[The application of anatomization of the recurrent laryngeal nerve under the microscope during thyroid surgery].
OBJECTIVE
To discuss the application of anatomization of the recurrent laryngeal nerve under the microscope in thyroid surgery.


METHODS
292 patients with different types of thyroid diseases who underwent surgical intervention were discussed by regression analysis. For all patients, the movement of both vocal cords was normal before the surgery by laryngoscope. And routine anatomization of the recurrent laryngeal nerve under the microscope was conducted during thyroid surgery.


RESULTS
The total number of recurrent laryngeal nerve exposure in this study was 402. Only three of them got temporary injury. None had permanent damage.


CONCLUSIONS
The recurrent laryngeal nerve can be visualized more clearly by dissection under the microscope, which can best avoid the recurrent laryngeal nerve injury. Particularly it is beneficial for the patients who have prior thyroid surgery history or have thyroid gland cancer.
Department of Otolaryngology, the Affiliated Union Hospital, Fujian Medical University, Fuzhou,350001, China. lc7698999@163.com
Chen
C
Li
Jianmin
J
Huang
Desheng
D
Wang
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D012009:Recurrent Laryngeal Nerve / Q000033:anatomy & histology*; D013961:Thyroid Gland / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*; D055815:Young Adult