Хирургическая анатомия гортанных нервов

Л.Д. Чайка, С.В. Якубовский УО «Белорусский государственный медицинский университет»

2016 №3 | Лекции

Аннотация

Список литературы

Анатомия гортанных нервов отличается вариабельностью, индивидуальные особенности их топографии имеют большое клиническое значение. Близость гортанных нервов к щитовидной железе, тесная их связь с верхними и нижними щитовидными артериями, трахеей, вариабельность их расположения обусловливают возможность повреждения нервов при хирургических вмешательствах, в частности, тиреоидэктомии.

Ключевые слова:

верхний гортанный нерв, возвратный гортанный нерв, тиреоидэктомия, дисфония, дисфагия

Surgical anatomy of laryngeal nerves

Anatomy of laryngeal nerves is highly variable, the individual characteristics of their topography are of great clinical importance. The proximity of laryngeal nerves to thyroid gland, superior and inferior thyroid arteries, trachea, variability of their course determine the possibility of nerve damage during surgery, particularly thyroidectomy.

Keywords

superior laryngeal nerve, recurrent laryngeal nerve, thyroidectomy, dysphonia, dysphagia

1. Хирургическая эндокринология: рук. / под ред. С. С. Харнаса. - М.: Гэотар-Медиа, 2010. - 496 с.
2. Altorjay, A., Rull M., Paal B., Csati G., Szilagyi A. Mystic transient recurrent nerve palsy after thyroid surgery. Head Neck. 2013; 35(7):934-41.
3. Aluffi, P., Policarpo M., Cherovac C., Olina M., Dosdegani R., Pia F. Post-thyroidectomy superior laryngeal nerve injury. Eur Arch Otorhinolaryngol. 2001; 258(9):451-4.
4. Barczynski, M., Randolph W., Cernea C. R., Dralle H., Dionigi G., Alesina P. F. et al. External branch of the superior laryngeal nerve monitoring during thyroid and parathyroid surgery: International Neural Monitoring Study Group standards guideline statement. Laryngoscope. 2013;123:Suppl. 4: S1-14.
5. Berti, P., Materazzi G., Conte M., Galler D., Miccoli P. Visualization of the external branch of the superior laryngeal nerve during video-assisted thyroidectomy. J Am Coll Surg. 2002; 195(4):573-4.
6. Cernea, C. R., Ferraz A. R., Nishio S., Dutra A., Hojaij F. C., dos Santos L. R. Surgical anatomy of the external branch of the superior laryngeal nerve. Head Neck. 1992;14:380-3.
7. Cernea, C. R., Hojaij F. C., De Carlucci D., Gotoda R., Plopper C., Vanderlei F., Brandao L. G. Recurrent laryngeal nerve. A plexus rather than a nerve? Arch Otolaryngol Head Neck Surg. 2009; 135:1098-102.
8. Dralle, H., Sekulla C., Haerting J., Timmermann W., Neumann H. J., Kruse E. et al. Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. Surgery. 2004; 136(6):1310-22.
9. Friedman, M., LoSavio P., Ibrahim H. Superior laryngeal nerve identification and preservation in thyroidectomy. Arch Otolaryngol Head Neck Surg. 2002; 128(3):296-303.
10. Gurleyik, E. Extralaryngeal Terminal Division of the Inferior Laryngeal Nerve: Anatomical Classification by a Surgical Point of View Journal of Thyroid Research, vol. 2013, Article ID 731250, 6 pages, 2013.
11. Hayward, N. J., Grodski S., Yeung M., Johnson W. R., Serpell J. Recurrent laryngeal nerve injury in thyroid surgery: a review. ANZ J Surg. 2013; 83 (1-2):15-21.
12. Hwang, S. B., Lee H. Y., Kim W. Y., Woo S. U., Lee J. B., Bae J. W., Kim H. Y. The anatomy of the external branch of the superior laryngeal nerve in Koreans. Asian. J. Surg. 2013;36 (1):13-9.
13. Kierner, A. C., Aigner M., Burian M. The external branch of the superior laryngeal nerve: its topographical anatomy as related to surgery of the neck. Arch Otolaryngol Head Neck Surg. 1998;124 (3):301-3.
14. Kochilas, X., Bibas A., Xenellis J., Anagnostopoulou S. Surgical anatomy of the external branch of the superior laryngeal nerve and its clinical significance in head and neck surgery. Clin Anat. 2008;21 (2):99-105.
15. Lee, Y. S., Son E. J., Chang H. S., Chung W. Y., Nam K. H., Park C. S. Computed tomography is useful for preoperative identification of nonrecurrent laryngeal nerve in thyroid cancer patients. Otolaryngol Head Neck Surg. 2011; 145(2):204-7.
16. Marchese, R. R., Restivo D. A., Mylonakis I., Ottaviano G., Martini A., Sataloff R. T., Staffieri A. The superior laryngeal nerve injury of a famous soprano, Amelita Galli-Curci. ActaOtorhinolaryngol Ital. 2013;33(1):67-71.
17. Mohebati, A., Shaha A. R. Anatomy of thyroid and parathyroid glands and neurovascular relations. Clin. Anat. 2012;25(1):19-31.
18. Morton, R. P., Whitfield P., Al-Ali S. Anatomical and surgical considerations of the external branch of the superior laryngeal nerve: a systematic review. Clin. Otolaryngol. 2006;31(5):368-74.
19. Pagedar, N. A., Freeman J. L. Identification of the external branch of the superior laryngeal nerve during thyroidectomy. Arch. Otolaryngol. Head. Neck. Surg. 2009; 135(4):360-2.
20. Pelizzo, M. R., Toniato A., Gemo G. Zuckerkandl's tuberculum: an arrow pointing to the recurrent laryngeal nerve (constant anatomical landmark). J.Am. Coll. Surg. 1998; 187(3):333-6.
21. Potenza, A. S., Phelan Е. А., Сегпеа С. R., Slough С. М., Kamani D. V., Darr A. et al. Normative intra-operative electrophysiologic waveform analysis of superior laryngeal nerve external branch and recurrent laryngeal nerve in patients undergoing thyroid surgery. World J. Surg. 2013; 37(10): 2336 - 42.
22. Rosato, L., Avenia N., Bernante P., De Palma M., Gulino G., Nasi P.G., et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg. 2004; 28(3):271-6.
23. Varaldo, E., Ansaldo G. L., Mascherini M., Cafiero F., Minuto M. N. Neurological complications in thyroid surgery: a surgical point ofview on laryngeal nerves. Front. Endocrinol. 2014; 5:108. eCollection 2014.
24. Whitfield, P. I., Morton R. P., Al-Ali S. Surgical anatomy of the external branch of the superior laryngeal nerve. ANZ J. Surg. 2010;80(ll):813-6.
25. Yalcin, В., Ozan H. Detailed investigation of the relationship between the inferior laryngeal nerve including laryngeal branches and ligament of Berry. J. Am. Coll. Surg. 2006; 202(2):291-6.