갑상선 수술 후 발생하는 음성 문제 개선 방법

• 영문명: Options to enhance voice quality during and after thyroidectomy
• 발행기관: 대한신경모니터링학회
• 저자명: 이형신(Hyoung Shin Lee)
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.4 No.2, 141~145쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2024.11.30

국문 초록

Quality of voice after thyroidectomy remains the main concerns both for surgeons and patients. Injury of the recurrent laryngeal nerve or the external branch of the superior laryngeal nerve may lead to serious voice alteration and dysphonia. On the other hand, patients may complain of voice problems without direct injury to the nerve, which may be considered as a post-thyroidectomy syndrome. Regarding nerve injury during thyroidectomy, intraoperative neuromonitoring is helpful to identify, preserve and prognosticate the nerve function. In cases when the nerve is sacrificed (or resected), reinnervation may help to improve postoperative vocal function. If postoperative vocal fold paralysis is identified, early identification and management is mandatory. Injection laryngoplasty and laryngeal framework surgery may be required as appropriate. Early rehabilitation and voice therapy has demonstrated better post-thyroidectomy vocal outcomes. Feasibility of innovative strategies of managing nerve injury include nerve guiding conduit, bioengineering scaffold, neurostimulation and cell/gene therapy. In this review article, up-to-date options to enhance post-thyroidectomy vocal outcomes will be summarized.

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키워드

Thyroidectomy Thyroid Recurrent laryngeal nerve Voice