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Head & neck v.39 no.3, 2017년, pp.427 - 431   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Role of immediate recurrent laryngeal nerve reconstruction in surgery for thyroid cancers with fixed vocal cords

Iwaki, Shinobu (Department of Otolaryngology – ) ; Maeda, Tatsuyoshi (Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan ) ; Saito, Miki (Department of Otolaryngology – ) ; Otsuki, Naoki (Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan ) ; Takahashi, Miki (Department of Otolaryngology – ) ; Wakui, Emi (Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan ) ; Shinomiya, Hirotaka (Department of Otolaryngology – ) ; Morimoto, Koichi (Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan ) ; Inoue, Hiroyuki (Department of Otolaryngology – ) ; Masuoka, Hiroo (Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan ) ; Miyauchi, Akira (Division of Rehabilitation Medicine Kobe University Hospital, Kobe, Japan ) ; Nibu, Ken‐ichi (Department of Otolaryngology – ) ;
  • 초록  

    Abstract Background Quality of voice after immediate recurrent laryngeal nerve (RLN) reconstruction in thyroid cancers has not been thoroughly studied. Methods Thirteen patients with fixed vocal cords (fixed vocal cord group) and 8 patients with intact or impaired mobile vocal cords (mobile vocal cord group) who had immediate RLN reconstruction simultaneously with total thyroidectomy, and patients who had arytenoid adduction and thyroplasty for vocal cord paralysis caused by previous surgery (arytenoid adduction thyroplasty group) were enrolled in this study. Results Preoperative phonation efficiency index was significantly lower ( p = .008) in the fixed vocal cord group than in the mobile vocal cord group. One year after surgery, all voice parameters of the patients in the fixed vocal cord group had improved, compared with their preoperative data. The fixed vocal cord group had attained satisfactory voice qualities equivalent to those of the mobile vocal cord group in terms of various voice parameters. Conclusion The present results support the idea that immediate RLN reconstruction at the time of surgery for thyroid cancers may spare the need for subsequent arytenoid adduction thyroplasty even in the patients with preoperatively fixed vocal cords. ⓒ 2016 Wiley Periodicals, Inc. Head Neck 39: 427–431, 2017


  • 주제어

    recurrent nerve reconstruction .   thyroid cancer .   voice quality .   thyroplasty .   arytenoid adduction.  

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