双重复发的喉神经与甲状腺癌
Ugur Kesici1, Mehmet Guray Duman1, Ahmet Furkan Mazlum2
1Department of General Surgery, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, 34384 Istanbul, Türkiye.
Annali italiani di chirurgia
|June 26, 2024
概括
回复性喉神经 (RLN) 损伤是一个严重的甲状腺手术风险,特别是罕见的解剖变异,如双重RLN. 术内神经监测 (IONM) 有助于识别这些变异并预防神经损伤.
科学领域:
- 内分泌手术 内分泌手术
- 手术解剖学手术解剖学
- 神经学 神经学
背景情况:
- 重复性喉神经 (RLN) 损伤是甲状腺手术中的一个重要并发症.
- 解剖学变异,如双重复发喉神经 (DRLN),增加RLN损伤的风险.
- 外科专业知识和精细的神经可视化对于最小化神经损伤至关重要.
研究的目的:
- 报告在甲状腺手术期间发现的一种罕见的双重复发喉神经 (DRLN) 病例.
- 突出了手术内神经监测 (IONM) 在检测解剖变异方面的实用性.
- 强调外科专业知识和IONM在预防RLN损伤方面的重要性.
主要方法:
- 一个54岁妇女的案例研究,接受了诊断性左叶切除术和胸腔切除术.
- 在手术期间进行探索和精细的神经剖析.
- 利用术内神经监测 (IONM) 来识别和评估已识别的DRLN.
主要成果:
- 在手术过程中成功确定了左双复发性喉神经 (DRLN).
- IONM证实,在DRLN的两个分支中,脉冲传导是相同的.
- 甲状腺手术在没有任何神经损伤的情况下完成.
结论:
- 结合IONM的外科专业知识,可以有效地降低甲状腺手术期间RLN神经损伤的风险.
- IONM 是一种有价值的工具,用于识别罕见的解剖变异,如DRLN.
- 早期发现和仔细管理DRLN可以确保成功的外科手术结果.
相关概念视频
The Thyroid Gland
3.8K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
3.8K
Larynx
1.4K
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,...
1.4K
Synthesis and Regulation of Thyroid Hormones
4.5K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.5K
Cranial Nerves: Types Part II
2.4K
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,...
2.4K
Functions of Thyroid Hormones
2.7K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.7K
The Parathyroid Glands
2.0K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.0K


