Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Clinical Features of Vocal Cord Paralysis after Anterior Cervical Spine Surgery

전방 접근법을 통한 경추 수술 후 성대 마비의 임상양상

  • Kim, Il-Woo (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Kim, Beom-Gyu (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Kim, Young-Bok (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Rho, Young-Soo (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Ahn, Hwoe-Young (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Park, Il-Seok (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine)
  • 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)
  • Published : 2006.12.15
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Abstract

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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