scholarly journals An experimental study on intraoperative recovery of recurrent laryngeal nerve function

2020 ◽  
Vol 5 (5) ◽  
pp. 954-960
Author(s):  
Erling J. Setså ◽  
Øyvind S. Svendsen ◽  
Paul J. Husby ◽  
John‐Helge Heimdal ◽  
Lodve Stangeland ◽  
...  
Keyword(s):  
Experimental Study ◽  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Nerve Function

Cricotracheal separation: a review and a case with bilateral recovery of recurrent laryngeal nerve function

2006 ◽  
Vol 120 (6) ◽  
pp. 497-501 ◽  
Author(s):  
D J McCrystal ◽  
C Bond
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Unusual Case ◽  
Open Repair ◽  
Laryngeal Nerve ◽  
Clinical Suspicion ◽  
Nerve Function ◽  
Short Term ◽  
High Index Of Suspicion ◽  
Type Of Injury

Cricotracheal separation (CTS) is an uncommon injury, with a high index of suspicion required to establish the diagnosis. Computerized tomography (CT) plays a role in diagnosis but cannot necessarily be relied upon. Bilateral recurrent laryngeal nerve (RLN) palsies are usually associated with this type of injury. We recently treated a patient with CTS in whom one RLN was intact from the time of the injury and the other nerve recovered within three months. Computed tomography was inconclusive.Early open repair of the injury and frequent follow-up examinations led to successful decannulation after six weeks and excellent short-term voice and airway outcomes.A detailed discussion of this unusual case is followed by a review of the current literature on CTS, with particular emphasis on significant management dilemmas and controversies.Clinical suspicion remains more sensitive than investigations in diagnosing CTS. Permanent bilateral RLN palsies are not inevitable following these injuries.

scholarly journals Efficacy of Intraoperative Single Dose Methylprednisolone on Recurrent Laryngeal Nerve Function After Thyroidectomy

2016 ◽  
Vol 101 (3-4) ◽  
pp. 116-120 ◽  
Author(s):  
Ali Ugur Emre ◽  
Guldeniz Karadeniz Cakmak ◽  
Dilek Karakaya Arpaci ◽  
Sevil Uygun Ilikhan ◽  
Murat Damar
Keyword(s):  
Single Dose ◽  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Recovery Time ◽  
Recovery Period ◽  
Operation Time ◽  
Laryngeal Nerve ◽  
Nerve Function ◽  
Significant Difference ◽  
Group 1

Recurrent laryngeal nerve (RLN) palsy is an important complication of thyroid surgery. Injuries can either be permanent or temporary. Prevention or shortening the recovery period of temporary palsies is an area of interest. Some surgeons prefer to use corticosteroids for this purpose as is used for facial nerve palsies although there are conflicting data in the literature. We aimed to investigate the efficacy of perioperative single dose methylprednisolone on recurrent laryngeal nerve function. A total of 438 nerves under risk in 237 surgeries are investigated in 2 groups. In Group 1, patients are administered a single intraoperative dose of methylprednisolone (1 mg/kg) intravenously for 220 nerves under risk. A total of 218 nerves under risk in Group 2 were operated and followed without methylprednisolone. The demographic data of the patients, operation time, the final pathology reports, incidence of recurrent laryngeal nerve palsy, and recovery time are documented and compared. No statistically significant difference was determined in terms of age, sex distribution, number of nerves under risk, and the operation time between groups. There were 3 unilateral RLNP in each group and the mean recovery time for Group 1 and 2 palsies were 20.4 and 19.8 days, respectively, without statistical significance. The presented data indicates that a single intraoperative dose of steroid does not seem to affect the rate and recovery period of RLNP in thyroid surgery.

Continuous intraoperative monitoring of vagus and recurrent laryngeal nerve function in patients with advanced atrioventricular block

2016 ◽  
Vol 401 (4) ◽  
pp. 551-556 ◽  
Author(s):  
Rick Schneider ◽  
Andreas Machens ◽  
Michael Bucher ◽  
Christoph Raspé ◽  
Konstantin Heinroth ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Atrioventricular Block ◽  
Intraoperative Monitoring ◽  
Laryngeal Nerve ◽  
Nerve Function
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