Reinnervation of Recurrent Laryngeal Nerve for Treatment of Unilateral Vocal Fold Paralysis

2012 ◽  
Vol 63 (1) ◽  
pp. 8-14
Author(s):  
Hiroyuki Yamada ◽  
Takeshi Taniyama ◽  
Kouhei Fukukita ◽  
Mamika Araki ◽  
Tomonori Sugiyama
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Unilateral Vocal Fold Paralysis

scholarly journals Reinnervation of Recurrent Laryngeal Nerve for the Treatment of Unilateral Vocal Fold Paralysis

2009 ◽  
Vol 21 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Hiroyuki Yamada ◽  
Tomotaka Miyamura ◽  
Tomohito Fuke ◽  
Toshifumi Tomioka ◽  
Kohei Fukukita
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Unilateral Vocal Fold Paralysis

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.

scholarly journals Breathy Dysphonia, Not Just a Pain in the Neck

2021 ◽  
pp. 014556132110699
Author(s):  
Shiv Patel ◽  
Andrew M. Vahabzadeh-Hagh
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Radiographic Imaging ◽  
Newly Diagnosed ◽  
Rare Occurrence ◽  
Unilateral Vocal Fold Paralysis ◽  
Insight Into

We describe a rare occurrence of unilateral vocal fold paralysis associated with a cervical osteophyte abutting the course of the recurrent laryngeal nerve. Trans-nasal laryngoscopy is vital in diagnosing vocal fold paralysis, but often does not provide insight into etiology. This case highlights the importance of radiographic imaging in newly diagnosed vocal fold paralysis, and underscores the principle that a diagnosis is not idiopathic until all sources have been ruled out.

scholarly journals Aortic arch compliance and idiopathic unilateral vocal fold paralysis

2017 ◽  
Vol 123 (2) ◽  
pp. 303-309 ◽  
Author(s):  
Reza Behkam ◽  
Kara E. Roberts ◽  
Andrew J. Bierhals ◽  
M. Eileen Jacobs ◽  
Julia D. Edgar ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Aortic Arch ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Unilateral Vocal Fold Paralysis ◽  
Aortic Compliance ◽  
Voice Production ◽  
Potential Contributor ◽  
Age And Sex

Unilateral vocal fold paralysis (UVP) occurs related to recurrent laryngeal nerve (RLN) impairment associated with impaired swallowing, voice production, and breathing functions. The majority of UVP cases occur subsequent to surgical intervention with approximately 12–42% having no known cause for the disease (i.e., idiopathic). Approximately two-thirds of those with UVP exhibit left-sided injury with the average onset at ≥50 yr of age in those diagnosed as idiopathic. Given the association between the RLN and the subclavian and aortic arch vessels, we hypothesized that changes in vascular tissues would result in increased aortic compliance in patients with idiopathic left-sided UVP compared with those without UVP. Gated MRI data enabled aortic arch diameter measures normalized to blood pressure across the cardiac cycles to derive aortic arch compliance. Compliance was compared between individuals with left-sided idiopathic UVP and age- and sex-matched normal controls. Three-way factorial ANOVA test showed that aortic arch compliance ( P = 0.02) and aortic arch diameter change in one cardiac cycle ( P = 0.04) are significantly higher in patients with idiopathic left-sided UVP compared with the controls. As previously demonstrated by other literature, our finding confirmed that compliance decreases with age ( P < 0.0001) in both healthy individuals and patients with idiopathic UVP. Future studies will investigate parameters of aortic compliance change as a potential contributor to the onset of left-sided UVP.NEW & NOTEWORTHY Unilateral vocal fold paralysis results from impaired function of the recurrent laryngeal nerve (RLN) impacting breathing, swallowing, and voice production. A large proportion of adults suffering from this disorder have an idiopathic etiology (i.e., unknown cause). The current study determined that individuals diagnosed with left-sided idiopathic vocal fold paralysis exhibited significantly greater compliance than age- and sex-matched controls. These seminal findings suggest a link between aortic arch compliance levels and RLN function.

Spontaneous regeneration of recurrent laryngeal nerve following long-term vocal fold paralysis in humans: Histologic evidence

2011 ◽  
Vol 121 (5) ◽  
pp. 1035-1039 ◽  
Author(s):  
Donghui Chen ◽  
Shicai Chen ◽  
Wei Wang ◽  
Chuansen Zhang ◽  
Hongliang Zheng
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Histologic Evidence ◽  
Spontaneous Regeneration

Cervical osteophytes presenting as unilateral vocal fold paralysis and dysphagia

2001 ◽  
Vol 115 (5) ◽  
pp. 422-424 ◽  
Author(s):  
Adi Yoskovitch ◽  
Stephen Kantor
Keyword(s):  
Vocal Fold ◽  
Superior Laryngeal Nerve ◽  
Vocal Fold Paralysis ◽  
Laryngeal Nerve ◽  
Unilateral Vocal Fold Paralysis ◽  
Unique Case ◽  
Common Cause ◽  
Extrinsic Compression ◽  
External Branch ◽  
Cervical Osteophytes

Any process involving either the vagus nerve, its recurrent laryngeal branch or the external branch of the superior laryngeal nerve may cause paralysis of the vocal fold. The most common cause is neoplasm. Clinically, the patients often present with a hoarse, breathy voice as well as symptoms of aspiration. The following represents a unique case of unilateral vocal fold paralysis and dysphagia caused by a degenerative disease of the cervical spine, resluting in extrinsic compression of the recurrent laryngeal nerve.

Sign in / Sign up

Export Citation Format

Share Document