André P, Gandon J, Trotoux J
Ann Otolaryngol Chir Cervicofac. 1981;98(9):443-5.
Following a brief review of anatomical features, the risk of injury to the recurrent nerve is discussed as a function of the type of operation performed: subtotal thyroidectomy, ablation of a retrosternal goitre, lobectomy, and total thyroidectomy. Particular attention has to be paid to the risk of anomaly in the nerve pathway: early division or a nerve branching directly from the Xth nerve without a recurrent pathway. Paralysis may be due to simple stretching of the nerve, when regression occurs in approximately three months. Paralysis of the recurrent nerve occurred in 1.69% of cases (7 definite, including 2 of necessity), in a series of 1 184 recurrent nerve exposures.
在简要回顾解剖特征之后，将根据所施行手术的类型讨论喉返神经损伤的风险：甲状腺次全切除术、胸骨后甲状腺肿切除术、甲状腺叶切除术和甲状腺全切除术。必须特别注意神经走行异常的风险：神经早期分支或直接从第十对脑神经分支而无喉返路径。当神经在大约三个月内发生退行性变时，麻痹可能是由于神经单纯受牵拉所致。在1184例喉返神经暴露病例系列中，喉返神经麻痹发生率为1.69%（7例明确，包括2例必然发生的）。
