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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Immediate Ansa Cervicalis-to-Recurrent Laryngeal Nerve Anastomosis for the Management of Recurrent Laryngeal Nerve Infiltration by a Differentiated Thyroid Carcinoma
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Immediate Ansa Cervicalis-to-Recurrent Laryngeal Nerve Anastomosis for the Management of Recurrent Laryngeal Nerve Infiltration by a Differentiated Thyroid Carcinoma

机译：立即Ansa宫颈炎患者喉神经吻合术治疗分化的甲状腺癌反复性喉神经浸润

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Objectives: The optimal surgical approach to treat recurrent laryngeal nerve (RLN) infiltration by differentiated thyroid cancer (DTC) remains a subject of debate. This study explored the feasibility and efficiency of immediate ansa cervicalis nerve (ACN)-to-RLN anastomosis for the management of RLN infiltration by DTC. Material and Methods: Fifty-three patients who underwent immediate ACN-to-RLN anastomosis during DTC extirpation were enrolled in the present study. Thirty-seven cases presented with unilateral vocal cord paralysis before the operation (Group A), and another 16 patients presented with normal vocal cord mobility preoperatively (Group B). Multidimensional assessments, videostroboscopy, voice assessment, and laryngeal electromyography (LEMG) were performed preoperatively and postoperatively. Results: All videostroboscopy, voice assessment and LEMG parameters in Group A deteriorated 1 month after the operation and improved 1 year after the operation compared with preoperative data. In Group B, all parameters 1 year after the operation improved significantly compared with the corresponding parameters 1 month after the operation. LEMG in Group A and B provided substantial evidence for the maturation of neural regeneration from ACN and demonstrated that the laryngeal muscles were reinnervated successfully by this procedure. Conclusions: If the RLN is infiltrated by DTC, immediate ACN-to-RLN anastomosis during complete excision of DTC could restore satisfactory phonatory function and does not compromise oncological radicality.
机译：目的：通过分化的甲状腺癌（DTC）治疗复发性喉神经（RLN）浸润的最佳手术方法仍然是辩论的主题。本研究探讨了立即Ansa Cervicalis神经（ACN）-TO-RLN吻合的可行性和效率，用于DTC的RLN渗透治疗。材料和方法：在目前的研究中注册了在DTC灭绝期间接受ACN-TO-RLN吻合术的五十三名患者。在手术（A组）之前三十七例呈现单侧声带瘫痪，另外16名患者术前呈现正常的声带流动性（B组）。术后和术后，进行多维评估，录像诊断，语音评估和喉肌图像（LEMG）。结果：所有录像镜检查，语音评估和LEMG参数在术后1个月劣化，操作后1年与术前数据相比。在B组中，操作后1年的所有参数与操作后1个月的相应参数相比显着改善。 A组和B组中的LEMG为来自ACN的神经再生成熟而提供了实质性证据，并证明了通过该程序成功地重新衰变喉部肌肉。结论：如果DTC渗透RLN，则DTC完全切除期间的立即ACN-TO-RLN吻合术可以恢复令人满意的语音功能，并且不会损害肿瘤学完全。

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