step..step..step.. surgery on the list~
helo guys~!
One question... ... ...
Have u ever heard about the recurrent laryngeal nerve before?
this crucial nerve that lies somewhere in the area of our neck is a branch of the vagus nerve that supplies motor function and sensation to the larynx which is also known as the voice box. so frankly speaking, this nerve is important for the process of producing voice!
so why am i suddenly bringing up this topic?
This' bcoz the nerve is best known for its importance in the thyroid surgery, as it runs immediately posterior to this gland. So surgeons to be, remember diz... while performing the total thyroidectomy, pleeasee plis pliss! take care of this one crucial nerve okay guyss :)
injury to the nerve will cause trouble to ur patients..
if it happens to be a unilateral partial injury to the nerve, then ur patient will come with dyspnea (difficulty in breating) as only one side of the vocal cord is functioning, interfering with the air flow into the lung.
if the injury is bilateral partial injury to the nerve, then ur patient will suffer from chocking or stridor.. and the only way to manage is to perform a tracheostomy to allow the air flow.. if not, say bye2 to the patient!
if it is a unilateral complete injury, then the patient will suffer from dysphonia (difficulty in speaking) as only one vocal cord is intact..
and if it is a bilateral complete injury, then the patient will be in the state of aphonia! bisu oke~
as both vocal cords are in the cadaveric position ++ no vibration of the vocal cord --> meaning no voice produced!
If u accidently damage this nerve during surgery, pity on ur patients to suffer such a bad ugly outcome..
owaiz remember wut Dr Ayman said today..
orait surgeons :)
p/s: Dr Ayman.. is it okay if i do the rehearsing by writing it on my blog rather than do the talking?? ngee :D
helo guys~!
One question... ... ...
Have u ever heard about the recurrent laryngeal nerve before?
this crucial nerve that lies somewhere in the area of our neck is a branch of the vagus nerve that supplies motor function and sensation to the larynx which is also known as the voice box. so frankly speaking, this nerve is important for the process of producing voice!
so why am i suddenly bringing up this topic?
This' bcoz the nerve is best known for its importance in the thyroid surgery, as it runs immediately posterior to this gland. So surgeons to be, remember diz... while performing the total thyroidectomy, pleeasee plis pliss! take care of this one crucial nerve okay guyss :)
injury to the nerve will cause trouble to ur patients..
if it happens to be a unilateral partial injury to the nerve, then ur patient will come with dyspnea (difficulty in breating) as only one side of the vocal cord is functioning, interfering with the air flow into the lung.
if the injury is bilateral partial injury to the nerve, then ur patient will suffer from chocking or stridor.. and the only way to manage is to perform a tracheostomy to allow the air flow.. if not, say bye2 to the patient!
if it is a unilateral complete injury, then the patient will suffer from dysphonia (difficulty in speaking) as only one vocal cord is intact..
and if it is a bilateral complete injury, then the patient will be in the state of aphonia! bisu oke~
as both vocal cords are in the cadaveric position ++ no vibration of the vocal cord --> meaning no voice produced!
If u accidently damage this nerve during surgery, pity on ur patients to suffer such a bad ugly outcome..
owaiz remember wut Dr Ayman said today..
primum non nocere which means DO NO HARM!
orait surgeons :)
p/s: Dr Ayman.. is it okay if i do the rehearsing by writing it on my blog rather than do the talking?? ngee :D
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