국내에서 보고된 비회귀성 반회후두신경 증례 분석

• 영문명: Analysis of the Korean Cases of Nonrecurrent Laryngeal Nerve
• 발행기관: 대한내분비외과학회
• 저자명: 김민기 최영수 김기현 배자성 이동호 성기영 김정수 박우찬 Min-Ki Kim M.D. Young-Soo Choi M.D. Ki-Hyun Kim M.D. Ja-Sung Bae M.D. Dong-Ho Lee M.D. Ki Young Sung M.D. Jung-Soo Kim M.D. and Woo-Chan Park M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』9권1호, 24~29쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.03.30

영문 초록

Purpose: This study was performed to readjust the clinical implications of a nonrecurrent laryngeal nerve by assessing the reported Korean cases of a nonrecurrent laryngeal nerve. Methods: We analyzed the cases of nonrecurrent laryngeal nerve that have been reported in Korea between 1997 and 2008 by reviewing the literature. An internet search was conducted in the NDSL (National Digital Science Library) and the Korean Medical Database. Results: The data included 3 men and 25 women with an average age of 45.1 (age range: 28∼58). All the cases were right-sided, and the incidence rate was 0.38% and 0.86% in two articles, respectively. There was a type I variation in 4 cases (17.4%), type IIa in 19 cases (82.6%), and the others are unknown. Twenty-five cases (89.3%) had the vascular anomaly called arteria lusoria. Only 8 cases (28.6%) were preoperatively predicted as possibly having a nonrecurrent laryngeal nerve. Iatrogenic nerve injury developed in 1 case (3.57%) with a type I variation during the postoperative period. Conclusion: A similar tendency for the incidence rate, the genderratio, the type distribution and vascular anomaly was observed when comparing the Korean reports with those reports of overseas. The nonrecurrent laryngeal nerve can be preoperatively predicted if proper attention is given when vascular anomaly is noted on CT or USG, and injury will be avoided by intraoperatively following the standard operation technique. There is currently an increasing incidence of thyroid diseases, and so adequate attention must be given to the possibility of a nonrecurrent laryngeal nerve and its management. (Korean J Endocrine Surg 2009;9:24-29)

키워드

비회귀성 반회후두신경, Ateria lusoria, 갑상선 질환, 신경 손상,Nonrecurrent laryngeal nerve, Ateria lusoria, Thyroid disease, Nerve injury