喉神经 (RLN) 损伤,导致听力障碍和听力障碍,是头部和部手术的已知并发症.
- 创伤性RLN损伤通常是由于在甲状腺切除术或前椎脊椎手术等手术期间的引或截断造成的.
- 由于椎脊柱硬件挤出而延迟的RLN损伤以前没有报告过.
研究的目的:
- 报告一个独特的延迟复发性喉神经损伤病例,由挤出的椎脊柱硬件引起.
- 记录这种罕见并发症的临床表现,诊断结果和治疗方法.
主要方法:
- 一个63岁的妇女的病例介绍,她患有声和消化不良.
- 诊断工作包括电路视频喉腔镜和计算机断层扫描 (CT) 扫描.
- 外科干预包括部探索,硬件移除和声注射喉膜整形.
主要成果:
- 这位患者呈现出右声不动.
- 扫描显示了一个迁移的C5-C6/C6-C7前椎间盘切除和融合 (ACDF) 螺丝,压缩了右侧RLN.
- 在手术期间的发现证实了嵌在RLN纤维中的螺丝.
结论:
- 这一案例代表了首次记录的宫脊椎硬件挤出导致晚期复发性喉神经损伤的案例.
- 在前椎手术后延迟声麻的差异诊断中,应考虑硬件迁移.
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