Ansa-RLN reinnervation for unilateral vocal fold paralysis in adolescents and young adults

Smith, Marshall E.; Roy, Nelson; Stoddard, Kelly

doi:10.1016/j.ijporl.2008.05.004

Cited by 57 publications

(46 citation statements)

References 22 publications

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“…Historically we have performed injection augmentation procedures in toddler and preschool aged children, but have been disappointed in the quality and durability of the results. We share the concerns of others with respect to implications of laryngeal framework surgery in the growing larynx [1,7]. As a result we have grown comfortable offering laryngeal reinnervation as a surgical option for vocal optimization.…”

Section: Discussion and Resultsmentioning

confidence: 86%

A novel modification of the ansa to recurrent laryngeal nerve reinnervation procedure for young children

Marcum

Wright

Kemp

et al. 2010

International Journal of Pediatric Otorhinolaryngology

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Section: Discussion and Resultsmentioning

confidence: 86%

A novel modification of the ansa to recurrent laryngeal nerve reinnervation procedure for young children

Marcum

Wright

Kemp

et al. 2010

International Journal of Pediatric Otorhinolaryngology

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“…Neither this technique, nor arytenoidopexy or laser cordotomy has been demonstrated to have superior results to arytenoidectomy [3,[28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

Laser arytenoidectomy in the management of bilateral vocal cord paralysis in children

Aubry

Leboulanger

Harris

et al. 2010

International Journal of Pediatric Otorhinolaryngology

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“…Ansa to RLN anastomosis have also been offered as an intraoperative procedure during thyroidectomy when RLN resection is necessary and is associated with improved postoperative vocal outcomes. 232 All procedures to rehabilitate UVFP are considered safe and effective with very high success rates documented. 225,[233][234][235][236] Few direct comparisons have suggested that one procedure is superior to another.…”

mentioning

confidence: 99%

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

Chandrasekhar

Randolph

Seidman³

et al. 2013

Otolaryngol.--head neck surg.

351

100

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Objective. Thyroidectomy may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. About 1 in 10 patients experience temporary laryngeal nerve injury after surgery, with longer lasting voice problems in up to 1 in 25. Reduced quality of life after thyroid surgery is multifactorial and may include the need for lifelong medication, thyroid suppression, radioactive scanning/treatment, temporary and permanent hypoparathyroidism, temporary or permanent dysphonia postoperatively, and dysphagia. This clinical practice guideline provides evidence-based recommendations for management of the patient's voice when undergoing thyroid surgery during the preoperative, intraoperative, and postoperative period.Purpose. The purpose of this guideline is to optimize voice outcomes for adult patients aged 18 years or older after thyroid surgery. The target audience is any clinician involved in managing such patients, which includes but may not be limited to otolaryngologists, general surgeons, endocrinologists, internists, speech-language pathologists, family physicians and other primary care providers, anesthesiologists, nurses, and others who manage patients with thyroid/voice issues. The guideline applies to any setting in which clinicians may interact with patients before, during, or after thyroid surgery. Children under age 18 years are specifically excluded from the target population; however, the panel understands that many of the findings may be applicable to this population. Also excluded are patients undergoing concurrent laryngectomy. Although this guideline is limited to thyroidectomy, some of the recommendations may extrapolate to parathyroidectomy as well.Results. The guideline development group made a strong recommendation that the surgeon should identify the recurrent laryngeal nerve(s) during thyroid surgery. The group made recommendations that the clinician or surgeon should (1) document assessment of the patient's voice once a decision has been made to proceed with thyroid surgery; (2) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, if the patient's voice is impaired and a decision has been made to proceed with thyroid surgery; (3) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, once a decision has been made to proceed with thyroid surgery if the patient's voice is normal and the patient has (a) thyroid cancer with suspected extrathyroidal extension, or (b) prior neck surgery that increases the risk of laryngeal nerve injury (carotid endarterectomy, anterior approach to the cervical spine, cervical esophagectomy, and prior thyroid or parathyroid surgery), or (c) both; (4) educate the patient about the potential impact of thyroid surgery on voice once a decision has been made to proceed with thyroid surgery; (5) inform the anesthesi...

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Ansa-RLN reinnervation for unilateral vocal fold paralysis in adolescents and young adults

Cited by 57 publications

References 22 publications

A novel modification of the ansa to recurrent laryngeal nerve reinnervation procedure for young children

A novel modification of the ansa to recurrent laryngeal nerve reinnervation procedure for young children

Laser arytenoidectomy in the management of bilateral vocal cord paralysis in children

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

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