Список литературы

2687-0940

Актуальные проблемы медицины

2687-0940

10.52575/2687-0940-2022-45-2-217-232

119

ХИРУРГИЯ

<strong>Влияние качественной визуализации наружной ветви верхнего гортанного нерва при операциях на щитовидной железе с использованием нейромониторинга на ближайшие и отдаленные результаты лечения</strong>

<strong>The influence of high-quality visualization of the external branch of the superior laryngeal nerve during thyroid surgery using neuromonitoring on the immediate and long-term results of treatment</strong>

Юдин

Максим Юрьевич

Yudin

Maksim Yu.

doctor.judin@gmail.com

Климашевич

Александр Владимирович

Klimashevich

Alexander V.

klimashevich78@mail.ru

2022

45200

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.

The problem of preserving, identifying and evaluating the functionality of the external branch of the superior laryngeal nerve is relevant today. Damage to the external branch of the superior laryngeal nerve can affect the quality of life of patients, their social status in society, and work activity. The use of neuromonitoring during thyroid surgery is currently widespread only in relation to the recurrent laryngeal nerve. The external branch of the superior laryngeal nerve is usually neglected due to many reasons: variant anatomy of the nerve, small size of the nerve, lack of a neuromonitor as a tool for its identification, and lack of surgeon skill in working with a neuromonitor. The use of neuromonitoring to ensure the integrity of not only the recurrent laryngeal nerve, but also the external branch of the superior laryngeal nerve in most cases avoids intraoperative damage to this important structure for the patient.

наружная ветвь верхнего гортанного нерванейромониторингвозвратно-гортанный нервтравма наружной ветви верхнего гортанного нерваизмененный голос после тиреоидэктомии/гемитиреоидэктомии

external branch of the superior laryngeal nerveneuromonitoringrecurrent laryngeal nerveexternal branch of the superior laryngeal nerve injurychanged voice after thyroidectomy/hemithyroidectomy

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