Sauvage J P, Bessède J P, Chassagnac F
Rev Laryngol Otol Rhinol (Bord). 1989;110(2):209-11.
The usual landmarks of thyroid surgery are often altered with a goiter. The surrounding tissue may also be subject to variation. Different anomalies the surgeon may encounter are presented along with their management: the recurrent nerve, the external laryngeal nerve, the parathyroids and an intrathoracic goiter. Each case of thyroid surgery must be considered individually, and the ENT surgeon must devote particular attention to assure perfect postoperative vocal cord function.
甲状腺手术通常的解剖标志常因甲状腺肿而改变。周围组织也可能存在变异。文中介绍了外科医生可能遇到的不同异常情况及其处理方法:喉返神经、喉外神经、甲状旁腺和胸内甲状腺肿。每例甲状腺手术都必须单独考虑,耳鼻喉科医生必须格外注意确保术后声带功能完美。