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一个新的手术里程碑来识别反复出现的喉神经

Yusuf Dündar¹, Cynthia M Schwartz¹, Micah Lierly²

¹Department of Otolaryngology, Texas Tech University Health Sciences Center, Lubbock, USA

Balkan medical journal

|June 10, 2024

概括

在甲状腺切除术期间,一个新的解剖学参考点可靠地引导外科医生到循环喉神经 (RLN). 这一里程碑,在cricopharyngeal肌肉和甲状腺软骨的交叉点,提高了手术的安全性.

科学领域:

人体解剖学解剖学解剖学
手术导航手术导航
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

在甲状腺手术期间,精确定位复发性喉神经 (RLN) 是非常重要的.
现有的RLN手术基准缺乏一致的可靠性.
尽量减少RLN损伤对于预防声带功能障碍至关重要.

研究的目的:

评估一个新的解剖学参考点,以准确识别RLN.
为了验证喉肌的下边缘和甲状腺软骨的下角作为RLN标志的交叉点的可靠性.

主要方法:

进行了一项尸体解剖研究.
在64个复发性喉神经 (RLNs) 上进行了测量.
统计分析包括描述性统计,皮尔森的千平方测试和学生的t测试.

主要成果:

新的参考点始终接近RLN (平均为2.3毫米).
在95.31%的剖析中,RLN位于地标后部.
在90.63%的病例中,RLN通过下肌.

结论:

拟议的参考点可以作为RLN定位的可靠地标.
这个解剖学里程碑可以帮助外科医生在挑战性甲状腺切除手术过程中.
加强RLN识别有助于改善手术结果和减少并发症.

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Larynx

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