A Targeted Problem and Its Solution SPASTIC DYSPHONIA

Autor:	Julian L. Henley-Cohn, Robert J. Carpenter, G. Gordon Snyder
Rok vydání:	1979
Předmět:	medicine.medical_specialty business.industry Speech characteristics Recurrent nerve Audiology Speech Therapist Speech therapy Surgery Otorhinolaryngology otorhinolaryngologic diseases Spastic Recurrent laryngeal nerve medicine Patient evaluation business Nerve section
Zdroj:	The Laryngoscope. 89:2000
ISSN:	0023-852X
DOI:	10.1288/00005537-197912000-00013
Popis:	Selective section of the adductor branch of the recurrent laryngeal nerve appears to result in phonatory results similar to complete nerve section without the inherent morbidity. The abductor branch to the posterior cricoid-arytenoid muscle remains intact for glottic opening during inspiration. We emphasize the importance of careful preoperative patient evaluation as described by Dedo. All patients should be seen by a speech therapist and undergo a trial of speech therapy prior to surgical evaluation. A test block of the recurrent nerve with 1% xylocaine is imperative to allow the patient to hear the postoperative speech characteristics and give him a realistic expectation of the surgical result. We find that patients and referring professionals more readily accept the concept of selective nerve section.
Databáze:	OpenAIRE
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