The clinical value of exposure of recurrent laryngeal nerve by precise neurotomy in thyroid surgery
CHEN Ye-xi
YANG Wen-peng
LI Zhi-yang
CAI Dao-quan
Abstract：Objective To investigate the clinical value of precise neurotomy of recurrent laryngeal nerve in thyroid surgery.Methods One hundred and forty-eight patients with thyroidectomy were divided into two groups,105 patients in the experiment group and 43 patients in the control group.In the experiment group,recurrent laryngeal nerve was exposed by precise neurotomy.In the control group,the above-mentioned nerve was not exposed.The clinical value was determined by comparing the general situation of patients,such as age,sex,mass pathotype,the way of operation and the incidences of injury to the nerve between the two groups respectively.Results There was no statistical difference between the two groups in the above-mentioned factors (P ＞ 0.05).However,there was 1 case of exposed recurrent laryngeal nerve in thyroidectomy with post-operative hoarseness and 3 cases without exposed recurrent laryngeal nerve in thyroidectomy.The total incidence of injury to the nerve between the two groups was 0.95％ (1/105) and 6.97％ (3/43),respectively (P ＜ 0.05).Conclusions Exposure of recurrent laryngeal nerve by precise neurotomy in thyroid surgery can effectively avoid the damage of the recurrent laryngeal nerve.Moreover appropriate measures should be taken to avoid permanent damage of recurrent laryngeal nerve.
Keywords：Thyroid glandSurgeryRecurrent laryngeal nerve
Publication Date：2013-09-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1254-1256 )