Optimal Management of Acute Recurrent Laryngeal Nerve Injury During Thyroidectomy

被引:0
作者
Isseroff T.F. [1 ]
Pitman M.J. [2 ]
机构
[1] Department of Otolaryngology—Head and Neck Surgery, The New York Eye and Ear Infirmary, 310 East 14th St., 6th Floor, New York, 10003, NY
[2] Department of Otolaryngology, The Voice and Swallowing Institute, The New York Eye and Ear Infirmary, 310 East 14th St., 6th Floor, New York, 10003, NY
关键词
Ansa cervicalis; Dysphonia; Laryngeal reinnervation; Recurrent laryngeal nerve; Thyroidectomy; Vocal fold paralysis;
D O I
10.1007/s40136-013-0020-y
中图分类号
学科分类号
摘要
Recurrent laryngeal nerve (RLN) injury is commonly encountered by thyroid surgeons and may carry with it great morbidity. Whether the injury is accidental or due to deliberate resection for oncologic soundness, the surgeon must be prepared to offer the best available treatment to patients, either at the time of injury or early in the recovery process. We review advances in treatment that allow optimal management of an acute RLN injury: ansa cervicalis–RLN reinnervation, in-office unsedated vocal fold injection augmentation, and electromyographic prognostication. The benefits and advantages of each procedure as well as relevant anatomy and techniques are delineated. © 2013, Springer Science+Business Media New York.
引用
收藏
页码:163 / 170
页数:7
相关论文
共 47 条
[41]  
Friedman A.D., Burns J.A., Heaton J.T., Zeitels S.M., Early versus late injection medialization for unilateral vocal cord paralysis, Laryngoscope, 120, 10, pp. 2042-2046, (2010)
[42]  
Yung K.C., Likhterov I., Courey M.S., Effect of temporary vocal fold injection medialization on the rate of permanent medialization laryngoplasty in unilateral vocal fold paralysis patients, Laryngoscope, 121, 10, pp. 2191-2194, (2011)
[43]  
Lindsay R.W., Heaton J.T., Edwards C., Smitson C., Vakharia K., Hadlock T.A., Daily facial stimulation to improve recovery after facial nerve repair in rats, Arch Facial Plast Surg, 12, 3, pp. 180-185, (2010)
[44]  
Angelov D.N., Ceynowa M., Guntinas-Lichius O., Streppel M., Grosheva M., Kiryakova S.I., Et al., Mechanical stimulation of paralyzed vibrissal muscles following facial nerve injury in adult rat promotes full recovery of whisking, Neurobiol Dis, 26, 1, pp. 229-242, (2007)
[45]  
Munin M.C., Rosen C.A., Zullo T., Utility of laryngeal electromyography in predicting recovery after vocal fold paralysis, Arch Phys Med Rehabil, 84, 8, pp. 1150-1153, (2003)
[46]  
Statham M.M., Rosen C.A., Smith L.J., Munin M.C., Electromyographic laryngeal synkinesis alters prognosis in vocal fold paralysis, Laryngoscope, 120, 2, pp. 285-290, (2010)
[47]  
Smith L.J., Rosen C.A., Niyonkuru C., Munin M.C., Quantitative electromyography improves prediction in vocal fold paralysis, Laryngoscope, 122, 4, pp. 854-859, (2012)