NONRECURRENT INFERIOR LARYNGEAL NERVE AND THEIR CLINICAL SIGNIFICANCE (A REPORT OF 2 CASES)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

龔日祥 ¹ , 肖琴 ² , 徐惠珍 ¹

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Keywords：

喉不返神經; 喉返神經; 鎖骨下動脈; 甲狀腺

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目的了解喉不返神經臨床解剖特點，總結甲狀腺手術中預防其損傷的經驗。
方法分析2例喉不返神經臨床資料，結合文獻討論甲狀腺手術中預防其損傷的有關問題。
結果本組2例經手術證實，喉不返神經均位于右側；右喉返神經缺如，術中未損傷。
結論甲狀腺手術中發現橫行于頸動脈鞘和喉之間任何索狀結構或探查喉返神經缺如，須顯露迷走神經(頸段)以避免損傷喉不返神經。

Citation： 龔日祥,肖琴,徐惠珍. NONRECURRENT INFERIOR LARYNGEAL NERVE AND THEIR CLINICAL SIGNIFICANCE (A REPORT OF 2 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(5): 338-339. doi: Copy

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5.	Bowden REM. The surgical anatomy of the recurrent laryneal nerve 〔Ｊ〕. Br J Surg, 1955; 43(178)∶153.
6.	Henry JF, Audiffret J, Denicot A, et al. The nonrecurrent laryngel nerve: review of 33 cases, including two on the left side 〔Ｊ〕. Surgery, 1988; 104(6)∶977.
7.	Proye C, Carnaille B, Goropoulos A. Nonrecurrent and recurrent inferior laryngeal nerve: a surgical pitfall in cervical exploration 〔Ｊ〕. Am J Surg, 1991; 162(5)∶495.
8.	龔日祥，徐惠珍. 甲狀腺術中喉返神經損傷的預防〔Ｊ〕. 普外基礎與臨床雜志， 1996； 3(3)∶149.

1. Stedman GW. A singular distribution of some of the nerves and arteries of the neck and the top of the thorax 〔Ｊ〕. Edin Med Surg J, 1823; 19(2)∶564.
2. Pemberton J, Beaver MG. Anomaly of the right recurrent laryngeal nerve 〔Ｊ〕. Surg Gynecol Obstet, 1932; 54(3)∶594.
3. Work WG. Unusual position of the right recurrent laryngeal verve 〔Ｊ〕. Ann of Otology, Rhinology and Laryngology, 1941; 50(3)∶769.
4. Soustelle J, Vuillard P, Tapissier J, et al. La nonrcurrence du nerf laryng infrieur: a propos de neuf cas 〔Ｊ〕. Lyon Chir, 1976; 72(1)∶67.
5. Bowden REM. The surgical anatomy of the recurrent laryneal nerve 〔Ｊ〕. Br J Surg, 1955; 43(178)∶153.
6. Henry JF, Audiffret J, Denicot A, et al. The nonrecurrent laryngel nerve: review of 33 cases, including two on the left side 〔Ｊ〕. Surgery, 1988; 104(6)∶977.
7. Proye C, Carnaille B, Goropoulos A. Nonrecurrent and recurrent inferior laryngeal nerve: a surgical pitfall in cervical exploration 〔Ｊ〕. Am J Surg, 1991; 162(5)∶495.
8. 龔日祥，徐惠珍. 甲狀腺術中喉返神經損傷的預防〔Ｊ〕. 普外基礎與臨床雜志， 1996； 3(3)∶149.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

NONRECURRENT INFERIOR LARYNGEAL NERVE AND THEIR CLINICAL SIGNIFICANCE (A REPORT OF 2 CASES)

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