[Technique of thyroid gland operation: prevention of lesions of the superior laryngeal nerve].
The anatomical variant of the external branch of the superior laryngeal nerve is at risk during thyroid surgery. We recommend a careful dissection of the upper thyroid pole strictly avoiding even minor mass ligatures and all vascular structures have to be selectively identified. Of a consecutive series of 161 upper pole dissections the superior laryngeal nerve was found in 31% and no postoperative injury was detected by video stroboscopy.
Lefèbre
B
B
Universitätsklinikum Rudolf Virchow, Standort Charlottenburg, Berlin.
Steffen
R
R
Steinmüller
T
T
Neuhaus
P
P
D006801:Humans; D061224:Laryngeal Nerve Injuries; D007823:Laryngeal Nerves / Q000473:pathology; D007828:Laryngoscopy; D011183:Postoperative Complications / Q000517:prevention & control*; D012307:Risk Factors; D013965:Thyroidectomy / Q000379:methods*; D014826:Vocal Cord Paralysis / Q000517:prevention & control*