Влияние качественной визуализации наружной ветви верхнего гортанного нерва при операциях на щитовидной железе с использованием нейромониторинга на ближайшие и отдаленные результаты лечения
Проблема сохранения, идентификации и оценки функциональности наружной ветви верхнего гортанного нерва актуальна в настоящее время. Повреждение наружной ветви верхнего гортанного нерва может влиять на качество жизни пациентов, их социальный статус в обществе, трудовую деятельность. Применение нейромониторинга во время операции на щитовидной железе в настоящее время широко распространено только лишь в отношении возвратно-гортанного нерва. Наружной ветви верхнего гортанного нерва, как правило, не уделяется должного внимания ввиду многих причин: вариантной анатомии нерва, небольшого размера нерва, отсутствия нейромонитора в качестве инструмента для его идентификации, а также отсутствия навыков хирурга при работе с нейромонитором. Применение нейромониторинга для обеспечения целостности не только возвратно-гортанного нерва, но и наружной ветви верхнего гортанного нерва позволяет в большинстве случаев избежать интраоперационного повреждения этой «тонкой», но важной для пациента структуры.
Юдин М.Ю., Климашевич А.В. 2022. Влияние качественной визуализации наружной ветви верхнего гортанного нерва при операциях на щитовидной железе с использованием нейромониторинга на ближайшие и отдаленные результаты лечения. Актуальные проблемы медицины. 45 (1): 217–232. DOI: 10.52575/2687-0940-2022-45-2-217-232
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