Bulger R F, Rejowski J E, Beatty R A
J Neurosurg. 1985 May;62(5):657-61. doi: 10.3171/jns.1985.62.5.0657.
In a series of 375 patients with anterior cervical fusions, long-term follow-up results complete with laryngeal examination were obtained in 102 patients. One patient was found to have an inferior laryngeal nerve palsy, and one had a superior laryngeal nerve palsy. Both deficits were thought to be the result of surgical trauma. Measures to minimize the incidence of vocal cord paralysis include careful surgical technique and knowledge of the surgical anatomy of the laryngeal nerves. Suggestions are given for the assessment of postoperative hoarseness, and for the management of vocal cord paralysis.
在一组375例行颈椎前路融合术的患者中，对102例患者进行了包括喉镜检查在内的长期随访。发现1例患者有喉返神经麻痹，1例有喉上神经麻痹。这两种神经功能缺损均被认为是手术创伤所致。将声带麻痹发生率降至最低的措施包括精细的手术技巧以及对喉神经手术解剖结构的了解。文中给出了术后声音嘶哑评估及声带麻痹处理的建议。
