Rehabilitation of Vocal Cord Paralysis: Studies Using the Vagus Recurrent Bypass Anastomosis, Type Ramus Posterior Shunt

Miehlke, A.

doi:10.1001/archotol.1974.00780040445005

Cited by 31 publications

(8 citation statements)

References 3 publications

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“…1971;Morledge et al, 1973); (3) nerve-muscle pedicle (Tucker et al, 1970;Tucker and Ogura, 1971;Hengerer and Tucker, 1973;Lyons and Tucker, 1974;Matsui, 1976;Tucker, 1977;Takenouchi. 1977;Sato and Ogura, 1978b) and (4) ramus-posticus shunt or split vagus technique (Doyle et al, 1967;Berendes and Miehlke, 1968;Miehlke, 1974). Iwamura (1974) attempted to restore both adduction and abduction by anastomosis of the split vagus to the adductor branch of the recurrent laryngeal nerve and of the phrenic nerve to the abductor branch successfully in dog.…”

Section: Brodnitzmentioning

confidence: 99%

Recent Advances in Phonosurgery

Isshiki¹

1980

Folia Phoniatr Logop

111

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Section: Brodnitzmentioning

confidence: 99%

Recent Advances in Phonosurgery

Isshiki¹

1980

Folia Phoniatr Logop

111

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“…In 1974, Miehlike ( 51 ) studied on animal model the anastomosis of the distal posterior branch of the laryngeal nerve (innervating the posterior crico-arytenoid muscle) with the main funiculus of the recurrent laryngeal nerve dissected out of the vagus. In 1975, Tucker ( 52 ) described a reinnervation procedure in adults consisting in dissecting a branch of the ansa hypoglossi joined to the corresponding area of omohyoid muscle to suture it at the level of the posterior cricoarytenoid muscle.…”

Section: Surgical Optionsmentioning

confidence: 99%

Surgical Options for Pediatric Bilateral Vocal Cord Palsy: State of the Art

et al. 2020

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Management of pediatric bilateral vocal cord palsy (BVCP) is a controversial and challenging topic. It may represent a severe obstructive condition usually associated with respiratory distress, and, in such condition, tracheostomy has been considered the gold standard for a long time. Many surgical options have been described and used to increase the glottic space in BVCP (1), with ongoing research of less invasive techniques. The challenge and current trend in our department and in many major pediatric centers is to avoid tracheotomy through an early treatment. Many techniques introduced in the last decade reduced the number of tracheotomies and increased the decannulation rate. Furthermore, we observed a recent increase in attention to preserve the quality of the voice with new techniques, such as endoscopic arytenoid abduction lateropexy which is in our opinion an important innovation to improve glottic space with satisfactory voice results. We present a review of the literature about the evolution of the treatment options for pediatric BVCP during the years.

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“…In 1973 Miehlike described his technique, which had been initially developed in an animal model and then performed in humans. It was called ramus posterior shunt [69]. The distal part of the posterior branch of the RLN, which innervates the abductor muscle, was transected and fixed to the main bundle of the RLN bifurcating from the vagal trunk, while the distal part of the anterior branch of the RLN, which supplies adductor muscles, was dissected [70].…”

Section: Re-innervationmentioning

confidence: 99%

Methods of surgical treatment of bilateral vocal fold paralysis.

Czesak

Osuch‐Wójcikiewicz

Niemczyk

2020

Endokrynologia Polska

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Bilateral vocal fold paralysis presents as their complete or partial immobilisation. The median or paramedian position of vocal folds contributes to the narrowing of the airway at the level of the glottis and manifests as inspiratory dyspnoea. For many years iatrogenic injury of recurrent laryngeal nerves during thyroidectomy has been viewed as the most common underlying reason. It is very often a lifethreatening condition requiring not only corticosteroid administration and intubation, which only constitute a short-term symptomatic therapy, but also surgical intervention, including tracheostomy. The most common surgical methods implemented in bilateral vocal fold paralysis include posterior cordectomy, arytenoidectomy, and, more and more commonly, re-innervation. Other techniques used in restoring airway patency include laterofixation, botulinum toxin injection, and laryngeal stimulation, which is still under research. Stem cell and gene therapy are also being researched. Notably, the main purpose of surgical treatment is the provision of airway patency with the preservation of the phonatory and protective functions of the larynx.

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Rehabilitation of Vocal Cord Paralysis: Studies Using the Vagus Recurrent Bypass Anastomosis, Type Ramus Posterior Shunt

Cited by 31 publications

References 3 publications

Recent Advances in Phonosurgery

Recent Advances in Phonosurgery

Surgical Options for Pediatric Bilateral Vocal Cord Palsy: State of the Art

Methods of surgical treatment of bilateral vocal fold paralysis.

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