Henry J F, Audiffret J, Plan M
J Chir (Paris). 1985 Jun-Jul;122(6-7):391-7.
Nineteen cases of non-recurrent inferior laryngeal nerve were identified during 3791 cervicotomies for thyroid or parathyroid excision over the last 7 years, the nervous anomaly being of vascular anomaly origin in all cases. Predisposing factors for its onset during aortic arch development are discussed, together with possible symptomatology and means for preoperative diagnosis. Frequency in the cases reported was 0,54% from 3098 dissections on the right and 0,07% from 2846 dissections on the left. Although rare on the right and exceptional on the left, an aberrant non-recurrent pathway for the inferior laryngeal nerve represents a major, surgical risk during thyroid or parathyroid excision.
在过去7年的3791例甲状腺或甲状旁腺切除的颈部手术中,发现19例非返喉神经,所有病例中神经异常均起源于血管异常。本文讨论了主动脉弓发育过程中其发病的易感因素,以及可能的症状和术前诊断方法。在报告的病例中,右侧3098例解剖的发生率为0.54%,左侧2846例解剖的发生率为0.07%。虽然右侧罕见,左侧罕见,但喉返神经走行异常在甲状腺或甲状旁腺切除术中是一个重大的手术风险。