Gavilán J, Gavilán C
Arch Otolaryngol Head Neck Surg. 1986 Dec;112(12):1286-8.
Intraoperative identification of the recurrent laryngeal nerve (RLN) is mandatory in surgery of the thyroid and parathyroid glands to avoid surgical damage. Several methods have been proposed for identifying and localizing the RLN based on vocal cord motion produced by electrical stimulation of the nerve. Most of them require complex instrumentation, while others are in contradiction with anatomical basis. We present a safe and simple method for identifying the RLN during thyroid and parathyroid gland surgery, which requires no additional surgical instruments and can be performed as a routine procedure. Nonetheless, thorough knowledge of cervical anatomy still remains the most important point in this surgery.
在甲状腺和甲状旁腺手术中，术中识别喉返神经（RLN）对于避免手术损伤至关重要。基于对神经进行电刺激所产生的声带运动，人们已经提出了几种识别和定位喉返神经的方法。其中大多数方法需要复杂的仪器设备，而其他一些方法则与解剖学基础相矛盾。我们提出了一种在甲状腺和甲状旁腺手术中识别喉返神经的安全且简单的方法，该方法无需额外的手术器械，并且可以作为常规操作来进行。尽管如此，对颈部解剖结构的透彻了解仍然是该手术中最重要的一点。
