Hockauf H, Sailer R
Head Neck Surg. 1982 May-Jun;4(5):380-4. doi: 10.1002/hed.2890040506.
During the past seven years, a total of 1,713 patients underwent strumectomy for a variety of causes at the University of Düsseldorf. Unilateral palsies of the recurrent nerve developed in 147 patients. Both vocal cords were paralyzed in 22 patients. Of the 147 patients with unilateral palsies, 53 patients were available for follow-up examination after one year. In 28 of these patients, complete paresis of the vocal cord remained. Twenty-three patients showed complete recovery and normal function of the affected cord. In two patients, reduced but marked mobility of the previously completely paralyzed vocal cord was present. Of the 22 patients with bilateral recurrent nerve palsies, 10 were available for follow-up examination one year later. In three of these patients vocal cord movement was still absent, in three others one vocal cord showed normal function, and in only one patient did both vocal cords reveal normal physiologic mobility. Three other patients demonstrated a reduced but marked mobility of one vocal cord. The results are discussed in relation to the clinical and histologic data.
在过去七年中，杜塞尔多夫大学共有1713例患者因各种原因接受了甲状腺切除术。147例患者出现了喉返神经单侧麻痹。22例患者双侧声带麻痹。在147例单侧麻痹患者中，有53例患者在一年后可进行随访检查。在这些患者中，28例患者声带仍完全麻痹。23例患者受影响声带完全恢复且功能正常。2例患者先前完全麻痹的声带活动度降低但仍较明显。在22例双侧喉返神经麻痹患者中，10例患者在一年后可进行随访检查。其中3例患者声带仍无活动，另外3例患者一侧声带功能正常，仅1例患者双侧声带呈现正常生理活动度。另外3例患者一侧声带活动度降低但仍较明显。结合临床和组织学数据对结果进行了讨论。
