Bailleux S, Bozec A, Castillo L, Santini J
Department of ENT and Maxillofacial Surgery, Pasteur Hospital, Nice, France.
J Laryngol Otol. 2006 Jul;120(7):566-9. doi: 10.1017/S0022215106000946. Epub 2006 Mar 24.
Recurrent laryngeal nerve paralysis is a much-dreaded complication of thyroid surgery.
To study the feasibility and the reliability of a recurrent laryngeal nerve monitoring technique.
This was a prospective study including 36 patients proposed for thyroid surgery with recurrent laryngeal nerve monitoring. They underwent post-operative fibre-optic laryngeal examination and speech therapist consultation.
Our technique of nerve monitoring showed a 98 per cent sensitivity and 86 per cent specificity.
Recurrent laryngeal nerve monitoring is a feasible and reliable technique. It can be used to avoid bilateral nerve injury and to increase the surgeon's confidence but not to replace a systematic nerve identification and a careful dissection.
喉返神经麻痹是甲状腺手术中令人十分惧怕的并发症。
研究喉返神经监测技术的可行性和可靠性。
这是一项前瞻性研究，纳入了36例拟行甲状腺手术并接受喉返神经监测的患者。他们术后接受了纤维喉镜检查和言语治疗师会诊。
我们的神经监测技术显示敏感性为98%，特异性为86%。
喉返神经监测是一种可行且可靠的技术。它可用于避免双侧神经损伤并增强外科医生的信心，但不能替代系统的神经识别和仔细的解剖。
