Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances
Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances
PURPOSE OF REVIEW: To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy.
RECENT FINDINGS: Recent reports show positive outcomes on both unilateral and bilateral reinnervations. The phrenic nerve is the most commonly used donor for bilateral vocal palsy, but use of the superior laryngeal nerve has also been suggested.
SUMMARY: Reinnervation of the larynx is a complex undertaking that can be performed by ENT surgeons with skills in microsurgery. Advances in this this field represent a paradigm shift in laryngeal rehabilitation and a prerequisite for laryngeal transplantation. Advances in basic understanding of nerve regeneration and in particular the need to surgically manage competitive reinnervation make the results of laryngeal reinnervation more predictable.
Female, Humans, Male, Microsurgery/methods, Nerve Regeneration/physiology, Nerve Transfer/methods, Neurosurgical Procedures/methods, Recovery of Function/physiology, Recurrent Laryngeal Nerve Injuries/complications, Severity of Illness Index, Vocal Cord Paralysis/etiology
480-485
Fancello, Virginia
0e206c59-0a53-49c1-8350-ff4843aabe10
Nouraei, S.A. Reza
f09047ee-ed51-495d-a257-11837e74c2b3
Heathcote, Kate J.
4b3b864f-a2bf-47d7-b1ba-fd1455f6c25d
December 2017
Fancello, Virginia
0e206c59-0a53-49c1-8350-ff4843aabe10
Nouraei, S.A. Reza
f09047ee-ed51-495d-a257-11837e74c2b3
Heathcote, Kate J.
4b3b864f-a2bf-47d7-b1ba-fd1455f6c25d
Fancello, Virginia, Nouraei, S.A. Reza and Heathcote, Kate J.
(2017)
Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances.
Current Opinion in Otolaryngology & Head and Neck Surgery, 25 (6), .
(doi:10.1097/MOO.0000000000000416).
Abstract
PURPOSE OF REVIEW: To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy.
RECENT FINDINGS: Recent reports show positive outcomes on both unilateral and bilateral reinnervations. The phrenic nerve is the most commonly used donor for bilateral vocal palsy, but use of the superior laryngeal nerve has also been suggested.
SUMMARY: Reinnervation of the larynx is a complex undertaking that can be performed by ENT surgeons with skills in microsurgery. Advances in this this field represent a paradigm shift in laryngeal rehabilitation and a prerequisite for laryngeal transplantation. Advances in basic understanding of nerve regeneration and in particular the need to surgically manage competitive reinnervation make the results of laryngeal reinnervation more predictable.
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Published date: December 2017
Keywords:
Female, Humans, Male, Microsurgery/methods, Nerve Regeneration/physiology, Nerve Transfer/methods, Neurosurgical Procedures/methods, Recovery of Function/physiology, Recurrent Laryngeal Nerve Injuries/complications, Severity of Illness Index, Vocal Cord Paralysis/etiology
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Local EPrints ID: 438300
URI: http://eprints.soton.ac.uk/id/eprint/438300
PURE UUID: 1fcd6518-28b7-444a-854a-e7262d314a4b
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Date deposited: 04 Mar 2020 17:33
Last modified: 16 Mar 2024 06:47
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Contributors
Author:
Virginia Fancello
Author:
S.A. Reza Nouraei
Author:
Kate J. Heathcote
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