What medicine does vagal nerve injury take?

summary

Vagus nerve is the longest and most widely distributed cranial nerve. It comes out of the cranium with glossopharyngeal nerve and accessory nerve through jugular foramen. It is located in the carotid sheath at the neck and goes down between carotid artery and internal jugular vein. Vagus nerve is a mixed nerve. Among the nuclei of vagus nerve, nucleus ambiguus, nucleus tractus solitarius and nucleus spinal trigeminus coexist with glossopharyngeal nerve. What medicine does vagal nerve injury take? Next, I'd like to share my views with you.

What medicine does vagal nerve injury take?

Skull base fracture itself does not need special treatment, the focus of treatment is to prevent infection, rational use of antibiotics. In case of cerebrospinal fluid rhinorrhea or otorrhea, it is forbidden to pack, blow nose, reduce sneezing and cough, and keep external auditory canal clean. Try to avoid lumbar puncture to prevent retrograde infection.

It is very important to protect vagus nerve and glossopharyngeal nerve from irreversible injury by using microneurosurgical technique during skull base operation. Stereotactic radiosurgery for small tumors in jugular foramen should be designed reasonably and scientifically to avoid aggravating vagus nerve and glossopharyngeal nerve injury. When performing thyroid surgery and carotid endarterectomy, we should be familiar with the anatomy of recurrent laryngeal nerve and superior laryngeal nerve and their relationship with peripheral blood vessels. Good microsurgical techniques and intraoperative EMG monitoring techniques can effectively protect the recurrent laryngeal nerve and superior laryngeal nerve. If the recurrent laryngeal nerve is severed during the operation, the cervical end to side anastomosis of recurrent laryngeal nerve and vagus nerve is feasible, which is expected to achieve good results in the long term.

Firearm injury firearm nerve injury is mostly caused by high-speed projectiles (shrapnel or bullet) injury. The range of nerve injury is wide, and the wound is seriously polluted, which is easy to cause wound infection. The initial treatment principle is: the wound should be thoroughly debridement, rather than nerve suture; The injured part of the nerve was not excised, and the free end was not cut to prevent the spread of pollution; The nerve stump was not marked with silk thread or sutured on the tissue; The free nerve was covered with normal tissue; Promote wound healing as soon as possible to create conditions for secondary repair.

matters needing attention

Patients with vagus nerve injury should take more water and avoid stimulants such as coffee, soda and cigarette. Eat more fruits, vegetables, nuts, seeds, cereals and other beneficial food. For those with severe cough, they should be fed with pasty semi liquid food to avoid choking into the airway and causing pneumonia.