지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 79 - 85 (7page)
- DOI
- 10.16956/jes.2021.21.4.79
이용수
초록· 키워드
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Purpose: The knowledge of sympathetic inferior laryngeal anastomosing branch (SILAB) is of great importance as it may mimic the non-recurrent laryngeal nerve (NRLN) leading to recurrent laryngeal nerve (RLN) damage in inexperienced hands. We describe our 2-year experience in SILAB recognition, describing the prevalence, diameter, and method of avoiding SILAB misinterpretation.
Methods: Consecutive patients undergoing total thyroidectomy with either prophylactic or therapeutic central compartment lymphadenectomy were included. Operative technique was standardized amongst 2 endocrine surgeons. Data was prospectively collected in a dedicated database. Demographic, pathological, operative, and biochemical parameters were collected, and subgroup outcomes were compared.
Results: One hundred thirty-three patients were included in the study, 100 were female (75.2%). Nineteen SILABS were recognized (19/202; 9.4%), 14 (14/99; 14.14%) on the right and 5 (5/103; 4.85%) on the left side. In a total of 6 cases (6/19; 31.5%), the SILAB diameter was similar to the RLN.
Conclusion: SILAB may not be as rare as previously thought. It not only branches to the RLN up to 2 cm from the level of the larynx but can branch more caudally up to the level of the clavicle. Intraoperative nerve monitoring is a very useful tool to avoid misinterpretation of SILAB to NRLN when used appropriately.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Steinberg JL / 1986 / Anatomy of the recurrent laryngeal nerve : a redescription / J Laryngol Otol 100:919~927
Sato I / 1997 / Communication between the superior cervical sympathetic ganglion and the inferior laryngeal nerve / J Anat 190:147~148
Calzolari F / 2008 / Non-recurrent inferior laryngeal nerves and sympathetic-inferior laryngeal anastomotic branches : 6 years’ personal experience / Chir Ital 60:221~225
Raffaelli M / 2000 / The"false"nonrecurrent inferior laryngeal nerve / Surgery 128:1082~1087
Yetişir F / 2013 / Fusion of a cervical sympathetic ganglion with the recurrent inferior laryngeal nerve : a case of false positive non-recurrent inferior laryngeal nerve / Ulus Cerrahi Derg 29:150~152
Sato I / 1997 / Communication between the superior cervical sympathetic ganglion and the inferior laryngeal nerve / J Anat 190:147~148
Calzolari F / 2008 / Non-recurrent inferior laryngeal nerves and sympathetic-inferior laryngeal anastomotic branches : 6 years’ personal experience / Chir Ital 60:221~225
Raffaelli M / 2000 / The"false"nonrecurrent inferior laryngeal nerve / Surgery 128:1082~1087
Yetişir F / 2013 / Fusion of a cervical sympathetic ganglion with the recurrent inferior laryngeal nerve : a case of false positive non-recurrent inferior laryngeal nerve / Ulus Cerrahi Derg 29:150~152
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