Tocchi A, Lepre L, Costa G, Liotta G, Mazzoni G, Maggiolini F
Università degli Studi, La Sapienza, Roma.
G Chir. 1996 May;17(5):279-82.
Recurrent laryngeal nerve paralysis in the most serious complication of thyroid surgery. Five-hundred and sixty eight-consecutive operations for benign disease of the thyroid were retrospectively analyzed. Bilateral identification of the inferior laryngeal nerve was performed in 447 cases, whereas in 121 patients the identification was unilateral. The rate of primary postoperative vocal cord paralysis was 3.7% and permanent palsy rate was 0.8%. Present results compared with those of Literature confirm that recurrent nerve paralysis is a less frequent complication when the nerve is routinely identified and correctly prepared.
喉返神经麻痹是甲状腺手术最严重的并发症。对连续568例甲状腺良性疾病手术进行了回顾性分析。447例患者双侧识别喉返神经，121例患者为单侧识别。术后原发性声带麻痹发生率为3.7%，永久性麻痹发生率为0.8%。目前的结果与文献报道的结果相比证实，当常规识别并正确处理神经时，喉返神经麻痹是一种较少见的并发症。
