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Tidoid ameliyatlarında rekürren laringeal sinirin ortaya konulmasının vokal kord paralizisi gelişmesine etkisi

The effect of recurrent laryngeal nerve identification during thyroid surgery on incidence of vocal fold paralysis.

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Aim: We have investigated effect of recurrent laryngeal nerve identification during thyroid surgery on incidence of nerve paralysis. Material and method: Routine intraoperative dissection and identification of recurrent laryngeal nerve was said to have reduced the nerve paralysis at recent reports in the literature. This prospective study was conducted between January 2003 and October 2005. The recurrent laryngeal nerve identification was performed during thyroid surgery and incidence of nerve paralysis was recorded in 36 patients. Results: For 30 patients (83.3%) the surgical procedure was bilateral subtotal lobectomy, for 4 patients [11.1%) the surgical procedure was unilateral total lobectomy + isthmusectomy and for 2 patients (5.6%) the surgical procedure was near-total thyroidectomy. There was no permanent recurrent laryngeal nerve paralysis. The temporary recurrent laryngeal nerve paralysis rate was 1.42 percent. Conclusion: The identification of recurrent laryngeal nerve reduced the rate of postoperative recurrent laryngeal nerve paralysis.
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Abstract (Original Language): 
Amaç: Tiroid bezine yönelik cerrahi girişimlerde rekürren laringeal sinirin ortaya konulmasının paralizi olasılığı üzerine etkisi olup olmadığını araştırmak. Gereç ve yöntem: Son yıllarda tiroid ameliyatları esnasında çeşitli yön¬temlerle rekürren laringeal sinirin ortaya konulmasının, sinirde oluşabilecek paralizi riskini azalttığı İleri sürülmek¬tedir. Bu prospektif çalışma Ocak 2003-Ekim 2005 tarihlerinde gerçekleştirilmiştir. Toplam 36 hastada tiroid ameliyatı esnasında rekürren laringeal sinir, diseksiyon ve görsel tanımlama ile ortaya konarak sinir paralizisi gelişme oranlan araştırıldı. Bulgular: Hastalardan 30'una (%83.3J bilateral subtotal lobektomi. 4'üne [% 11.1) total e yakın tiroidektomi, 2'sine (%5.6) unilateral total lobektomi + İstmektomi ameliyatı yapıldı. Hastaların hiçbirinde kalıcı rekürren laringeal sinir paralizisi gelişmedi. Geçici rekürren laringeal sinir paralizi oranı % 1.42 İdi. Sonuç: Rekürren laringeal sinirin ortaya konulması sinirde oluşabilecek paralizi riskini azaltmaktadır.
FULL TEXT (PDF): 
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  • 2
69-71
  • Turkish

REFERENCES

References: 

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