| Autor: |
Giulia Pagura, Maurizio Iacobone, Marilisa Citton, Donato Nitti, Giovanni Viel |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
The Laryngoscope. 125:1743-1747 |
| ISSN: |
0023-852X |
| DOI: |
10.1002/lary.25093 |
| Popis: |
Objectives/Hypothesis Right nonrecurrent inferior laryngeal nerve (NRLN) is an anatomical variant reported with a variable prevalence (0.3%–6%). It is associated with some arterial abnormalities (absence of the brachiocephalic trunk and presence of a right aberrant subclavian lusorian artery) that may be identified by preoperative ultrasonography (pUS). NRLN represents a major morbidity risk factor during neck surgery. The aim of this study was to verify pUS accuracy in predicting NRLN and to assess the impact of this technique on NRLN detection rate and laryngeal morbidity. Study Design Retrospective. Methods The study included 1,477 patients undergoing thyroid and parathyroid surgery with right-side inferior laryngeal nerve exploration. pUS was performed in 878 patients (pUS group); no preoperative attempts were performed in the remaining 599 patients (controls). Demographics, disease type, intraoperative inferior laryngeal nerve anatomy, and laryngeal morbidity were compared. Results No differences occurred between the two groups concerning demographics and disease type. NRLN was detected in 17 patients (1.9%) of the pUS group and in four patients (0.6%) of controls (P 98%. Overall laryngeal nerves morbidity was 1.8% in the pUS group and 4.2% in the controls (P |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
Plný text