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Evaluation of Recurrent Nerve Paralysis due to Surgical Treatment of a Thoracic Aortic Aneurysm
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- Ishii Kosuke
- Department of Otorhinolaryngology, Omiya Medical Center, Jichi Medical School
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- Adachi Hideo
- Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School
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- Tsubaki Keiju
- Department of Otorhinolaryngology, Omiya Medical Center, Jichi Medical School
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- Ota Yasushi
- Department of Otorhinolaryngology, Omiya Medical Center, Jichi Medical School
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- Shinozaki Takeshi
- Department of Otorhinolaryngology, Omiya Medical Center, Jichi Medical School
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- Yamamoto Masanori
- Department of Otorhinolaryngology, Omiya Medical Center, Jichi Medical School
Bibliographic Information
- Other Title
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- 胸部大動脈りゅう手術による反回神経麻ひの予後
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Description
Of the patients treated at the Department of Otorhinolaryngology, Omiya Medical Center, Jichi Medical School, between April 1999 and March 2002, 14 patients who had undergone artificial vessel replacement for a thoracic aortic aneurysm and developed recurrent nerve paralysis postoperatively (surgical paralysis) were evaluated. Surgical paralysis was observed in 9% of those who had undergone surgery of the thoracic aorta. The mobility of the vocal cords recovered in 4 of the 11 patients with surgical paralysis who could be followed up. Their symptoms were alleviated by rehabilitation, which was the case also in many patients who did not recover full mobility of the vocal cords. The positions of the two ends of the replaced artificial vessel are considered to be closely related to the outcome of paralysis. Recurrent nerve paralysis not only reduces the patient's QOL but also his survival by leading to disorders which include aspiration pneumonia. Therefore, early rehabilitation is a priority, and surgical treatment should be considered, if necessary, for patients with recurrent nerve paralysis.
Journal
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- Nihon Kikan Shokudoka Gakkai Kaiho
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Nihon Kikan Shokudoka Gakkai Kaiho 55 (3), 239-244, 2004
The Japan Broncho-esophagological Society
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Keywords
Details 詳細情報について
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- CRID
- 1390001205013180928
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- NII Article ID
- 10013294132
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- NII Book ID
- AN00187474
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- ISSN
- 18806848
- 00290645
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed