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Remobilization of Paralyzed Vocal Cord by Anticus-Lateralis Muscle Suturing

Remobilization of Paralyzed Vocal Cord by Anticus-Lateralis Muscle Suturing Abstract • A new method of dynamic reconstruction by suturing the cricothyroid (anticus) and the lateral cricoarytenoid (lateralis) muscles was devised for the treatment of unilateral recurrent laryngeal nerve paralysis. Eighteen adult dogs underwent this surgical procedure after sectioning a recurrent laryngeal nerve. Immediate postoperative observations revealed a marked increase in tension of the paralyzed vocal cords and remobilization to the median line of 17 of 18 dogs. More than 4 months later, fiberscopic examination revealed a satisfactory adduction of the cords. Electrophysiologic and histologic examination showed reinnervation of the affected lateralis muscle by the external branch of the superior laryngeal nerve. The clinical applications of this surgery may serve as a dynamic reconstruction for unilateral recurrent laryngeal nerve paralysis. (Arch Otolaryngol Head Neck Surg. 1993;119:498-503 References 1. Nonomura M, Kojima H, Omori K, et al. Cricothyroid-lateral cricoarytenoid muscle suturing: for the treatment of unilateral vocal cord paralysis . Practica Otol Kyoto . 1990;83:1737-1741.Crossref 2. Horsley JS. Suture of the recurrent laryngeal nerve with report of a case . Trans South Surg Gynecol Assoc. 1909;22:161-170. 3. Ballance C. Discussion on the results of suturing divided nerves, with special reference to the treatment of laryngeal paralysis in horses . Proc R Soc Med. 1934;27:1207-1210. 4. Blalock A, Crowe SJ. The recurrent laryngeal nerve in dogs: experimental studies . Arch Surg. 1926;12:95-116.Crossref 5. Colledge L, Ballance C. The surgical treatment of paralysis of the vocal cord and of paralysis of the diaphragm . BMJ . 1927;1:553-559.Crossref 6. Frazier CH, Mosser WB. Treatment of recurrent laryngeal nerve paralysis by nerve anastomosis . Surg Gynecol Obstet. 1926;43:134-139. 7. Rice DH. Laryngeal reinnervation . Laryngoscope . 1982;92:1049-1059.Crossref 8. Iwamura S. Functioning remobilization of the paralyzed vocal cord in dogs . Arch Otolaryngol. 1974;100:122-129.Crossref 9. Takenouchi S, Sato F. Transplantation of the canine larynx . J Jpn Bronchoesophagol Soc. 1968;19:280-281. 10. Tucker HM, Harvey JE, Ogura JH. Vocal cord remobilization in the canine larynx . Arch Otolaryngol. 1970;92:530-533.Crossref 11. Ogura JH, Harvey J, Mogi G, Ueda N, Ohyama M, Tucker HM. Further experimental observation of transplantation of canine larynx . Laryngoscope . 1970;80:1231-1243.Crossref 12. Tucker HM, Ogura JH. Vocal cord remobilization in the larynx: an histologic evaluation . Laryngoscope . 1971;81:1602-1606. 13. Matsui T. Pedicle nerve graft for laryngeal nerve paralysis . Practica Otol Kyoto . 1976;69:1007-1047.Crossref 14. Sato F, Ogura JH. Functional restoration for recurrent laryngeal nerve paralysis: an experimental study . Laryngoscope . 1978;88:855-877.Crossref 15. Isshiki N. Phonosurgery: Theory and Practice . Tokyo, Japan: Springer-Verlag; 1989:184-185. 16. Siribodhi C, Sundmaker W, Atkins JP, Bonner FJ. Electromyographic studies of laryngeal paralysis and regeneration of laryngeal motor nerve in dogs . Laryngoscope . 1963;73:148-164.Crossref 17. Tasiro T. Experimental studies on the reinnervation for recurrent laryngeal nerve paralysis and regeneration of laryngeal motor nerve in dogs . Laryngoscope . 1972;82:225-236.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1993.01880170022004
Publisher site
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Abstract

Abstract • A new method of dynamic reconstruction by suturing the cricothyroid (anticus) and the lateral cricoarytenoid (lateralis) muscles was devised for the treatment of unilateral recurrent laryngeal nerve paralysis. Eighteen adult dogs underwent this surgical procedure after sectioning a recurrent laryngeal nerve. Immediate postoperative observations revealed a marked increase in tension of the paralyzed vocal cords and remobilization to the median line of 17 of 18 dogs. More than 4 months later, fiberscopic examination revealed a satisfactory adduction of the cords. Electrophysiologic and histologic examination showed reinnervation of the affected lateralis muscle by the external branch of the superior laryngeal nerve. The clinical applications of this surgery may serve as a dynamic reconstruction for unilateral recurrent laryngeal nerve paralysis. (Arch Otolaryngol Head Neck Surg. 1993;119:498-503 References 1. Nonomura M, Kojima H, Omori K, et al. Cricothyroid-lateral cricoarytenoid muscle suturing: for the treatment of unilateral vocal cord paralysis . Practica Otol Kyoto . 1990;83:1737-1741.Crossref 2. Horsley JS. Suture of the recurrent laryngeal nerve with report of a case . Trans South Surg Gynecol Assoc. 1909;22:161-170. 3. Ballance C. Discussion on the results of suturing divided nerves, with special reference to the treatment of laryngeal paralysis in horses . Proc R Soc Med. 1934;27:1207-1210. 4. Blalock A, Crowe SJ. The recurrent laryngeal nerve in dogs: experimental studies . Arch Surg. 1926;12:95-116.Crossref 5. Colledge L, Ballance C. The surgical treatment of paralysis of the vocal cord and of paralysis of the diaphragm . BMJ . 1927;1:553-559.Crossref 6. Frazier CH, Mosser WB. Treatment of recurrent laryngeal nerve paralysis by nerve anastomosis . Surg Gynecol Obstet. 1926;43:134-139. 7. Rice DH. Laryngeal reinnervation . Laryngoscope . 1982;92:1049-1059.Crossref 8. Iwamura S. Functioning remobilization of the paralyzed vocal cord in dogs . Arch Otolaryngol. 1974;100:122-129.Crossref 9. Takenouchi S, Sato F. Transplantation of the canine larynx . J Jpn Bronchoesophagol Soc. 1968;19:280-281. 10. Tucker HM, Harvey JE, Ogura JH. Vocal cord remobilization in the canine larynx . Arch Otolaryngol. 1970;92:530-533.Crossref 11. Ogura JH, Harvey J, Mogi G, Ueda N, Ohyama M, Tucker HM. Further experimental observation of transplantation of canine larynx . Laryngoscope . 1970;80:1231-1243.Crossref 12. Tucker HM, Ogura JH. Vocal cord remobilization in the larynx: an histologic evaluation . Laryngoscope . 1971;81:1602-1606. 13. Matsui T. Pedicle nerve graft for laryngeal nerve paralysis . Practica Otol Kyoto . 1976;69:1007-1047.Crossref 14. Sato F, Ogura JH. Functional restoration for recurrent laryngeal nerve paralysis: an experimental study . Laryngoscope . 1978;88:855-877.Crossref 15. Isshiki N. Phonosurgery: Theory and Practice . Tokyo, Japan: Springer-Verlag; 1989:184-185. 16. Siribodhi C, Sundmaker W, Atkins JP, Bonner FJ. Electromyographic studies of laryngeal paralysis and regeneration of laryngeal motor nerve in dogs . Laryngoscope . 1963;73:148-164.Crossref 17. Tasiro T. Experimental studies on the reinnervation for recurrent laryngeal nerve paralysis and regeneration of laryngeal motor nerve in dogs . Laryngoscope . 1972;82:225-236.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: May 1, 1993

References