전방 접근법을 통한 경추 수술 후 성대 마비의 임상양상

김일우; 김범규; 김용복; 노영수; 안회영; 박일석

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자료유형: 학술저널

저자정보: 김일우 (한림대학교 의과대학교 이비인후-두경부외과학교실) 김범규 (한림대학교 의과대학교 이비인후-두경부외과학교실) 김용복 (한림대학교 의과대학교 이비인후-두경부외과학교실) 노영수 (한림대학교 의과대학교 이비인후-두경부외과학교실) 안회영 (한림대학교 의과대학교 이비인후-두경부외과학교실) 박일석 (한림대학교 의과대학교 이비인후-두경부외과학교실)

저널정보: 대한후두음성언어의학회 대한후두음성언어의학회지 대한후두음성언어의학회지 제17권 제2호

발행연도: 2006.1

수록면: 111 - 114 (4page)

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Objective : The anterior approach to the cervical spine now selves as the surgical across of choice for cervical spine disease. Vocal cord paryalysis(VCP) follow the procedure as a complication, and it is most common complication of this procedure. However, the frequency and etiology of this injury are not clearly defined. This study was performed to establish the clinical features of vocal cord paralysis in anterior cervical spine surgery(ACSS). Material and Method : Retrospectively, medical records of patients who underwent ACSS at Hallym university medical center, Hangang Sacred Heart Hospital between January 2000 and March 2006 were reviewed. Further detailed review of the patients with documented VCP after surgery was then performed. Results : 242 ACSSs were performed and 9 patients with VCP were identified (3.71%) In 9 patients with VCP, 8 patients had right-sided approaches (6.01%) and 1 patient had left-sided approach (0.91%). All 9 patients had VCP on ipsilateral side and 8 patients were recovered completely on follow up period. Duration of ACSS, multilevel exposure and low-level (below the C6 level) exposure have been found to be associated with higher risk. Conclusion : For avoiding the recurrent laryngeal nerve injury, surgeon have to understand the clinical features of VCP in ACSS. As right-sided approach has a greater risk of recurrent laryngeal nerve injury, we suggest that the left-sided approach be given more consideration.

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