Longitudinal voice outcomes following laryngeal reinnervation via vagus-to-recurrent laryngeal nerve anastomosis after vagal nerve sacrifice: a case series
| Autor: | Garth T. Olson, Greg M. Ward, Michael J. Nuara, Cara Sauder |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Lung Neoplasms Voice Quality Vagal nerve Anastomosis Postoperative Complications Phonation Carcinoma Non-Small-Cell Lung Recurrent laryngeal nerve medicine Humans Vocal cord paralysis Voice Handicap Index Intraoperative Complications Nerve Transfer Nerve anastomosis Aged business.industry Recurrent Laryngeal Nerve Anastomosis Surgical Vagus Nerve General Medicine Middle Aged Glottal closure medicine.disease Dysphonia Surgery Laryngeal reinnervation Treatment Outcome Otorhinolaryngology Head and Neck Neoplasms Anesthesia Vagus Nerve Injuries Female business Vocal Cord Paralysis Neurilemmoma |
| Zdroj: | The Annals of otology, rhinology, and laryngology. 124(2) |
| ISSN: | 0003-4894 |
| Popis: | Objective: This study aimed to describe longitudinal voice outcomes of vagus-to-recurrent laryngeal nerve anastomosis following operative vagal nerve sacrifice. Methods: Two patients who underwent anastomosis were assessed by a multidisciplinary voice team at 1, 4, 9, 12, and 18 months after vagal sacrifice. Results: Long-term changes in voice function based on auditory perceptual measures of voice quality and visual perceptual changes in glottal closure were observed and maintained for 18 months after vagus-to-recurrent laryngeal nerve anastomosis in 2 patients with proximal vagal nerve sacrifice. Patients achieved acceptable voice outcomes and elected not to undergo further treatment, which was supported by Voice Handicap Index scores. Conclusion: Gradual restoration of voice following operative vagal sacrifice can be achieved over an 18-month period using vagus-to-recurrent laryngeal nerve anastomosis and warrants further investigation in appropriately selected patients. |
| Databáze: | OpenAIRE |
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