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呈现的 Lusoria 动脉与非复发的喉神经的呈现
Yumna Afzal1, Muhammad Wasif1, Soubia Akhtar1
1Department of otolaryngology and head and neck surgery, Dr Ziauddin University hospital, B-69/1, block-12, Gulistane-johar, Karachi, 75290 Pakistan.
概括
一个罕见的非复发性喉神经 (NRLN) 变异与动脉相关,在患有的患者中被确定. 术前成像对于预测NRLN和预防手术损伤至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 头部和部手术 头部和部手术
背景情况:
- 非复发性喉神经 (NRLN) 是一种罕见的解剖变异,通常发生在右侧.
- NRLN遵循直接通往喉的路径,绕过通常的循环路径.
- 在NRLN和异常右下关节动脉 (arteria lusoria) 之间存在一种罕见的关联.
研究的目的:
- 报告与动脉相关的NRLN病例.
- 突出了手术前成像在识别这种关联的重要性.
- 强调预防NRLN手术内损伤的策略.
主要方法:
- 一个60岁的病人被诊断出患有肠的案例介绍.
- 术前CT扫描,以确定血管异常.
- 在手术期间识别NRLN及其与动脉的关联.
- 手术管理侧重于神经的保存.
主要成果:
- 在患有喉的患者中发现了一例非复发性喉神经 (NRLN).
- 根据手术前CT扫描预测,NRLN被发现与脉动脉 lusoria有关.
- 在手术期间,神经被成功保存,没有术后并发症.
结论:
- 动脉和NRLN的共存强调了手术前成像的价值.
- 在手术前识别与动脉相关的NRLN,可以在手术期间预防阳性损伤.
- 这一案例凸显了精细的手术技术在头部和部手术中的重要性.
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