Versuche zur Reinnervation des Abduktormuskels nach Recurrenslähmung durch Einpflanzen freier Nerventransplantate zum Nervus phrenicus

Wigand, M. E.; Naumann, C.; Hölldobler, G.

doi:10.1007/bf02594494

Cited by 10 publications

(3 citation statements)

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“…Since progressive atrophy of the laryngeal muscles is likely if the denervation is permanent and ankyloses of the non-moving cricoarytenoid joint is possible, timely treatment is essential. In both Tucker's and Wigand's techniques of recurrent nerve reinnervation, the failures were mostly due to already atrophic muscles or ankyloses of the cricoarytenoid joint so that no lasting success could be (102,106). Here, it is necessary to weigh up the possibility of a spontaneous remission in the first 6 months.…”

Section: Association Of Surgical Technique To Revision Surgery Ratementioning

confidence: 99%

Surgery for bilateral vocal fold paralysis: Systematic review and meta-analysis

Titulaer

Guntinas‐Lichius

2022

Front. Surg.

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ObjectivesTo determine the decannulation rate (DR) and revision surgery rate after surgery for bilateral vocal fold paralysis (BVFP).Data SourcesFive databases (MEDLINE, PubMed, Embase, Web of Science, Scopus) were searched for the period 1908–2020.MethodsThe systematic literature review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were pooled using a random-mixed-effects model. Randomized controlled trials and non-randomized studies (case-control, cohort, and case series) were included to assess DR and revision surgery rate after different surgical techniques for treatment of BVFP.ResultsThe search yielded 857 publications, of which 102 with 2802 patients were included. DR after different types of surgery was: arytenoid abduction (DR 0.93, 95%-confidence interval [CI], 0.86–0.97), endolaryngeal arytenoidectomy (DR 0.92, 95%-CI, 0.86–0.96), external arytenoidectomy (DR 0.94; 95%-CI, 0.71–0.99), external arytenoidectomy and lateralisation (DR 0.87; 95%-CI, 0.73–0.94), laterofixation (DR 0.95; 95%-CI, 0.91–0.97), posterior cordectomy (DR 0.97, 95%-CI, 0.94–0.99), posterior cordectomy and arytenoidectomy (DR 0.98, 95%-CI, 0.93–0.99), posterior cordectomy and subtotal arytenoidectomy (DR 0.98, 95%-CI, 0.88–1.00), posterior cordotomy (DR 0.96, 95%-CI, 0.84–0.99), reinnervation (0.69, 95%-CI, 0.12–0.97), subtotal arytenoidectomy (DR 1.00, 95%-CI, 0.00–1.00) and transverse cordotomy (DR 1.0, 95%-CI, 0.00–1.00). No significant difference between subgroups for DR could be found (Q = 15.67, df = 11, p = 0.1540). The between-study heterogeneity was low (τ2 = 2.2627; τ = 1.5042; I2 = 0.0%). Studies were at high risk of bias.ConclusionBLVP is a rare disease and the study quality is insufficient. The existing studies suggest a publication bias and the literature review revealed that there is a lack of prospective controlled studies. There is a lack of standardized measures that takes into account both speech quality and respiratory function and allows adequate comparison of surgical methods.

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Section: Association Of Surgical Technique To Revision Surgery Ratementioning

confidence: 99%

Surgery for bilateral vocal fold paralysis: Systematic review and meta-analysis

Titulaer

Guntinas‐Lichius

2022

Front. Surg.

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“…durch Nervennaht [3], durch Nervenanastomosierung zum N. phrenicus [2,4,19] oder zum N. vagus [11], oder durch Nerven-Muskel-Transposition [13,18] wie auch Ludlow et al [10] eine hohe intra-und interindividuelle Streuung der Latenzen nach Magnetstimulation des N. vagus. durch Nervennaht [3], durch Nervenanastomosierung zum N. phrenicus [2,4,19] oder zum N. vagus [11], oder durch Nerven-Muskel-Transposition [13,18] wie auch Ludlow et al [10] eine hohe intra-und interindividuelle Streuung der Latenzen nach Magnetstimulation des N. vagus.…”

Section: Ergebnisseunclassified

Elektromyographische Untersuchung und Verlaufsbeobachtung von beidseitigen Rekurrensparesen nach Schilddrüsenoperationen

Schneider¹,

Wolf²,

Krause³

1997

HNO

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Bilateral recurrent laryngeal nerve (RLN) palsies result in dyspnea and often require further surgery to secure an adequate airway for safe respiration. The present study was devised to determine a predictive value of laryngeal electromyography (LEMG) and if it has therapeutic consequences. In a retrospective study of 63 patients with bilateral recurrent laryngeal nerve palsies after thyroid gland surgery we compared the results of LEMG from the thyroarytenoid muscles with the spontaneous recovery rate of vocal cord mobility. A tracheostomy had to be performed in 18 patients because of unsafe dyspnea, while a unilateral lateral cord fixation had to be carried out in 20 patients. Primary thyroidectomies as treatment for benign goiters showed spontaneous normalization of unilateral or bilateral vocal cord mobility in 75% of cases versus 36% after revision thyroidectomies. Single LEMG correctly predicted prognosis in 78% of patients. In all, LEMG was found to be of value in the assessment of bilateral recurrent laryngeal nerve palsies. Findings also showed that a lateral cord fixation should be planned after a 9-month waiting period. When a patient refuses a tracheostomy lateral cord fixation can be performed at an earlier time, with the use of repeated LEMGs to predict whether or not a corrective surgery.

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“…Versuche der funktioneilen Wiederherstellung der Stimmbandbewegung werden zwar immer wieder versucht, konnten sich aber aufgrund fehlender Langzeiterfolge nicht durchsetzen (3,4). Verschiedene Arbeitsgruppenbefassen sich mit der direkten elektrischen Stimulation des M. crico-arytaenoideus im Tierversuch ( 5,6,7 …”

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