Comparison of Nerve Banking Techniques in Delayed Laryngeal Reinnervation
| Autor: | K. Linnea Peterson, Keith E. Blackwell, Joel A. Sercarz, Gerald S. Berke, Robert J. Andrews, Ming Ye, Kevin F. Kevorkian |
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| Rok vydání: | 1999 |
| Předmět: |
Male
Larynx Glottis medicine.medical_specialty Time Factors medicine.medical_treatment Vocal Cords 03 medical and health sciences Surgical anastomosis Dogs 0302 clinical medicine Phonation Swallowing medicine Animals 030223 otorhinolaryngology business.industry Respiration Anastomosis Surgical Laryngeal Nerves Organ Preservation General Medicine Deglutition Surgery Transplantation Laryngectomy medicine.anatomical_structure Otorhinolaryngology Posterior cricoarytenoid muscle 030220 oncology & carcinogenesis Anesthesia business Reinnervation |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 108:689-694 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/000348949910800713 |
| Popis: | Successful laryngeal transplantation will require adequate reinnervation of the larynx to allow phonation, coordinated swallowing, and respiration. A delay between laryngectomy and transplantation would be necessary in oncology patients because of the need for immunosuppression. In these patients, reinnervation of the donor organ would require “banking” and recovery of dormant recipient recurrent laryngeal nerves (RLNs). This pilot study was undertaken to compare the effectiveness of RLN storage using 1 of 2 techniques: 1) inserting the nerve into a muscle pocket or 2) anastomosing the proximal RLN stump to the ansa cervicalis. Six months following nerve transection and “banking,” the proximal anterior branch of the RLN was reanastomosed to the distal anterior segment and the posterior branch was anastomosed directly to the posterior cricoarytenoid muscle. Tensionometry, image analysis, and electromyographic data were collected 1 year later. Results show reinnervation of adductors and abductors with both techniques. Banking of the RLN branches during total laryngectomy is effective and should permit delayed physiological reinnervation following laryngeal transplantation. |
| Databáze: | OpenAIRE |
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