scholarly journals Isolated Recovery of Adductor Muscle Function Following Bilateral Recurrent Laryngeal Nerve Injuries

2018 ◽  
Vol 129 (10) ◽  
pp. 2334-2340
Author(s):  
Ádám Bach ◽  
Balázs Sztanó ◽  
Vera Matievics ◽  
Zsófia Bere ◽  
Fabian Volk ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Muscle Function ◽  
Adductor Muscle ◽  
Laryngeal Nerve ◽  
Nerve Injuries ◽  
Laryngeal Nerve Injuries

scholarly journals Unintentional recurrent laryngeal nerve injuries following thyroidectomy: Is it the surgeon who pays the bill?

2017 ◽  
Vol 41 ◽  
pp. S55-S59 ◽  
Author(s):  
C. Gambardella ◽  
A. Polistena ◽  
A. Sanguinetti ◽  
R. Patrone ◽  
S. Napolitano ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Nerve Injuries ◽  
Laryngeal Nerve Injuries

Severity of Recurrent Laryngeal Nerve Injuries in Thyroid Surgery

2016 ◽  
Vol 40 (6) ◽  
pp. 1373-1381 ◽  
Author(s):  
Gianlorenzo Dionigi ◽  
Che-Wei Wu ◽  
Hoon Yub Kim ◽  
Stefano Rausei ◽  
Luigi Boni ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Nerve Injuries ◽  
Laryngeal Nerve Injuries

Variability in Nerve Patterns of the Adductor Muscle Group Supplied by the Recurrent Laryngeal Nerve

2005 ◽  
Vol 115 (2) ◽  
pp. 358-362 ◽  
Author(s):  
Eva Maranillo ◽  
Xavier Leon ◽  
Cesar Orus ◽  
Miquel Quer ◽  
Jose R. Sanudo
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Adductor Muscle ◽  
Laryngeal Nerve ◽  
Muscle Group

Surgical Anatomy of the Recurrent Laryngeal Nerve: Implications for Laryngeal Reinnervation

2003 ◽  
Vol 112 (5) ◽  
pp. 434-438 ◽  
Author(s):  
Edward J. Damrose ◽  
Robert Y. Huang ◽  
Gerald S. Berke ◽  
Ming Ye ◽  
Joel A. Sercarz
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Adductor Muscle ◽  
Surgical Anatomy ◽  
Laryngeal Nerve ◽  
Main Trunk ◽  
Posterior Cricoarytenoid Muscle ◽  
Laryngeal Reinnervation ◽  
Human Cadavers ◽  
Muscle Groups ◽  
Posterior Cricoarytenoid

Functional laryngeal reinnervation depends upon the precise reinnervation of the laryngeal abductor and adductor muscle groups. While simple end-to-end anastomosis of the recurrent laryngeal nerve (RLN) main trunk results in synkinesis, functional reinnervation can be achieved by selective anastomosis of the abductor and adductor RLN divisions. Few previous studies have examined the intralaryngeal anatomy of the RLN to ascertain the characteristics that may lend themselves to laryngeal reinnervation. Ten human larynges without known laryngeal disorders were obtained from human cadavers for RLN microdissection. The bilateral intralaryngeal RLN branching patterns were determined, and the diameters and lengths of the abductor and adductor divisions were measured. The mean diameters of the abductor and adductor divisions were 0.8 and 0.7 mm, while their mean lengths were 5.7 and 6.1 mm, respectively. The abductor division usually consisted of one branch to the posterior cricoarytenoid muscle; however, in cases in which multiple branches were seen, at least one dominant branch could usually be identified. We conclude that the abductor and adductor divisions of the human RLN can be readily identified by an extralaryngeal approach. Several key landmarks aid in the identification of the branches to individual muscles. These data also indicate the feasibility of selective laryngeal reinnervation in patients who might be candidates for laryngeal transplantation after total laryngectomy.

scholarly journals Successful Management of Parsonage–Turner Syndrome with Steroids in the Post-acute Weakness Phase: A Case Report

EMJ Neurology ◽  
2021 ◽  
pp. 81-87
Author(s):  
Mehmood Ahmed Butt ◽  
Kuchalambal Agadi ◽  
Manju Mehmood Butt ◽  
Maliha Mehmood Butt
Keyword(s):  
Brachial Plexus ◽  
Recurrent Laryngeal Nerve ◽  
Turner Syndrome ◽  
Phrenic Nerve ◽  
Laryngeal Nerve ◽  
Left Shoulder ◽  
Nerve Injuries ◽  
Delay In Diagnosis ◽  
Rare Combination ◽  
Progressive Weakness

Introduction: Parsonage–Turner Syndrome (PTS) is a rare disease of the brachial plexus of unclear aetiology. The limited data available typically describes involvement of branches of brachial nerves. The authors present a case of PTS with a rare combination of unilateral brachial plexus, phrenic nerve, and recurrent laryngeal nerve injuries. They also highlight successful treatment with pharmacological intervention despite several months’ delay in diagnosis. The 35-year-old female presented with acute onset of severe left shoulder pain followed by severe progressive weakness of the left shoulder muscles, progressive weakness of her voice, nasal regurgitation of fluids, paroxysmal bouts of coughing, and exertional dyspnoea at rest. The symptoms remained undiagnosed for about 10 months. A clinical diagnosis of exclusion of PTS was finally made, and treatment with steroids, neurotropic drugs, and physiotherapy was started. The patient has recovered significantly since then and continues to improve. Conclusion: The authors presented a case of PTS with a rare combination of brachial plexus, recurrent laryngeal nerve, and phrenic nerve injuries. This case was also remarkable for the significant improvement in her symptoms with treatment, despite the delay in diagnosis. This bears evidence that steroids and adjuvant therapy is useful even months after onset of the disease.

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