neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2020-22-2-98-104neurosurgery-897Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWДисфония, дисфагия и повреждение возвратного гортанного нерва при переднем шейном спондилодезеDysphonia, dysphagia, and injury of recurrent laryngeal nerve with anterior cervical spinal fusionhttps://orcid.org/0000-0003-3515-8329ГриньА. А.GrinA. A.

Андрей Анатольевич Гринь

129090 Москва, Большая Сухаревская пл., 3; 127473 Москва, ул. Делегатская, 20, стр. 1

3 Bolshaya Sukharevskaya Sq., Moscow 129090; Bld. 1, 20Delegatskaya St., Moscow 127473

aagreen@yandex.ruhttps://orcid.org/0000-0002-9759-396XКасаткинД. С.KasatkinD. S.

111398 Москва, ул. Кусковская, владение 1А, стр. 4

Bld. 4, 1A Kuskovskaya St., Moscow 111398

https://orcid.org/0000-0002-7584-3083ШтадлерВ. Д.ShtadlerV. D.

127473 Москва, ул. Делегатская, 20, стр. 1

Bld. 1, 20Delegatskaya St., Moscow 127473

ГБУЗ Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute for Emergensy Medicine, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian FederationКлинический медицинский центр ФГБОУВО «Московского государственного медико-стоматологического университета им. А.И. Евдокимова» Минздрава РоссииРоссияClinical Medical Center, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияA.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian Federation20203007202022298104Copyright © Гринь А.А., Касаткин Д.С., Штадлер В.Д., 20202020Гринь А.А., Касаткин Д.С., Штадлер В.Д.Grin A.A., Kasatkin D.S., Shtadler V.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/897

Несмотря на большой мировой опыт и высокий уровень техники выполнения хирургических вмешательств в области переднего опорного комплекса, дисфагия, дисфония и повреждения возвратного гортанного нерва остаются одними из наиболее частых осложнений переднего шейного спондилодеза. Эти осложнения крайне редко представляют опасность для жизни, однако заметно ухудшают ее качество в раннем послеоперационном периоде и снижают удовлетворенность пациента результатом хирургического лечения. В работе описаны основные причины интраоперационного повреждения пищевода, гортани и возвратного гортанного нерва, а также методы профилактики дисфагии и дисфонии.

Dysphagia, dysphonia and injuries of the recurrent laryngeal nerve still remain the most frequent complications of anterior cervical spinal fusion despite rich world experience, high technological level of anterior supporting complex surgeries. These complications very seldom lead to life-threatening situations, but they reduce patients’ quality of life during the early post-surgical period and patients’ satisfaction with the results of the surgery. The main reasons of intraoperative damage of esophagus, larynx and recurrent laryngeal nerve, methods of dysphagia and dysphonia prevention are described in this work.

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The authors declare that there are no conflicts of interest present.