2010•Zhongguo jiceng yiyaoRequires access
Prevention and treatment of recurrent laryngeal nerve injury during operation in patients with thyroid cancer
Liyi Li, Yue Luo, Jianda Dong, Shaojun Zhu, Yinlong Zhang
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Abstract
Objective To investigate the causes, prevention and treatment of recurrent laryngeal nerve (RLN) injury during operation in patients with thyroid cancer. Methods Clinical data of 192 patients undergone thyroidectomy operation were reviewed. Results RLN was exposed during operation in 192 patients. There were 3 cases of RLN injury, then RLN anastomosis was happened immediately during operation. It was significantiy improved in pronunciation after operation. 2 ～ 3 d after surgery, transitory hoarseness was observed in 3 patients. Unilateral RLN resection performed in 1 case with cancer involving RLN. Conclusions There were some causes of RLN injury. Exposure of RLN selectively,delicate operation and thyroid gland surgery specialist were the key point for prevention of the injury of RLN. Once RLN injury occured ,repairing should be performed as soon as possible.
Key words:
Thyroid neoplasms; Recurrent laryngeal nerve/injury ; Thyroidectomy