经口甲状腺切除术后颏部及颈部感觉变化：颏神经损伤的前瞻性研究
Sensory change in the chin and neck after transoral thyroidectomy: Prospective study of mental nerve injury.
作者信息
Tae Kyung, Lee Dong Won, Bang Hyang Sook, Ahn You Hern, Park Jung Hwan, Kim Dong Sun
机构信息
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, South Korea.
Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu, Daegu, South Korea.
出版信息
Head Neck. 2020 Nov;42(11):3111-3117. doi: 10.1002/hed.26351. Epub 2020 Jul 4.
BACKGROUND
The study aimed to evaluate the sensory changes on the chin and neck in transoral thyroidectomy.
METHODS
We prospectively assessed the cutaneous sensation of 10 zones of the chin, face, and neck in 43 patients who underwent transoral robotic or endoscopic thyroidectomy using the Semmes-Weinstein monofilaments test, preoperatively and postoperatively at 1 week, 1 month, and 3 months.
RESULTS
The sensation of the chin and lower lip did not differ before and after surgery. However, the pressure threshold of the submental and level VI area increased significantly after surgery, and returned to the preoperative level 1 month and 3 months postoperatively, respectively.
CONCLUSION
In terms of mental nerve injury, transoral thyroidectomy is safe when performed successfully. However, proper placement of oral vestibular incisions and minimal dissection of the chin is essential to avoid mental nerve injury.
背景
本研究旨在评估经口甲状腺切除术中下巴和颈部的感觉变化。
方法
我们前瞻性地评估了43例行经口机器人或内镜甲状腺切除术患者术前以及术后1周、1个月和3个月时下巴、面部和颈部10个区域的皮肤感觉，采用Semmes-Weinstein单丝试验。
结果
手术前后下巴和下唇的感觉无差异。然而，术后颏下和Ⅵ区的压力阈值显著升高，分别在术后1个月和3个月恢复到术前水平。
结论
就颏神经损伤而言，经口甲状腺切除术成功实施时是安全的。然而，正确放置口腔前庭切口并尽量减少下巴的解剖对于避免颏神经损伤至关重要。
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