Prevention and treatment of recurrent laryngeal nerve injury during operation in patients with thyroid cancer

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Author:
LI Li-yi(Department of Tumor Surgery,The Second Hospital Affiliated to Wenzhou Medical College, Wenzhou ,Zhejiang 325027, China)
LUO Yue(Department of Tumor Surgery,The Second Hospital Affiliated to Wenzhou Medical College, Wenzhou ,Zhejiang 325027, China)
DONG Jian-da(Department of Tumor Surgery,The Second Hospital Affiliated to Wenzhou Medical College, Wenzhou ,Zhejiang 325027, China)
ZHU Shao-jun(Department of Tumor Surgery,The Second Hospital Affiliated to Wenzhou Medical College, Wenzhou ,Zhejiang 325027, China)
ZHANG Yin-long(Department of Tumor Surgery,The Second Hospital Affiliated to Wenzhou Medical College, Wenzhou ,Zhejiang 325027, China)
Journal Title:
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
Issue:
Volume 17, Issue 22, 2010
DOI:
10.3760/cma.j.issn.1008-6706.2010.22.007
Key Word:
Thyroid neoplasms;Recurrent laryngeal nerve/injury;Thyroidectomy

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.

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