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Indian Journal of Otolaryngology and Head & Neck Surgery logoLink to Indian Journal of Otolaryngology and Head & Neck Surgery
. 1997 Jul;49(3):203–208. doi: 10.1007/BF02991282

Laryngeal reinnervation surgery — results of a selective approach in an animal study

J T van Lith—Bijl 1,✉, H F Mahieu 1,✉
PMCID: PMC3450584  PMID: 23119300

Abstract

Laryngeal reinnervation surgery is a difficult subject due to the fact that the recurrent laryngeal nerve (RLN) is responsible for both adductor and abductor laryngeal activity. Non-selective reinnervation procedures will result in laryngeal synkinesis with restoration of tonicity. Restoration of mobility requires selective reinnervation of the adductor and abductor branches with nerves with similar activity patterns as the initial abductor and adductor branches of the RLN.

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References

  • 1.Hiroto I, Hirano M, Tomita H. Electromyographic investigations of human vocal cord paralysis. Ann Otol Rhinol Laryngol. 1968;77:296–304. doi: 10.1177/000348946807700214. [DOI] [PubMed] [Google Scholar]
  • 2.Tashiro T. Experimental studies on the reinnervation of larynx after accurate neurorrhaphy. Laryngoscope. 1972;82:225–236. doi: 10.1288/00005537-197202000-00010. [DOI] [PubMed] [Google Scholar]
  • 3.Siribodhi C, Sundmaker W, Atkins JP, Bonner FJ. Electromyographic studies of laryngeal paralysis and regeneration of laryngeal motor nerves in dogs. Laryngoscope. 1963;73:148–164. doi: 10.1288/00005537-196302000-00002. [DOI] [Google Scholar]
  • 4.Lith-Bijl JT, Mahieu HE, Stolk RJ, Tonnaer JADM, Groenhout C, Konings PNM. Laryngeal abductor function after laryngeal nerve injury in cats. Arch Otolaryngol Head Neck Surg. 1996;122:393–396. doi: 10.1001/archotol.1996.01890160035007. [DOI] [PubMed] [Google Scholar]
  • 5.Sunderland S, Swaney WE. The intraneural topography of the recurrent laryngeal nerve in man. Anat Rec. 1952;114:411–426. doi: 10.1002/ar.1091140303. [DOI] [PubMed] [Google Scholar]
  • 6.Crumley RL. Mechanisms of Synkinesis. Laryngoscope. 1979;89:1847–1854. doi: 10.1288/00005537-197911000-00020. [DOI] [PubMed] [Google Scholar]
  • 7.Mahieu HF, Lith-Bijl JT, Groenhout C, Tonnaer JADM, Wilde P. Selective laryngeal abductor reinnervation in cats using a phrenic nerve transfer and ORG 2766. Arch Otolaryngol Head Neck Surg. 1993;119:772–776. doi: 10.1001/archotol.1993.01880190068014. [DOI] [PubMed] [Google Scholar]
  • 8.van Lith-Bijl JT, Stolk RJ, Tonnaer JADM, Groenhout C, Konings PNM, Mahieu HF: Selective Laryngeal Reinnervation with Separate Phrenic and Ansa Cervicalis Nerve Transfers. Arch Otolaryngol Head Neck Surg submitted. [DOI] [PubMed]
  • 9.Rice DH. Laryngeal reinnervation, 1982. Laryngoscope. 1982;92:1049–1059. doi: 10.1288/00005537-198209000-00016. [DOI] [PubMed] [Google Scholar]
  • 10.Baldiserra F, Cantarella G, Marini G, Ottaviani F. Restoring abduction of paralyzed vocal cords in the cat using selective laryngeal reinnervation by phrenic motoneurons. Laryngoscope. 1986;96:1399–1404. doi: 10.1288/00005537-198612000-00017. [DOI] [PubMed] [Google Scholar]
  • 11.Attali JP, Gioux M, Henry C, Urtassun A, Vital C, Traissac L. Vocal cord abduction rehabilitation by nervous selective anastomosis. Laryngoscope. 1988;98:398–401. doi: 10.1288/00005537-198804000-00008. [DOI] [PubMed] [Google Scholar]
  • 12.Marie JP, Ducastell T, Dehesdin D, Senant J. Selective reinnervation of the abductor and adductor muscles of the cannine larynx after recurrent nerve paralysis. Ann Otol Rhinol Laryngol. 1989;98:30–536. doi: 10.1177/000348948909800707. [DOI] [PubMed] [Google Scholar]
  • 13.Ellenbgen BG, Gerber TG, Coon RL, Toohill RJ. Accessory Muscle Activity and Respiration. Otolaryngol Head Neck Surg. 1981;89:370–375. doi: 10.1177/019459988108900303. [DOI] [PubMed] [Google Scholar]
  • 14.Fink BR. The Human Larynx - A Functional Study. New York: Raven Press; 1975. pp. 56–120. [Google Scholar]
  • 15.Fackler CD, Penet GE, Bedell GN. Effect of unilateral phrenic nerve section on lung function. J Appl Physiol. 1967;23:923–926. doi: 10.1152/jappl.1967.23.6.923. [DOI] [PubMed] [Google Scholar]
  • 16.Robertson J, (1979): A physiological approach to hemidiaphragm paralysis. Crit Care Med. 563–565. [DOI] [PubMed]
  • 17.Easton PA, Fleetham JA, DelaRocha A, Anthonisen NR. Respiratory function after paralysis of the right hemidiaphragm. AM Rev Resp Dis. 1983;127:125–128. doi: 10.1164/arrd.1983.127.1.125. [DOI] [PubMed] [Google Scholar]
  • 18.Kelly WD. Phrenic nerve paralysis, special consideration of the accessory phrenic nerve. J Thoracic Surg. 1950;19:923–928. [PubMed] [Google Scholar]
  • 19.Baldiserra F, Cantarella G, Marini G, Ottaviani F, Tredici G. Recovery of inspiratory abduction of the paralysed vocal cords after bilateral reinnervation of the crico arytenoid muscles by one single branch of the phrenic nerve. Laryngoscope. 1989;99:1286–1292. doi: 10.1288/00005537-198912000-00014. [DOI] [PubMed] [Google Scholar]
  • 20.Crumley RL, Izdebski K. Voice quality following laryngeal reinnervation by ansa hypoglossi transfer. Laryngoscope. 1986;96:611–616. doi: 10.1288/00005537-198606000-00004. [DOI] [PubMed] [Google Scholar]

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