Vein Wrapping Technique for Nerve Reconstruction in Patients with Thyroid Cancer Invading the Recurrent Laryngeal Nerve

Yoo, Young-Moon; Lee, Il-Jae; Lim, Hyo-Seob; Kim, Joo-Hyoung; Park, Myong-Chul

추천

검색

자료유형: 학술저널

저자정보: Yoo, Young-Moon (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Lee, Il-Jae (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Lim, Hyo-Seob (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Kim, Joo-Hyoung (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Park, Myong-Chul (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제39권 제1호

발행연도: 2012.1

수록면: 71 - 75 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Recurrent laryngeal nerve paralysis is the most common and serious complication after thyroid cancer surgery. The objective of this study was to report the advantages of the vein wrapping technique for nerve reconstruction in patients with thyroid cancer invading the recurrent laryngeal nerve and its effects on postoperative phonatory function. The subjects were three patients who underwent resection of the recurrent laryngeal nerve during surgical extirpation of papillary thyroid cancer. Free ansa cervicalis nerve graft or direct neurorrhaphy with a vein wrapping technique was used to facilitate nerve regeneration, protect the anastomosed nerve site mechanically, and prevent neuroma formation. One-year postoperative laryngoscopic examination revealed good vocal cord mobility. Maximum phonation time ($19.5{\pm}0.3$ sec) was longer than a previously-reported value in conventional reconstruction patients ($18.8{\pm}6.6$ sec). The present phonation efficiency index ($7.88{\pm}0.78$) was higher than that previously calculated in conventional reconstruction ($7.59{\pm}2.82$). The mean value of the Voice Handicap Index-10 was 6, which was within the normal range. This study demonstrates improvement in phonation indices measured 1 year after recurrent laryngeal nerve reconstruction. Our results confirm that the vein wrapping technique has theoretical advantages and could be favored over conventional reconstruction techniques for invenerate nerve injuries.

#Recurrent laryngeal nerve #Thyroid neoplasms #Nerve regeneration #Phonation #Vocal cords

참고문헌 (13)

참고문헌 신청

Chiang FY / 2008 / The mechanism of recurrent laryngeal nerve injury during thyroid surgery: the application of intraoperative neuromonitoring / Surgery 143:743~749

Snyder SK / 2008 / Elucidating mechanisms of recurrent laryngeal nerve injury during thyroidectomy and parathyroidectomy / J Am Coll Surg 206:123~130

Yumoto E / 2006 / Immediate recurrent laryngeal nerve reconstruction and vocal outcome / Laryngoscope 116:1657~1661

Miyauchi A / 1998 / The role of ansato-recurrent-laryngeal nerve anastomosis in operations for thyroid cancer / Eur J Surg 164:927~933

Lubiatowski P / 2008 / The epineural sleeve technique for nerve graft reconstruction enhances nerve recovery / Microsurgery 28:160~167