Newer Techniques of Laryngeal Reinnervation

Maniglia, Anthony J.; Dodds, Brian; Sorensen, Kelly; Kumar, Niraj; Katirji, M. B.

doi:10.1177/000348948909800103

Cited by 7 publications

(2 citation statements)

References 15 publications

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“…These findings would be useful for designing belly-based reinnervation procedures to restore belly functions which have never been reported in the literature. Some investigators designed an ESLN-CT pedicle to reinnervate the paralyzed PCA muscle 35 or created an ansa-sternothyroid neuromuscular pedicle to reinnervate the denervated CT muscle. 36 It has been established that the rationale for designing nerve-muscle pedicles is based mainly on the similarity of the EMG activities between the ''giver'' and ''taker.''…”

Section: Clinical Considerationsmentioning

confidence: 99%

The Human Cricothyroid Muscle: Three Muscle Bellies and Their Innervation Patterns

Sanders

2009

Journal of Voice

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Section: Clinical Considerationsmentioning

confidence: 99%

The Human Cricothyroid Muscle: Three Muscle Bellies and Their Innervation Patterns

Sanders

2009

Journal of Voice

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“…Results of recurrent laryngeal nerve stimu lation in the in vivo canine model agree with this sub glottic pressure-stiffness relationship. 10 Parameter T w as related solely to lower mass spring stiffness k x , With no associated subglottal pressure rise. This re flected vocalis muscle tension exerted by longitudinal stretching, with no changes in mass or stiffness that would affect subglottic pressure.…”

Section: Methodsmentioning

confidence: 99%

The Effects of Phonosurgery on Laryngeal Vibration: Part I. Theoretic Considerations

Smith

Berke

1990

Otolaryngol.--head neck surg.

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Surgical manipulation of the laryngeal framework (phonosurgery) is rapidly gaining interest and attention. To date, however, a comparative objective evaluation of the various phonosurgical techniques has not been reported. A theoretic model of the larynx, a four-mass model based on the work of Ishizaka (J Acoust Soc Am 1976;60:1193-8) and Koizumi et al. (J Acoust Soc Am 1987;82:1179-92), was developed and adapted to simulate laryngeal biomechanical behavior, as understood by current research. The model was then applied to a comparative evaluation of phonosurgical techniques. Input parameters that correlate laryngeal function and model simulation were developed. Surgical procedures were categorized according to their effect on these parameters. A model simulation of these techniques allowed comparison and prediction of the results of phonosurgery and a better understanding of the issues involved with surgical alteration of the voice.

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Surgery of adult bilateral vocal fold paralysis in adduction: history and trends

Sapundzhiev

Lichtenberger²,

Eckel

et al. 2008

Eur Arch Otorhinolaryngol

103

107

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Bilateral vocal fold paralysis (BVFP) in adduction is characterised by inspiratory dyspnea, due to the paramedian position of the vocal folds with narrowing of the airway at the glottic level. The condition is often life threatening and therefore requires surgical intervention to prevent acute asphyxiation or pulmonary consequences of chronic airway obstruction. Aside from corticosteroid administration and intubation, which are only temporary measures, the standard approach for improving respiration is to perform a tracheotomy. Over the past century, a vast majority of surgical interventions have been developed and applied to restore the patency of the airway and achieve decannulation. Surgeons can generally choose for every individual patient from various well-established treatment options, which have a predictable outcome. An overview of the surgical techniques for laryngeal airway enlargement in BVFP is presented. Included are operative techniques, which have found application in clinical practice, and only to a small extent in purely anatomic or animal studies. The focus is on two major groups of interventions--for temporary and for definitive glottic enlargement. The major types of interventions include the following: (1) resection of anatomical structures; (2) retailoring and displacing the existing structures, with minimal tissue removal; (3) displacing existing structures, without tissue resection; (4) restoration or substitution of the missing innervation of the laryngeal musculature. The single interventions of these four major types have always followed the development of the medical equipment and anaesthesia. At the beginning of the twentieth century, when medicine was unable to counteract surgical infection, endoscopic or extramucosal surgical techniques were dominant. In the 1950s, the microscopic endoscopic laryngeal surgery boomed. At the end of the twentieth century many of the classical endoscopic operations were performed either with the help of surgical lasers alone, or in combination with other interventions.

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Newer Techniques of Laryngeal Reinnervation

Cited by 7 publications

References 15 publications

The Human Cricothyroid Muscle: Three Muscle Bellies and Their Innervation Patterns

The Human Cricothyroid Muscle: Three Muscle Bellies and Their Innervation Patterns

The Effects of Phonosurgery on Laryngeal Vibration: Part I. Theoretic Considerations

Surgery of adult bilateral vocal fold paralysis in adduction: history and trends

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