Laryngeal Nerve → Repair and Protection During Thyroidectomy скачать в хорошем качестве

Laryngeal Nerve → Repair and Protection During Thyroidectomy

Laryngeal nerve repair during thyroid surgery is a topic of great importance for both patients and surgeons. Dr. Akira Miyauchi from Kuma Hospital in Kobe, Japan is an expert in this field and has shared his knowledge and experience on the topic. The laryngeal nerve is a crucial nerve that controls the movement of the vocal cords. During thyroid surgery, it is located close to the thyroid and can sometimes be damaged or severed, leading to paralysis of the vocal cords. However, Dr. Miyauchi explains that this damage can be avoided if the surgeon is aware of the location of the laryngeal nerve and takes the necessary precautions to preserve it. In cases where the laryngeal nerve is damaged or severed due to cancer invasion, reconstruction surgery can be performed to repair the nerve. This can include direct anastomosis, nerve grafting, or nerve transfer. While the movement of the vocal cord may not fully recover, the vocal cord will recover from atrophy and the space between the vocal cords will become narrower, leading to a nearly normal voice within two or three months. Dr. Miyauchi stresses the importance of having a surgeon who is experienced and familiar with the technique of laryngeal nerve repair during thyroid surgery. He also emphasizes the importance of interoperative neural monitoring systems, which can help identify and preserve the laryngeal nerve during surgery. In conclusion, laryngeal nerve repair during thyroid surgery is a complex topic that requires the expertise of a skilled and experienced surgeon. Patients should be aware of this issue and ask their surgeon about their experience and familiarity with this technique. Additionally, active surveillance, or avoiding surgery altogether, can also be a way to protect the laryngeal nerve.