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Recurrent laryngeal nerve anastomosis following thyroid surgery

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Abstract

End-to-end anastomosis of the recurrent laryngeal nerve had been abandoned because movement of the vocal cords could not be restored because of misdirected regeneration. However, the authors discovered that, although vocal cord movement could not be restored, phonation was better in those in whom the recurrent laryngeal nerve was anastomosed than in those in whom it had been left in the severed state. Hoarseness improves after nerve anastomosis because it prevents vocal cord atrophy and the vocal cord gap is smaller. End-to-end anastomosis of the recurrent laryngeal nerve is, therefore, considered to be of value.

Résumé

L'anastomose termino-terminale du nerf récurrent après blessure chirurgicale a été abandonnée en raison de l'échec de la régénération par la majorité des chirurgiens.

Les auteurs ont remarqué cependant que si les mouvements des cordes vocales ne peuvent être rétablis la tentative de restoration de la continuité du nerf donne de meilleurs résultats que l'abandon des deux extrémités sectionnées.

La raucité de la voix s'améliore après la tentative d'anastomose parce qu'elle prévient l'atrophie de la corde vocale.

L'anastomose termino-terminale après blessure du nerf laryngé inférieur mérite donc d'être toujours tentée.

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Authors and Affiliations

  1. Second Department of Surgery and Department of Otolaryngology, Hiroshima University School of Medicine, Hiroshima, Japan

    Haruo Ezaki M.D., Hiroki Ushio M.D., Yasuo Harada M.D. & Nobuo Takeichi M.D.

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  1. Haruo Ezaki M.D.
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  2. Hiroki Ushio M.D.
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  3. Yasuo Harada M.D.
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  4. Nobuo Takeichi M.D.
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Ezaki, H., Ushio, H., Harada, Y. et al. Recurrent laryngeal nerve anastomosis following thyroid surgery. World J. Surg. 6, 342–346 (1982). https://doi.org/10.1007/BF01653553

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  • DOI: https://doi.org/10.1007/BF01653553

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