갑상선 수술 중 신경 손상에 대한 예방과 치료

• 영문명: Prevention and management of nerve injury during thyroidectomy
• 발행기관: 대한신경모니터링학회
• 저자명: 류준선
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.3 No.1, 1~7쪽, 전체 7쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2023.05.31

영문 초록

Since most thyroid cancers are slowly growing and are not fatal, prevention of surgical complications is as important as removing the lesion. Although permanent vocal cord paralysis, a significant complication of thyroid surgery, is reported to occur in about 1-2% of cases, the actual incidence is expected to be higher for various reasons. When nerve damage occurs despite the surgeon's utmost care, appropriate measures should be taken immediately. However, even with the most aggressive approach, nerve repair (neurorraphy) rarely restores normal vocal cord movement; it is known only to maintain tension in the vocal cords to prevent atrophy. Therefore, preventing nerve damage is considered much more important. To achieve this goal, a thorough preoperative examination and understanding of the anatomical variations of the nerves around the thyroid, as well as precise and careful capsular dissection, are necessary. In this paper, the authors discuss methods for preventing and treating nerve damage during thyroid surgery.

목차

서론

성대 신경 손상시 치료방법들

수술 중 성대신경이 손상된 경우

수술 중 성대신경 손상의 예방

수술 중 신경손상을 방지하기 위해 알아야 할 기본적인 개념

수술 중 신경손상을 유발하는 구조물과 그 변이들

결론

Funding

Conflict of Interest

ORCID

References

키워드

Thyroid surgery Nerve damage Vocal cord paralysis Neurorraphy Capsular dissection