Journal
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
Volume 44, Issue 3, Pages 805-809Publisher
WILEY
DOI: 10.1002/hed.26942
Keywords
nerve anastomosis; reconstruction; recurrent laryngeal nerve; surgery; thyroid cancer
Categories
Funding
- National Natural Science Foundation of China [81772851, 81972501]
Ask authors/readers for more resources
This study demonstrates a novel method for reconstructing the right recurrent laryngeal nerve by transforming it into a nonrecurrent nerve. The procedure was successfully performed in a patient with advanced thyroid carcinoma, showing improved postoperative outcomes.
The objective of this study is to demonstrate a novel method for the reconstruction of right recurrent laryngeal nerve (RLN) by transforming into nonrecurrent RLN: the end-to-free vagal laryngeal branch end anastomosis. Here we report a case of locally advanced thyroid carcinoma. The patient underwent radical thyroid surgery with inevitably partial RLN resection and immediate right RLN reconstruction at our institution. With the guidance of intraoperative neuromonitoring (IOMN), we completed a novel end-to-free vagal laryngeal branch end anastomosis. The whole procedure was deliberately monitored by IOMN. Surgeons can procure adequate free nerve for tension-free anastomosis by transforming the right RLN into nonrecurrent nerve. Follow-up laryngoscope showed improved adductory movement of the right arytenoid. The end-to-free vagal end anastomosis is an effective way to reconstruct segmental nerve resection of right RLN. Its long-term postoperative result needs to be further warranted.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available