CRANIAL NERVE INJURIES AFTER CAROTID-ARTERY SURGERY - A PROSPECTIVE-STUDY OF 663 OPERATIONS

被引：60

作者：

FORSSELL, C

KITZING, P

BERGQVIST, D

机构：

[1] Department of Surgery, Malmoe University Hospital, Malmoe

[2] Department of Phoniatrics, Malmoe University Hospital, Malmoe

[3] Department of Surgery, University Hospital, Uppsala

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 1995年 / 10卷 / 04期

基金：

英国医学研究理事会;

关键词：

CAROTID ARTERY SURGERY; CRANIAL NERVE INJURY;

D O I：

10.1016/S1078-5884(05)80167-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective: To establish the incidence of cranial nerve injuries caused by carotid artery surgery. Methods: During the years 1982 to 1992, 689 carotid artery operations were performed at Malmo General Hospital. Of these 656 were pre- and postoperatively examined at the Department of Phoniatrics concerning the function of the cranial nerves IX, X, and XII. Results: There was injury to one or more of the examined nerves after 75 operations (11.4%). In 70 (10.7%) operations the hypoglossal nerve was injured, in eight (1.2%) the recurrent laryngeal nerve, in two (0.3%) the glossopharyngeal nerve and in two (0.3%) the superior laryngeal nerve. Seven patients complained of postoperative hoarseness, but had no injuries. One hypoglossal and one recurrent nerve injury was permanent. Nerve injury was more frequent in operations performed with a shunt (p = 0.05), with patch closure (p = 0.01) and by a junior surgeon (p = 0.05). Conclusion: In a prospective series, the incidence of cranial nerve injuries after carotid surgery was significant but the vast majority were reversible.

引用

页码：445 / 449

页数：5

共 16 条

[1]

Bergqvist, Peripheral nerve injuries with carotid endarterectomy, Semin Vasc Surg, 4, pp. 47-53, (1991)

[2]

Baker, Rutherford, Bernstein, Kempczinski, Zarins, Suggested standards for reports dealing with cerebrovascular disease. Subcommittee on reporting standards for cerebrovascular disease, J Vasc Surg, 8, pp. 721-729, (1988)

[3]

Rogers, Root, Cranial nerve injuries after carotid artery endarterectomy, South Med J, 81, pp. 1006-1009, (1988)

[4]

Aldoori, Baird, Local neurological complication during carotid endarterectomy, J Cardiovasc Surg (Torino), 29, pp. 432-436, (1988)

[5]

Forssell, Bergqvist, Bergentz, Peripheral nerve injuries in carotid artery surgery, Surgery for stroke, (1993)

[6]

Hertzer, Feldman, Beven, Tucker, A prospective study of the incidence of injury to the cranial nerves during carotid endarterectomy, Gynecol Obstet, 151, pp. 781-784, (1980)

[7]

Liapis, Satiani, Florance, Evans, Motor speech malfunction following carotid endarterectomy, Surgery, 89, pp. 56-59, (1981)

[8]

Forssell, Takolander, Bergqvist, Bergentz, Gramming, Kitzing, Cranial nerve injuries associated with carotid endarterectomy. A prospective study, Acta Chir Scand, 151, pp. 595-598, (1985)

[9]

Bageant, Tondini, Lysons, Bilateral hypoglossal nerve palsy following a second carotid endarterectomy, Anesthesiology, 43, pp. 595-596, (1975)

[10]

Weiss, Kramar, Firt, Cranial and cervical nerve injuries: local complications of carotid artery surgery, J Cardiovasc Surg (Torino), 28, pp. 171-175, (1987)

← 1 2 →