Abstract：
The objective of this study is to demonstrate a novel method for the reconstruction of right recurrent laryngeal nerve (RLN) by transforming into nonrecurrent RLN: the end-to-free vagal laryngeal branch end anastomosis. Here we report a case of locally advanced thyroid carcinoma. The patient underwent radical thyroid surgery with inevitably partial RLN resection and immediate right RLN reconstruction at our institution. With the guidance of intraoperative neuromonitoring (IOMN), we completed a novel end-to-free vagal laryngeal branch end anastomosis. The whole procedure was deliberately monitored by IOMN. Surgeons can procure adequate free nerve for tension-free anastomosis by transforming the right RLN into nonrecurrent nerve. Follow-up laryngoscope showed improved adductory movement of the right arytenoid. The end-to-free vagal end anastomosis is an effective way to reconstruct segmental nerve resection of right RLN. Its long-term postoperative result needs to be further warranted.
摘要：
这项研究的目的是证明一种通过转化为非复发性RLN来重建右喉返神经（RLN）的新方法：无端迷走神经喉分支端吻合术。在这里，我们报告一例局部晚期甲状腺癌。患者在我们机构接受了根治性甲状腺手术，不可避免地进行了部分RLN切除和立即进行的右RLN重建。在术中神经监测（IOMN）的指导下，我们完成了一种新颖的端到游离的迷走神经喉分支端吻合术。整个过程由IOMN故意监测。通过将右RLN转化为非复发神经，外科医生可以获得足够的游离神经进行无张力吻合。随访喉镜显示右侧关节突的内收运动得到改善。游离端迷走神经端吻合术是重建右RLN节段神经切除术的有效方法。其长期术后结果需要进一步保证。
