[Laryngeal reinnervation].
| Autor: | Salati V; Service d'ORL et de chirurgie cervico-faciale, CHUV, 1011 Lausanne., Beharry A; Service d'ORL et de chirurgie cervico-faciale, CHUV, 1011 Lausanne., Fries S; Service d'ORL et de chirurgie cervico-faciale, CHUV, 1011 Lausanne., Sandu K; Service d'ORL et de chirurgie cervico-faciale, CHUV, 1011 Lausanne., Gorostidi F; Service d'ORL et de chirurgie cervico-faciale, CHUV, 1011 Lausanne. |
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| Jazyk: | francouzština |
| Zdroj: | Revue medicale suisse [Rev Med Suisse] 2020 Oct 07; Vol. 16 (709), pp. 1845-1848. |
| Abstrakt: | The surgical management of unilateral and bilateral vocal cord paralysis depends on the severity of the condition, the potential for spontaneous recovery, the patient's age and vocal expectations. Standardized re-innervation surgeries, unilateral non-selective and bilateral selective, are viable alternatives to static procedures currently under evaluation in prospective studies. Neurorraphy of the ansa cervicalis loop to the recurrent laryngeal nerve allows lasting vocal recovery and potentially superior results to medialization and thyroplasty, by maintaining the visco-elastic properties of the vocal cord and preventing its atrophy. Selective bilateral reinnervation shows potential for recovery of inspiratory abduction with improved respiratory function without vocal deterioration. Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article. |
| Databáze: | MEDLINE |
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