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用于治疗纵隔病变所致声带麻痹的袢-喉返神经吻合术

Ansa-recurrent nerve anastomosis for vocal cord paralysis due to mediastinal lesions.

作者信息

Miyauchi A, Matsusaka K, Kawaguchi H, Nakamoto K, Maeda M

机构信息

Second Department of Surgery, Kagawa Medical School, Japan.

出版信息

Ann Thorac Surg. 1994 Apr;57(4):1020-1. doi: 10.1016/0003-4975(94)90230-5.

DOI:10.1016/0003-4975(94)90230-5
PMID:8166501
Abstract

Recurrent laryngeal or vagus nerve injuries in the mediastinum are repaired rarely because of technical difficulties. Impairment in phonation is especially severe in patients with respiratory dysfunction. We performed a simple and less invasive reconstruction, ansa cervicalis-recurrent laryngeal nerve anastomosis in the neck, to improve phonation in 2 patients. Although the reinnervated vocal cord did not regain normal movement, both of the patients obtained excellent improvement in phonation.

摘要

由于技术困难,纵隔内喉返神经或迷走神经损伤很少进行修复。在呼吸功能障碍的患者中,发声障碍尤为严重。我们进行了一种简单且侵入性较小的重建手术,即颈部颈袢-喉返神经吻合术,以改善2例患者的发声。尽管重新支配的声带没有恢复正常运动,但两名患者的发声均获得了显著改善。

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Laryngoscope. 1991 Apr;101(4 Pt 1):384-7; discussion 388. doi: 10.1002/lary.1991.101.4.384.

引用本文的文献

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World J Clin Cases. 2018 Dec 26;6(16):1202-1205. doi: 10.12998/wjcc.v6.i16.1202.
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Selective laryngeal reinnervation: can rerouting of the thyrohyoid nerve simplify the procedure by avoiding the use of a nerve graft?选择性喉再支配:通过避免使用神经移植物,舌骨下神经改道能否简化手术过程?
Surg Radiol Anat. 2019 Feb;41(2):145-150. doi: 10.1007/s00276-018-2117-y. Epub 2018 Oct 29.
3
Surgical Methods and Experiences of Surgeons did not Significantly Affect the Recovery in Phonation Following Reconstruction of the Recurrent Laryngeal Nerve.
外科医生的手术方法和经验对喉返神经重建术后发声恢复情况无显著影响。
World J Surg. 2016 Dec;40(12):2948-2955. doi: 10.1007/s00268-016-3634-7.
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Recurrent Laryngeal Nerve Liberations and Reconstructions: A Single Institution Experience.喉返神经松解与重建:单机构经验
World J Surg. 2016 Mar;40(3):644-51. doi: 10.1007/s00268-015-3305-0.
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Surgical anatomy of the ansa cervicalis nerve: which branch to use for laryngeal reinnervation in humans?颈襻神经的手术解剖:在人类中用于喉再支配应使用哪一支?
Surg Radiol Anat. 2015 Mar;37(2):139-45. doi: 10.1007/s00276-014-1355-x. Epub 2014 Aug 28.
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