Longitudinal Voice Outcomes Following Laryngeal Reinnervation Via Vagus-to-Recurrent Laryngeal Nerve Anastomosis After Vagal Nerve Sacrifice: A Case Series
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 s...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2015-02, Vol.124 (2), p.153-157 |
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| container_title | Annals of otology, rhinology & laryngology |
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| creator | Ward, Greg M. Sauder, Cara Olson, Garth T. Nuara, Michael J. |
| description | 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. |
| doi_str_mv | 10.1177/0003489414546397 |
| format | Article |
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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.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/0003489414546397</identifier><identifier>PMID: 25124840</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Anastomosis, Surgical - methods ; Carcinoma, Non-Small-Cell Lung - surgery ; Dysphonia - diagnosis ; Dysphonia - etiology ; Female ; Head and Neck Neoplasms - surgery ; Humans ; Intraoperative Complications - physiopathology ; Intraoperative Complications - surgery ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Nerve Transfer - methods ; Neurilemmoma - surgery ; Phonation ; Postoperative Complications - diagnosis ; Recurrent Laryngeal Nerve - surgery ; Treatment Outcome ; Vagus Nerve - surgery ; Vagus Nerve Injuries - etiology ; Vagus Nerve Injuries - physiopathology ; Vagus Nerve Injuries - surgery ; Vocal Cord Paralysis - etiology ; Vocal Cord Paralysis - physiopathology ; Vocal Cord Paralysis - surgery ; Voice Quality</subject><ispartof>Annals of otology, rhinology & laryngology, 2015-02, Vol.124 (2), p.153-157</ispartof><rights>The Author(s) 2014</rights><rights>The Author(s) 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c290t-85c84f8b26a4cc68c3cb11fc504a91a48c4af736d4bf6e2bc9f0501092a04c9d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003489414546397$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003489414546397$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25124840$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ward, Greg M.</creatorcontrib><creatorcontrib>Sauder, Cara</creatorcontrib><creatorcontrib>Olson, Garth T.</creatorcontrib><creatorcontrib>Nuara, Michael J.</creatorcontrib><title>Longitudinal Voice Outcomes Following Laryngeal Reinnervation Via Vagus-to-Recurrent Laryngeal Nerve Anastomosis After Vagal Nerve Sacrifice: A Case Series</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>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.</description><subject>Aged</subject><subject>Anastomosis, Surgical - methods</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Dysphonia - diagnosis</subject><subject>Dysphonia - etiology</subject><subject>Female</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Intraoperative Complications - physiopathology</subject><subject>Intraoperative Complications - surgery</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nerve Transfer - methods</subject><subject>Neurilemmoma - surgery</subject><subject>Phonation</subject><subject>Postoperative Complications - diagnosis</subject><subject>Recurrent Laryngeal Nerve - surgery</subject><subject>Treatment Outcome</subject><subject>Vagus Nerve - surgery</subject><subject>Vagus Nerve Injuries - etiology</subject><subject>Vagus Nerve Injuries - physiopathology</subject><subject>Vagus Nerve Injuries - surgery</subject><subject>Vocal Cord Paralysis - etiology</subject><subject>Vocal Cord Paralysis - physiopathology</subject><subject>Vocal Cord Paralysis - surgery</subject><subject>Voice Quality</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1LAzEQhoMotn7cPckevawm2exHjqVYFYqCH8Xbkk0nS8puUpOs4n_wR5tSFRE8DcP7vO8wMwidEHxOSFleYIwzVnFGWM6KjJc7aEw4y9K8pM-7aLyR040-Qgfer2LLckz30YjmhLKK4TH6mFvT6jAstRFdsrBaQnI3BGl78MnMdp1906ZN5sK9mxYicg_aGHCvImhrkoUWyUK0g0-DTe9BDs6BCb_w24hCMjHCB9tbr30yUQHcxvSjPgjptIqTj9CeEp2H4696iJ5ml4_T63R-d3UzncxTSTkOaZXLiqmqoYVgUhaVzGRDiJI5ZoITwSrJhCqzYskaVQBtJFc4xwRzKjCTfJkdorNt7trZlwF8qHvtJXSdMGAHX5MipxmvSFZGFG9R6az3DlS9drqP69UE15sf1H9_EC2nX-lD08Pyx_B99AikW8CLFuqVHVy8vf8_8BMajpD-</recordid><startdate>201502</startdate><enddate>201502</enddate><creator>Ward, Greg M.</creator><creator>Sauder, Cara</creator><creator>Olson, Garth T.</creator><creator>Nuara, Michael J.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>201502</creationdate><title>Longitudinal Voice Outcomes Following Laryngeal Reinnervation Via Vagus-to-Recurrent Laryngeal Nerve Anastomosis After Vagal Nerve Sacrifice</title><author>Ward, Greg M. ; Sauder, Cara ; Olson, Garth T. ; Nuara, Michael J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290t-85c84f8b26a4cc68c3cb11fc504a91a48c4af736d4bf6e2bc9f0501092a04c9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Anastomosis, Surgical - methods</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Dysphonia - diagnosis</topic><topic>Dysphonia - etiology</topic><topic>Female</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Intraoperative Complications - physiopathology</topic><topic>Intraoperative Complications - surgery</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nerve Transfer - methods</topic><topic>Neurilemmoma - surgery</topic><topic>Phonation</topic><topic>Postoperative Complications - diagnosis</topic><topic>Recurrent Laryngeal Nerve - surgery</topic><topic>Treatment Outcome</topic><topic>Vagus Nerve - surgery</topic><topic>Vagus Nerve Injuries - etiology</topic><topic>Vagus Nerve Injuries - physiopathology</topic><topic>Vagus Nerve Injuries - surgery</topic><topic>Vocal Cord Paralysis - etiology</topic><topic>Vocal Cord Paralysis - physiopathology</topic><topic>Vocal Cord Paralysis - surgery</topic><topic>Voice Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ward, Greg M.</creatorcontrib><creatorcontrib>Sauder, Cara</creatorcontrib><creatorcontrib>Olson, Garth T.</creatorcontrib><creatorcontrib>Nuara, Michael J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ward, Greg M.</au><au>Sauder, Cara</au><au>Olson, Garth T.</au><au>Nuara, Michael J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal Voice Outcomes Following Laryngeal Reinnervation Via Vagus-to-Recurrent Laryngeal Nerve Anastomosis After Vagal Nerve Sacrifice: A Case Series</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2015-02</date><risdate>2015</risdate><volume>124</volume><issue>2</issue><spage>153</spage><epage>157</epage><pages>153-157</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>25124840</pmid><doi>10.1177/0003489414546397</doi><tpages>5</tpages></addata></record> |
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| ispartof | Annals of otology, rhinology & laryngology, 2015-02, Vol.124 (2), p.153-157 |
| issn | 0003-4894 1943-572X |
| language | eng |
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| source | MEDLINE; SAGE Journals |
| subjects | Aged Anastomosis, Surgical - methods Carcinoma, Non-Small-Cell Lung - surgery Dysphonia - diagnosis Dysphonia - etiology Female Head and Neck Neoplasms - surgery Humans Intraoperative Complications - physiopathology Intraoperative Complications - surgery Lung Neoplasms - surgery Male Middle Aged Nerve Transfer - methods Neurilemmoma - surgery Phonation Postoperative Complications - diagnosis Recurrent Laryngeal Nerve - surgery Treatment Outcome Vagus Nerve - surgery Vagus Nerve Injuries - etiology Vagus Nerve Injuries - physiopathology Vagus Nerve Injuries - surgery Vocal Cord Paralysis - etiology Vocal Cord Paralysis - physiopathology Vocal Cord Paralysis - surgery Voice Quality |
| title | Longitudinal Voice Outcomes Following Laryngeal Reinnervation Via Vagus-to-Recurrent Laryngeal Nerve Anastomosis After Vagal Nerve Sacrifice: A Case Series |
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