作者
Rocco Bellantone, Mauro Boscherini, Celestiano P Lombardi, Maurizio Bossola, Francesco Rubino, Carmela De Crea, Pierfrancesco Alesina, Emanuela Traini, Tiziana Cozza, Lucia D'Alatri
发表日期
2001/12/1
期刊
Surgery
卷号
130
期号
6
页码范围
1055-1059
出版商
Mosby
简介
Background
The aim of this study was to investigate the incidence of injury to the external branch of the superior laryngeal nerve (EBSLN) with 2 different surgical approaches.
Methods
From 1998 to 2000, 289 consecutive patients undergoing thyroidectomy were randomly divided into 2 groups. In group A (137 patients [215 upper pole ligations]), the superior thyroid artery was ligated after identification of the EBSLN. In group B (152 patients [244 upper pole ligations]), the superior thyroid artery's branches were ligated separately close to the gland. In all patients, a phoniatric evaluation with videostrobolaryngoscopy and spectrographic examination was performed.
Results
The 2 groups were well matched regarding age, sex, thyroid pathological findings, and type of operation. In group A, the EBSLN was not clearly identified in 11.6% of cases. Alterations of EBSLN function were absent in both groups of patients …
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R Bellantone, M Boscherini, CP Lombardi, M Bossola… - Surgery, 2001