Surgical management of thyroid cancer requires careful consideration of the recurrent laryngeal nerve and its impact on glottic function. Management of the compromised recurrent laryngeal nerve is a complex task, requiring synthesis of multiple elements. The surgeon must have an appreciation for preoperative recurrent laryngeal nerve function, intraoperative anatomic and electromyographic information, disease characteristics, and relevant patient factors. Preoperative clinical evaluation including preoperative laryngoscopy and assessment of recurrent laryngeal nerve risk is essential to formulating a surgical plan and providing appropriate patient counseling. Intraoperative neuromonitoring information has significant implications for surgical management of the injured or invaded recurrent laryngeal nerve and informs strategy with respect to staging of bilateral surgery. Disease characteristics and patient-related factors, including patient preference, must be considered with intraoperative decision-making. Multidisciplinary discussion and patient communication are essential for effective management and successful surgical outcome.

中文翻译：

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甲状腺癌喉返神经受损的外科治疗。

甲状腺癌的外科治疗需要仔细考虑喉返神经及其对声门功能的影响。喉返神经受损的处理是一项复杂的任务，需要合成多种元素。外科医生必须对术前喉返神经功能，术中解剖和肌电图信息，疾病特征以及相关的患者因素有所了解。术前临床评估包括术前喉镜检查和评估喉返神经风险对制定手术计划和提供适当的患者咨询至关重要。术中神经监测信息对受伤或侵袭性喉返神经的手术管理具有重要意义，并为双侧手术的分期提供了策略。术中决策必须考虑疾病特征和与患者相关的因素，包括患者的喜好。多学科讨论和患者沟通对于有效管理和成功手术结果至关重要。