Functional Reinnervation of Vocal Folds After Selective Laryngeal Adductor Denervation-Reinnervation Surgery for Spasmodic Dysphonia

被引：5

作者：

DeConde, Adam S. ^{[1
]}

Long, Jennifer L. ^{[1
]}

Armin, Bob B. ^{[1
]}

Berke, Gerald S. ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Div Head & Neck Surg, Los Angeles, CA 90024 USA

来源：

JOURNAL OF VOICE | 2012年 / 26卷 / 05期

关键词：

Spasmodic dysphonia; Functional reinnervation; Selective laryngeal adductor denervation-reinnervation surgery; SLAD-R; BOTULINUM TOXIN; DYSTONIA;

D O I：

10.1016/j.jvoice.2011.10.008

中图分类号：

R36 [病理学]; R76 [耳鼻咽喉科学];

学科分类号：

100104 ; 100213 ;

摘要：

Selective laryngeal adductor denervation-reinnervation surgery (SLAD-R) offers a viable surgical alternative for patients with adductor spasmodic dysphonia refractory to botulinum toxin injections. SLAD-R selectively denervates the symptomatic thyroarytenoid muscle by dividing the distal adductor branch of the recurrent laryngeal nerve (RLN), and preventing reinnervation, by the proximal RLN and maintaining vocal fold bulk and tone by reinnervating the distal RLN with the ansa cervicalis. We present a patient who had previously undergone successful SLAD-R but presented 10 years postoperatively with a new regional dystonia involving his strap muscles translocated to his reinnervated larynx by his previous ansa-RLN neurorraphy. The patient's symptomatic vocal fold adduction resolved completely on division of the ansa-RLN neurorraphy confirming successful selective functional reinnervation of vocal fold adductors by the ansa cervicalis.

引用

页码：602 / 603

页数：2

共 5 条

[1] Selective laryngeal adductor denervation-reinnervation: A new surgical treatment for adductor spasmodic dysphonia [J].

Berke, GS ;

Blackwell, KE ;

Gerratt, BR ;

Verneil, A ;

Jackson, KS ;

Sercarz, JA .

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1999, 108 (03) :227-231

[2] Botulinum toxin management of spasmodic dysphonia (Laryngeal dystonia): A 12-year experience in more than 900 patients [J].

Blitzer, A ;

Brin, MF ;

Stewart, CF .

LARYNGOSCOPE, 1998, 108 (10) :1435-1441

[3] Long-term follow-up results of selective laryngeal adductor denervation-reinnervation surgery for adductor spasmodic dysphonia [J].

Chhetri, DK ;

Mendelsohn, AH ;

Blumin, JH ;

Berke, GS .

LARYNGOSCOPE, 2006, 116 (04) :635-642

[4] SPASTIC DYSPHONIA, MEIGE DISEASE, AND TORSION DYSTONIA [J].

MARSDEN, CD ;

SHEEHY, MP .

NEUROLOGY, 1982, 32 (10) :1202-1203

[5] BOTULINUM ANTIBODIES IN DYSTONIC PATIENTS TREATED WITH TYPE-A BOTULINUM TOXIN - FREQUENCY AND SIGNIFICANCE [J].

ZUBER, M ;

SEBALD, M ;

BATHIEN, N ;

DERECONDO, J ;

RONDOT, P .

NEUROLOGY, 1993, 43 (09) :1715-1718

← 1 →