Boenninghaus H G, Denecke U
Laryngol Rhinol Otol (Stuttg). 1982 Apr;61(4):189-92.
While injuries of the lingual nerve and the glossopharyngeal nerve in tonsillectomy are possible, a lesion of the hypoglossal nerve is not understandable because of its anatomical course. To see a connection between the lesion of the nerve and a tonsillectomy is probably due to a wrong anatomical concept or incorrect topographical figures. Seen from the oral cavity, the hypoglossal nerve lies behind the great arteries and has, in the region of the floor of the mouth, no direct connection with the tonsil. The medicolegal aspects are reported. Lesion of the hypoglossal nerve might be possible only in bronchoscopy or in direct laryngoscopy.
虽然扁桃体切除术中舌神经和舌咽神经损伤是有可能的,但舌下神经损伤因其解剖走行而难以理解。将神经损伤与扁桃体切除术联系起来,可能是由于错误的解剖概念或不正确的局部解剖图。从口腔观察,舌下神经位于大动脉后方,在口底区域与扁桃体无直接联系。本文报道了相关法医学问题。舌下神经损伤仅可能发生在支气管镜检查或直接喉镜检查中。