1997Nihon Kikan Shokudoka Gakkai KaihoOpen access

Preservation of the Recurrent Laryngeal Nerve and the External Branch of the Superior Laryngeal Nerve during Thyroid Surgery.

Masao Mitsui, Kentaro Ochi, Hiroaki Nakajima, Takuji Kaneko, Hirotsugu Kinoshita, Yasuhiro Miyamoto, Takashi Otsuka, Toru Ohashi, Isao Kato

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Abstract

Damage to the recurrent laryngeal nerve (RLN) or the external branch of the superior laryngeal nerve (ebSLN) remains a leading complication during thyroid or parathyroid surgery. A method for the identification and preservation of these nerves is described. We monitored the mobility of the vocal cords through a laryngeal fiberscope using an electric nerve stimulator. We identified the 8 RLNs and the 7 ebSLNs safely in six patients with thyroid tumors. We were able to confirm the integrity of these nerves at the end of the operation in all cases. The results of the function of these nerves were excellent. We observed no palsy after surgery in any of our cases. The main advantages of our method are its simplicity, noninvasiveness and cost effectiveness. Thus, this method for monitoring the RLN or ebSLN is highly recommended during surgical procedures.

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Damage to the recurrent laryngeal nerve (RLN) or the external branch of the superior laryngeal nerve (ebSLN) remains a leading complication during thyroid or parathyroid surgery. A method for the identification and preservation of these nerves is described. We monitored the mobility of the vocal cords through a laryngeal fiberscope using an electric nerve stimulator. We identified the 8 RLNs and the 7 ebSLNs safely in six patients with thyroid tumors. We were able to confirm the integrity of these nerves at the end of the operation in all cases. The results of the function of these nerves were excellent. We observed no palsy after surgery in any of our cases. The main advantages of our method are its simplicity, noninvasiveness and cost effectiveness. Thus, this method for monitoring the RLN or ebSLN is highly recommended during surgical procedures.

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Available abstract

Damage to the recurrent laryngeal nerve (RLN) or the external branch of the superior laryngeal nerve (ebSLN) remains a leading complication during thyroid or parathyroid surgery. A method for the identification and preservation of these nerves is described. We monitored the mobility of the vocal cords through a laryngeal fiberscope using an electric nerve stimulator. We identified the 8 RLNs and the 7 ebSLNs safely in six patients with thyroid tumors. We were able to confirm the integrity of these nerves at the end of the operation in all cases. The results of the function of these nerves were excellent. We observed no palsy after surgery in any of our cases. The main advantages of our method are its simplicity, noninvasiveness and cost effectiveness. Thus, this method for monitoring the RLN or ebSLN is highly recommended during surgical procedures.

Key concepts: Medicine, Recurrent laryngeal nerve, Fiberscope, Superior laryngeal nerve, Surgery, Thyroid, Thyroidectomy, Palsy

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Preservation of the Recurrent Laryngeal Nerve and the External Branch of the Superior Laryngeal Nerve during Thyroid Surgery. — Research Paper | ScholarLens