Longitudinal Follow-Up Arytenoid Adduction and Ansa Cervicalis Transfer with Unilateral Vocal Fold Paralysis

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Vocal outcome after arytenoid adduction and ansa cervicalis transfer.

OBJECTIVE To evaluate the long-term efficacy of arytenoid adduction (AA) combined with ansa cervicalis-recurrent laryngeal nerve anastomosis (ACN-RLN) in the treatment of unilateral vocal fold paralysis. DESIGN Retrospective review of clinical records. SETTING Institutional practice. PATIENTS Nine patients with severe paralytic dysphonia with large glottal gap were included. Voice outcome...

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Laryngeal reinnervation for unilateral vocal fold paralysis using ansa cervicalis nerve to recurrent laryngeal nerve anastomosis

In laryngeal paralysis, the stiffness of the denervated vocal fold is decreased. This leads to deviant vibratory patterns involving 2 asymmetric vocal folds and results in abnormal vocal quality. Follow-up studies of medialization thyroplasty patients have noted that decrement in vocal quality after medialization is often because of continuing vocal fold atrophy. Vocal cord atrophy from denerva...

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Vocal Fold Medialization, Arytenoid Adduction, and Reinnervation

127 Restoration of vocal function with laryngeal framework surgery (laryngoplastic phonosurgery) was introduced at the beginning of the 20th century. Today, these procedures have emerged as the dominant surgical management approach for the treatment of the aerodynamic incompetence and acoustic deterioration associated with vocal fold paralysis/paresis. Other indications include cancer defects, ...

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Combined arytenoid adduction and laryngeal reinnervation in the treatment of vocal fold paralysis.

OBJECTIVE/HYPOTHESIS Glottal closure and symmetrical thyroarytenoid stiffness are two important functional characteristics of normal phonatory posture. In the treatment of unilateral vocal cord paralysis, vocal fold medialization improves closure, facilitating entrainment of both vocal folds for improved phonation, and reinnervation is purported to maintain vocal fold bulk and stiffness. A comb...

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Laryngeal reinnervation by ansa cervicalis nerve implantation for unilateral vocal cord paralysis in humans.

BACKGROUND Ansa cervicalis (AC)-recurrent laryngeal nerve anastomosis (RLN) is usually not desirable for correction of paralytic dysphonia when it is difficult to find a viable distal stump of the recurrent laryngeal nerve. Nerve implantation of the thyroarytenoid muscle with the ansa cervicalis is a simple alternative method. STUDY DESIGN Ten patients with unilateral vocal cord paralysis wer...

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ژورنال

عنوان ژورنال: The Japan Journal of Logopedics and Phoniatrics

سال: 2013

ISSN: 0030-2813,1884-3646

DOI: 10.5112/jjlp.54.8