Contralateral ansa cervicalis-to-recurrent laryngeal nerve anastomosis for unilateral vocal fold paralysis: A long-term outcome analysis of 56 cases

2011 ◽  
Vol 121 (5) ◽  
pp. 1027-1034 ◽  
Author(s):  
Wei Wang ◽  
Shicai Chen ◽  
Donghui Chen ◽  
Siwen Xia ◽  
Xiaoxia Qiu ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Outcome Analysis ◽  
Unilateral Vocal Fold Paralysis ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Ansa Cervicalis ◽  
Nerve Anastomosis

Laryngeal reinnervation in unilateral vocal fold paralysis- case report and literature review

2017 ◽  
Vol 6 (2) ◽  
pp. 36-41
Author(s):  
Anna Rzepakowska ◽  
Justyna Jachimowska ◽  
Kazimierz Niemczyk
Keyword(s):  
Case Report ◽  
Recurrent Laryngeal Nerve ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Functional Abilities ◽  
Unilateral Vocal Fold Paralysis ◽  
Ansa Cervicalis ◽  
Laryngeal Reinnervation ◽  
The Voice

Laryngeal reinnervation is the method of treatment in unilateral vocal fold paralysis. During the surgery an anastomosis between the main branch of ansa cervicalis and recurrent laryngeal nerve is formed. Regeneration of the nerve’s functional abilities is a long process, lasting from 4 to 6 months, up to a year. A 35 year-old male was admitted to the Department of Otolaryngology at Warsaw Medical University in order to undergo surgical removal of reoccurrence of Schwannoma in left cerebellopontine angle by translabyrinthine approach. Post-operative period was complicated with vagal nerve paralysis. The patient reported hoarseness, dysphagia and choking. Physical examination revealed left vocal fold immobilization in abducted position, saliva in piriform fossa and left-sided soft palate paralysis yet the patient was discharged home. 4 weeks after the surgery, the patient was admitted to the hospital again due to developing aspiration pneumonia. Augmentation of the left vocal fold with calcium hydroxyapatite was performed 2 months later. After this intervention temporary vocal improvement and choking frequency reduction was observed. Finally, the patient underwent laryngeal reinnervation with formation of ansa cervicalis main branch to recurrent laryngeal nerve anastomosis. Left vocal fold regained its functional abilities and the quality of the voice improved. Laryngovideostroboscopy performed 6 months later revealed mobilization of left vocal fold sufficient for proper glottis closure. The voice measures normalized and the swallowing improved. Conclusions This case report and analyzed data confirm that laryngeal reinnervation surgery in unilateral vocal fold paralysis helps achieve satisfactory effects in voice function and life quality.

Reduction in Short- and Long-term Pneumonia Rate With Laryngoplasty for Unilateral Vocal Fold Paralysis

2021 ◽  
pp. 019459982110151
Author(s):  
Cheng-Ming Hsu ◽  
Yao-Te Tsai ◽  
Geng-He Chang ◽  
Yao-Hsu Yang ◽  
Tuan-Jen Fang ◽  
...  
Keyword(s):  
Lower Incidence ◽  
Vocal Fold ◽  
Proportional Hazards ◽  
Vocal Fold Paralysis ◽  
Cox Proportional Hazards ◽  
Cox Proportional Hazards Model ◽  
Voice Therapy ◽  
Unilateral Vocal Fold Paralysis ◽  
Short And Long Term

Objective To examine the association of laryngoplasty, voice therapy, and pneumonia rate in patients with unilateral vocal fold paralysis (UVFP). Study Design Population-based retrospective cohort study. Setting Data were collected from the LHID2000 (Longitudinal Health Insurance Database 2000), containing the information of 1 million randomly selected patients in Taiwan. Methods In the LHID2000, we identified 439 patients having new diagnoses of UVFP from 1997 to 2013. We grouped the aforementioned patients according to UVFP treatment and probed the occurrence of pneumonia: 305 patients underwent laryngoplasty or voice therapy, and 134 patients did not undergo treatment. Follow-up procedures were executed for the enrollees until death or December 31, 2013, representing the end of the study period. We assessed the association of UVFP treatment and pneumonia by executing Cox proportional hazards regression. Results The pneumonia cumulative incidence was significantly higher among enrolled patients without treatment than in those receiving treatment ( P < .001). The pneumonia incidence was significantly lower in patients receiving UVFP treatment (hazard ratio, 0.49; 95% CI, 0.27-0.88; P = .018), as validated by the Cox proportional hazards model after adjustment. Patients undergoing laryngoplasty with or without voice therapy had a significantly lower incidence of pneumonia at 6 months and 1, 3, and 5 years, whereas those undergoing voice therapy alone did not. Conclusion Laryngoplasty was associated with a lower incidence of short- and long-term pneumonia in patients with UVFP. Physicians should encourage patients with UVFP at risk of aspiration to receive prompt evaluation as well as treatment.

LONG-TERM OUTCOME ANALYSIS OF STARR PLICATION FOR PRIMARY OBSTRUCTIVE MEGAURETERS

2004 ◽  
Vol 172 (2) ◽  
pp. 703-705 ◽  
Author(s):  
PETER C. FRETZ ◽  
J. CHRISTOPHER AUSTIN ◽  
CHRISTOPHER S. COOPER ◽  
CHARLES E. HAWTREY
Keyword(s):  
Outcome Analysis ◽  
Term Outcome ◽  
Long Term Outcome

Long-term voice outcomes of laryngeal framework surgery for unilateral vocal fold paralysis

2021 ◽  
Author(s):  
Stephanie D. Mes ◽  
Martine Hendriksma ◽  
Bas J. Heijnen ◽  
Ben F. J. Goudsmit ◽  
Jeroen C. Jansen ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Unilateral Vocal Fold Paralysis ◽  
Laryngeal Framework Surgery
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