A novel method to reconstruct right recurrent laryngeal nerve by transforming into nonrecurrent laryngeal nerve: The end‐to‐free vagal laryngeal branch end anastomosis
A novel method to reconstruct right recurrent laryngeal nerve by transforming into nonrecurrent laryngeal nerve: The end‐to‐free vagal laryngeal branch end anastomosis
复制标题
右喉返神经非返神经重建新方法：迷走神经喉支末端吻合术
DOI：
10.1002/hed.26942
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Yu‐Long Wang
中科院分区：
文献类型：
--
作者：
Jiaqian Hu;Pengcheng Yu;Li;Wenjun Wei;Zhong‐wu Lu;Yu Wang;Q. Ji;Yu‐Long Wang
本研究的目的是展示一种将右喉返神经（RLN）转化为非喉返神经重建的新方法：端游离迷走神经喉分支端吻合术。我们在此报道一例局部晚期甲状腺癌的病例。该患者在我们机构接受了根治性甲状腺手术，不可避免地进行了部分 RLN 切除并立即进行右 RLN 重建。在术中神经监测（IOMN）的指导下，我们完成了一种新型的迷走神经喉支端端吻合术。整个过程受到 IOMN 的精心监控。外科医生可以通过将右侧 RLN 转化为非返神经来获得足够的游离神经以进行无张力吻合。随访喉镜显示右杓状软骨的内收运动有所改善。迷走神经端游离端吻合术是重建右侧RLN节段神经切除的有效方法。其术后长期结果需要进一步保证。
The objective of this study is to demonstrate a novel method for the reconstruction of right recurrent laryngeal nerve (RLN) by transforming into nonrecurrent RLN: the end‐to‐free vagal laryngeal branch end anastomosis. Here we report a case of locally advanced thyroid carcinoma. The patient underwent radical thyroid surgery with inevitably partial RLN resection and immediate right RLN reconstruction at our institution. With the guidance of intraoperative neuromonitoring (IOMN), we completed a novel end‐to‐free vagal laryngeal branch end anastomosis. The whole procedure was deliberately monitored by IOMN. Surgeons can procure adequate free nerve for tension‐free anastomosis by transforming the right RLN into nonrecurrent nerve. Follow‐up laryngoscope showed improved adductory movement of the right arytenoid. The end‐to‐free vagal end anastomosis is an effective way to reconstruct segmental nerve resection of right RLN. Its long‐term postoperative result needs to be further warranted.
影响因子：
2.6
作者：
Kumai, Yoshihiko;Kodama, Narihiro;Yumoto, Eiji
通讯作者：
Yumoto, Eiji