{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:47:15Z","timestamp":1769107635087,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,1,29]],"date-time":"2013-01-29T00:00:00Z","timestamp":1359417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Injury to the vagus nerve or one of its branches during carotid endarterectomy (CEA) can result in vocal fold paralysis (VFP), but the exact mechanisms and site of injury responsible for VFP after CEA are unclear. The aim of this study was to identify the site of nerve injury in patients with VFP after CEA using magnifying laryngoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed 96 consecutive CEA procedures in 87 patients over 5 years. After 56 CEA procedures, we examined vocal fold movements with a flexible nasolaryngoscope and detected VFP in 5 of 40 cases (9 %). At 6\u20138 weeks after CEA, these five patients also underwent magnifying laryngoscopy at another institution by a specialist in vocalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We confirmed ipsilateral VFP and pharyngeal paralysis in three patients. The other two patients recovered from their nerve injuries spontaneously before the magnifying examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VFP and pharyngeal paralysis were caused by damage to the recurrent laryngeal and pharyngeal nerves. Therefore, the probable site of nerve injury during CEA was near the inferior vagal ganglion of the vagus nerve trunk in our three patients.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-1920-1","type":"journal-article","created":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T17:02:40Z","timestamp":1359392560000},"page":"911-914","source":"Crossref","is-referenced-by-count":7,"title":["Observation of Vocal Fold and Pharyngeal Paralysis After Carotid Endarterectomy Using a Magnifying Laryngoscope"],"prefix":"10.1002","volume":"37","author":[{"given":"Tomonori","family":"Tamaki","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Nippon Medical School, Tamanagayama Hospital 1\u20107\u20101 Nagayama, Tamashi 206\u20108512 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoji","family":"Node","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Nippon Medical School, Tamanagayama Hospital 1\u20107\u20101 Nagayama, Tamashi 206\u20108512 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiro","family":"Saitou","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Asahikawa Red Cross Hospital 1\u20101\u20101 Akebonoichijyo 070\u20108530 Asahikawashi Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideto","family":"Saigusa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Nippon Medical School 1\u20101\u20105 Sendagi, Bunkyo\u2010ku 113\u20108603 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,29]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106060(96)80108\u20105"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.109751"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1308\/003588408X318138"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106060(99)70292\u20108"},{"key":"e_1_2_6_6_2","first-page":"168","article-title":"Recurrent laryngeal nerve dysfunction following carotid endarterectomy","volume":"42","author":"Curran AJ","year":"1997","journal-title":"J R Coll Surg Edinb"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100144160"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0967\u20102109(96)00040\u20103"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.2002.1725"},{"key":"e_1_2_6_10_2","first-page":"56","article-title":"Motor speech malfunction following carotid endarterectomy","volume":"89","author":"Liapis CD","year":"1981","journal-title":"Surgery"},{"key":"e_1_2_6_11_2","first-page":"237","article-title":"Cranial nerve dysfunction following carotid endarterectomy","volume":"19","author":"Maroulis J","year":"2000","journal-title":"Int Angiol"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030\u20106665(03)00172\u20105"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.02.071"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010008\u20109832\u20101"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20604"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2011.272914"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009541"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6173"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-013-1920-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-013-1920-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-013-1920-1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T03:15:27Z","timestamp":1704942927000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-013-1920-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,29]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1007\/s00268-013-1920-1"],"URL":"https:\/\/doi.org\/10.1007\/s00268-013-1920-1","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,29]]}}}