METHOD OF TREATMENT OF TEMPORAL POSTOPERATIVE PARESIS OF RECURRENT LARYNGEAL NERVE IN EXTENSIVE THYROID GLAND SURGERY

摘要

FIELD: medicine; surgery. ^ SUBSTANCE: treatment of temporal paresis of recurrent laryngeal nerve caused by extensive thyroid gland operations is ensured with insertion of a catheter under parietal layer of 4th cervical fascia within recurrent laryngeal nerve arborisation at the end of operative intervention. Then the following medical preparations are injected through this catheter: 0.05% proserin solution 1 ml, dexamethasone solution 1 ml (4 mg) and 1% dibazole solution 2 ml. Injection is continued in postoperative period as well once a day within 3-5 days. At the end of injection course catheter is removed. ^ EFFECT: higher efficiency of treatment of temporal paresis of recurrent laryngeal nerve, ensured by highest concentration of medical preparations within required region, thus affecting various pathogenesis components of the given pathology. ^ 1 ex