THE WAYS OF REABILITATION OPTIMIZATION IN CASE OF DAMAGE OF THE RECURRENT NERVE AFTER SURGICAL INTERVENTIONS ON THE THYROID GLAND
In the article the authors analyzed 39 adult patients with bilateral larynx paresis (paralysis) after surgery on the thyroid gland. We analyzed tactics of surgery in the postoperative period throughout 2012-2016. The authors offered the algorithm of interdisciplinary interaction of surgeons and otolaryngologists in the management of patients with surgical thyroid disorders. The optimal timing of reconstructive surgeries on larynx - no earlier than 12 months after the onset of paresis (paralysis). The authors presented and analyzed the new method of treatment of chronic laryngeal bilateral paresis in 37 patients - suture arytenoid laterofixation with posterior submucosal cordotomy and removal of arytenoid cartilage vocal process. This technical method does not damage the larynx tissue and can improve air flow in larynx without scar deformation in the operation zone. The authors analyzed the complications identified in the early postoperative period (1-7 hours).