Forssell C, Takolander R, Bergqvist D, Bergentz S E, Gramming P, Kitzing P
Acta Chir Scand. 1985;151(7):595-8.
To determine the incidence and nature of cranial nerve damage in connection with carotid artery surgery, 139 patients were studied before and after 162 operations. Nerve damage was detected in association with 19.8% of the operations. The hypoglossal nerve was most commonly affected. The injuries were of benign character and usually resolved within 4 to 6 weeks. Apart from damage to the great auricular nerve, all lesions resolved within 5 months. The incidence of nerve disturbance was greater than that found in a retrospective study from the same hospital. Gentleness of technique is important in carotid artery surgery, in order to avoid nerve damage.
为了确定与颈动脉手术相关的颅神经损伤的发生率和性质，我们对139例患者在162次手术前后进行了研究。在19.8%的手术中检测到神经损伤。舌下神经最常受到影响。这些损伤为良性，通常在4至6周内恢复。除了耳大神经损伤外，所有病变均在5个月内恢复。神经功能障碍的发生率高于同一医院的一项回顾性研究。在颈动脉手术中，操作轻柔对于避免神经损伤很重要。
