"2" . "Luke\u0161, Petr" . "Okam\u017Eit\u00E9 revize u pacient\u016F s oboustrannou obrnou zvratn\u00FDch nerv\u016F po operac\u00ED \u0161t\u00EDtn\u00E9 \u017El\u00E1zy a p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek" . . "Aim of the present study was to determine whether immediate revision surgery could have any benefit for patients with iatrogenic bilateral recurrent laryngeal nerve (RLN) palsy. From January 1, 2004 to January 30, 2011, 29 consecutive patients underwent immediate revision after total thyroidectomy. Cohort comprised 29 patients, 2 males and 27 females, aged 23 to 76 years (median 52 years). Identification of the type and extent of injury of every branch was reported in the protocol, reconstruction was performed whenever possible. A complete trans section of the nerve or of one of its branches was found in 14 and 5 nerves, respectively. In three patients the nerve was completely or partially transected on both sides. Seven anatomically intact nerves were injured by loaded ligature, in one case there was a sign of thermal damage, four nerves showed sign of excessive manipulation (thinning of the nerve trunk). Primary end-to-end anastomosis was performed in seven completely transected RLN and four transected anterior branches of RLN. None of the reconstructed nerve trunks or its branches regained function, however, good muscle tone was observed. 23 out of 38 intact nerves (61%) regained function, and normal vocal-cord mobility on the both sides was restored only in four patients. In all cases with regained vocal-cord mobility the functional recovery occurred within 3 months from the primary surgery. In conclusion, immediate revision after thyroidectomy can help to precise the type of the RLN damage that is a predictor of functional recovery and one of major factors influencing future therapeutic steps."@en . "[87D6DBECCA5A]" . "7"^^ . . "Okam\u017Eit\u00E9 revize u pacient\u016F s oboustrannou obrnou zvratn\u00FDch nerv\u016F po operac\u00ED \u0161t\u00EDtn\u00E9 \u017El\u00E1zy a p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek" . . . . "1210-7867" . . "Kucha\u0159, Martin" . . "Kastner, Jan" . "156076" . "8"^^ . . "61" . . "Immediate revision in patients with bilateral laryngeal nerve palsy after operation of thyroid gland and parathyroid glands"@en . . "C\u00EDlem t\u00E9to studie bylo zjistit, zda mohou m\u00EDt p\u0159\u00EDnos okam\u017Eit\u00E9 revizn\u00ED operace u pacient\u016F s iatrogenn\u00ED oboustrannou obrnou zvratn\u00FDch nerv\u016F. 29 pacient\u016F s oboustrann\u00FDm poran\u011Bn\u00EDm zvratn\u00FDch nerv\u016F p\u0159i v\u00FDkonu na \u0161t\u00EDtn\u00E9 \u017El\u00E1ze podstoupilo okam\u017Eitou revizi. Ve skupin\u011B byli zahrnuti 2 mu\u017Ei a 27 \u017Een ve v\u011Bku 23 a\u017E 76 let (medi\u00E1n 52 let). Typ a rozsah poran\u011Bn\u00ED v\u0161ech v\u011Btv\u00ED zvratn\u00E9ho nervu byl zaznamen\u00E1n v protokolu, rekonstrukce byla provedena v\u017Edy, pokud to bylo mo\u017En\u00E9. Kompletn\u00ED p\u0159eru\u0161en\u00ED nervu byla zji\u0161t\u011Bno ve 14 p\u0159\u00EDpadech, p\u0159eru\u0161en\u00ED jedn\u00E9 z v\u011Btv\u00ED v p\u011Bti p\u0159\u00EDpadech. U t\u0159\u00ED pacient\u016F byl zvratn\u00FD nerv \u010D\u00E1ste\u010Dn\u011B nebo zcela p\u0159eru\u0161en na obou stran\u00E1ch. V sedmi p\u0159\u00EDpadech byl nalezen nerv anatomicky nep\u0159eru\u0161en, ale poran\u011Bn nalo\u017Een\u00FDm podvazem. V jednom p\u0159\u00EDpad\u011B bylo zji\u0161t\u011Bno tepeln\u00E9 po\u0161kozen\u00ED nervu, ve \u010Dty\u0159ech p\u0159\u00EDpadech nervy vykazovaly zn\u00E1mky nadm\u011Brn\u00E9 manipulace (zten\u010Den\u00ED kmene nervu). Prim\u00E1rn\u00ED end-to-end anastom\u00F3za byla provedena v sedmi p\u0159\u00EDpadech u kompletn\u011B p\u0159eru\u0161en\u00FDch nerv\u016F a ve \u010Dty\u0159ech p\u0159\u00EDpadech p\u0159eru\u0161en\u00E9 p\u0159edn\u00ED v\u011Btve nervu. U \u017E\u00E1dn\u00E9ho z rekonstruovan\u00FDch nervov\u00FDch kmen\u016F nebo jeho v\u011Btv\u00ED nedo\u0161lo k pln\u00E9mu obnoven\u00ED funkce, v\u017Edy v\u0161ak byl pozorov\u00E1n dobr\u00FD svalov\u00FD tonus. U 23 z 38 (61 %) anatomicky nep\u0159eru\u0161en\u00FDch nerv\u016F do\u0161lo k n\u00E1vratu funkce, oboustrann\u00E1 hybnost hlasivek byla obnovena pouze u \u010Dty\u0159 pacient\u016F. Ve v\u0161ech p\u0159\u00EDpadech s obnovenou hybnost\u00ED do\u0161lo k \u00FAprav\u011B do t\u0159\u00ED m\u011Bs\u00EDc\u016F od operace. Z\u00E1v\u011Br: Bezprost\u0159edn\u00ED revize pacient\u016F s oboustrann\u00FDm poran\u011Bn\u00EDm zvratn\u00FDch nerv\u016F po tyreoidektomii m\u016F\u017Ee pomoci k p\u0159esn\u00E9mu ur\u010Den\u00ED typu po\u0161kozen\u00ED zvratn\u00FDch nerv\u016F, jen\u017E je ukazatelem pravd\u011Bpodobnosti funk\u010Dn\u00ED \u00FApravy a jedn\u00EDm z hlavn\u00EDch faktor\u016F, kter\u00E9 ovliv\u0148uj\u00ED budouc\u00ED l\u00E9\u010Debn\u00E9 kroky." . "RIV/00064203:_____/12:8374!RIV13-MZ0-00064203" . . "CZ - \u010Cesk\u00E1 republika" . "C\u00EDlem t\u00E9to studie bylo zjistit, zda mohou m\u00EDt p\u0159\u00EDnos okam\u017Eit\u00E9 revizn\u00ED operace u pacient\u016F s iatrogenn\u00ED oboustrannou obrnou zvratn\u00FDch nerv\u016F. 29 pacient\u016F s oboustrann\u00FDm poran\u011Bn\u00EDm zvratn\u00FDch nerv\u016F p\u0159i v\u00FDkonu na \u0161t\u00EDtn\u00E9 \u017El\u00E1ze podstoupilo okam\u017Eitou revizi. Ve skupin\u011B byli zahrnuti 2 mu\u017Ei a 27 \u017Een ve v\u011Bku 23 a\u017E 76 let (medi\u00E1n 52 let). Typ a rozsah poran\u011Bn\u00ED v\u0161ech v\u011Btv\u00ED zvratn\u00E9ho nervu byl zaznamen\u00E1n v protokolu, rekonstrukce byla provedena v\u017Edy, pokud to bylo mo\u017En\u00E9. Kompletn\u00ED p\u0159eru\u0161en\u00ED nervu byla zji\u0161t\u011Bno ve 14 p\u0159\u00EDpadech, p\u0159eru\u0161en\u00ED jedn\u00E9 z v\u011Btv\u00ED v p\u011Bti p\u0159\u00EDpadech. U t\u0159\u00ED pacient\u016F byl zvratn\u00FD nerv \u010D\u00E1ste\u010Dn\u011B nebo zcela p\u0159eru\u0161en na obou stran\u00E1ch. V sedmi p\u0159\u00EDpadech byl nalezen nerv anatomicky nep\u0159eru\u0161en, ale poran\u011Bn nalo\u017Een\u00FDm podvazem. V jednom p\u0159\u00EDpad\u011B bylo zji\u0161t\u011Bno tepeln\u00E9 po\u0161kozen\u00ED nervu, ve \u010Dty\u0159ech p\u0159\u00EDpadech nervy vykazovaly zn\u00E1mky nadm\u011Brn\u00E9 manipulace (zten\u010Den\u00ED kmene nervu). Prim\u00E1rn\u00ED end-to-end anastom\u00F3za byla provedena v sedmi p\u0159\u00EDpadech u kompletn\u011B p\u0159eru\u0161en\u00FDch nerv\u016F a ve \u010Dty\u0159ech p\u0159\u00EDpadech p\u0159eru\u0161en\u00E9 p\u0159edn\u00ED v\u011Btve nervu. U \u017E\u00E1dn\u00E9ho z rekonstruovan\u00FDch nervov\u00FDch kmen\u016F nebo jeho v\u011Btv\u00ED nedo\u0161lo k pln\u00E9mu obnoven\u00ED funkce, v\u017Edy v\u0161ak byl pozorov\u00E1n dobr\u00FD svalov\u00FD tonus. U 23 z 38 (61 %) anatomicky nep\u0159eru\u0161en\u00FDch nerv\u016F do\u0161lo k n\u00E1vratu funkce, oboustrann\u00E1 hybnost hlasivek byla obnovena pouze u \u010Dty\u0159 pacient\u016F. Ve v\u0161ech p\u0159\u00EDpadech s obnovenou hybnost\u00ED do\u0161lo k \u00FAprav\u011B do t\u0159\u00ED m\u011Bs\u00EDc\u016F od operace. Z\u00E1v\u011Br: Bezprost\u0159edn\u00ED revize pacient\u016F s oboustrann\u00FDm poran\u011Bn\u00EDm zvratn\u00FDch nerv\u016F po tyreoidektomii m\u016F\u017Ee pomoci k p\u0159esn\u00E9mu ur\u010Den\u00ED typu po\u0161kozen\u00ED zvratn\u00FDch nerv\u016F, jen\u017E je ukazatelem pravd\u011Bpodobnosti funk\u010Dn\u00ED \u00FApravy a jedn\u00EDm z hlavn\u00EDch faktor\u016F, kter\u00E9 ovliv\u0148uj\u00ED budouc\u00ED l\u00E9\u010Debn\u00E9 kroky."@cs . . . "Immediate revision in patients with bilateral laryngeal nerve palsy after operation of thyroid gland and parathyroid glands"@en . "Bou\u010Dek, Jan" . . . . "Z\u00E1brodsk\u00FD, Michal" . "Betka, Jan" . . . . "RIV/00064203:_____/12:8374" . . "Bilateral recurrent laryngeal nerve (RLN) palsy; Functional recoverg; Immediate revision; Thyroid gland surgery"@en . "7"^^ . "Chovanec, Martin" . "Otorinolaryngologie a foniatrie" . "http://www.prolekare.cz/otorinolaryngologie-foniatrie-archiv-cisel?id=3779" . "Okam\u017Eit\u00E9 revize u pacient\u016F s oboustrannou obrnou zvratn\u00FDch nerv\u016F po operac\u00ED \u0161t\u00EDtn\u00E9 \u017El\u00E1zy a p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek"@cs . "Okam\u017Eit\u00E9 revize u pacient\u016F s oboustrannou obrnou zvratn\u00FDch nerv\u016F po operac\u00ED \u0161t\u00EDtn\u00E9 \u017El\u00E1zy a p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek"@cs . . . "I, P(NS9901)" . . .