Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances
To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy. Recent reports show positive outcomes on both unilateral and bilateral reinnervations. The phrenic nerve is the most commonly used donor for bilateral vocal pal...
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| Veröffentlicht in: | Current opinion in otolaryngology & head and neck surgery 2017-12, Vol.25 (6), p.480-485 |
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| container_title | Current opinion in otolaryngology & head and neck surgery |
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| creator | Fancello, Virginia Nouraei, S A Reza Heathcote, Kate J |
| description | To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy.
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.
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. |
| doi_str_mv | 10.1097/MOO.0000000000000416 |
| format | Article |
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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.
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.</description><identifier>ISSN: 1068-9508</identifier><identifier>EISSN: 1531-6998</identifier><identifier>DOI: 10.1097/MOO.0000000000000416</identifier><identifier>PMID: 29095795</identifier><language>eng</language><publisher>United States</publisher><subject>Female ; Humans ; Male ; Microsurgery - methods ; Nerve Regeneration - physiology ; Nerve Transfer - methods ; Neurosurgical Procedures - methods ; Recovery of Function - physiology ; Recurrent Laryngeal Nerve Injuries - complications ; Recurrent Laryngeal Nerve Injuries - diagnosis ; Recurrent Laryngeal Nerve Injuries - surgery ; Severity of Illness Index ; Vocal Cord Paralysis - etiology ; Vocal Cord Paralysis - physiopathology ; Vocal Cord Paralysis - surgery</subject><ispartof>Current opinion in otolaryngology & head and neck surgery, 2017-12, Vol.25 (6), p.480-485</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-75ba80c9c353866b5deaf71099a7fce397cf8ab8eff1272ea9d039274f9b36063</citedby><cites>FETCH-LOGICAL-c373t-75ba80c9c353866b5deaf71099a7fce397cf8ab8eff1272ea9d039274f9b36063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29095795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fancello, Virginia</creatorcontrib><creatorcontrib>Nouraei, S A Reza</creatorcontrib><creatorcontrib>Heathcote, Kate J</creatorcontrib><title>Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances</title><title>Current opinion in otolaryngology & head and neck surgery</title><addtitle>Curr Opin Otolaryngol Head Neck Surg</addtitle><description>To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy.
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.
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.</description><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Microsurgery - methods</subject><subject>Nerve Regeneration - physiology</subject><subject>Nerve Transfer - methods</subject><subject>Neurosurgical Procedures - methods</subject><subject>Recovery of Function - physiology</subject><subject>Recurrent Laryngeal Nerve Injuries - complications</subject><subject>Recurrent Laryngeal Nerve Injuries - diagnosis</subject><subject>Recurrent Laryngeal Nerve Injuries - surgery</subject><subject>Severity of Illness Index</subject><subject>Vocal Cord Paralysis - etiology</subject><subject>Vocal Cord Paralysis - physiopathology</subject><subject>Vocal Cord Paralysis - surgery</subject><issn>1068-9508</issn><issn>1531-6998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkN9LwzAQx4Mobk7_A5E8-tKZNGt--CbDXzAZiD6XNL3MjjadSTvYf2_KNhHv5e64z_eO-yJ0TcmUEiXu3pbLKfkbM8pP0JhmjCZcKXkaa8JlojIiR-gihPXAcM7O0ShVRGVCZWO0em9rwK3FHirnwG91V7UOVw53X4Ab7fQKGnDdHjG990NTa79zK9A1HiQQ8XXvd_f4OA-d7gBrV2JdbrUzEC7RmdV1gKtDnqDPp8eP-UuyWD6_zh8WiWGCdYnICi2JUYZlTHJeZCVoK-K_SgtrgClhrNSFBGtpKlLQqiRMpWJmVcE44WyCbvd7N7797iF0eVMFA3WtHbR9yKmSMuXxlojobI8a34bgweYbXzXxs5ySfLA4jxbn_y2OspvDhb5ooPwVHT1lP3Y2eIc</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Fancello, Virginia</creator><creator>Nouraei, S A Reza</creator><creator>Heathcote, Kate J</creator><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></search><sort><creationdate>201712</creationdate><title>Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances</title><author>Fancello, Virginia ; Nouraei, S A Reza ; Heathcote, Kate J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-75ba80c9c353866b5deaf71099a7fce397cf8ab8eff1272ea9d039274f9b36063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Microsurgery - methods</topic><topic>Nerve Regeneration - physiology</topic><topic>Nerve Transfer - methods</topic><topic>Neurosurgical Procedures - methods</topic><topic>Recovery of Function - physiology</topic><topic>Recurrent Laryngeal Nerve Injuries - complications</topic><topic>Recurrent Laryngeal Nerve Injuries - diagnosis</topic><topic>Recurrent Laryngeal Nerve Injuries - surgery</topic><topic>Severity of Illness Index</topic><topic>Vocal Cord Paralysis - etiology</topic><topic>Vocal Cord Paralysis - physiopathology</topic><topic>Vocal Cord Paralysis - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Fancello, Virginia</creatorcontrib><creatorcontrib>Nouraei, S A Reza</creatorcontrib><creatorcontrib>Heathcote, Kate 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><jtitle>Current opinion in otolaryngology & head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fancello, Virginia</au><au>Nouraei, S A Reza</au><au>Heathcote, Kate J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances</atitle><jtitle>Current opinion in otolaryngology & head and neck surgery</jtitle><addtitle>Curr Opin Otolaryngol Head Neck Surg</addtitle><date>2017-12</date><risdate>2017</risdate><volume>25</volume><issue>6</issue><spage>480</spage><epage>485</epage><pages>480-485</pages><issn>1068-9508</issn><eissn>1531-6998</eissn><abstract>To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy.
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.
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.</abstract><cop>United States</cop><pmid>29095795</pmid><doi>10.1097/MOO.0000000000000416</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 1068-9508 |
| ispartof | Current opinion in otolaryngology & head and neck surgery, 2017-12, Vol.25 (6), p.480-485 |
| issn | 1068-9508 1531-6998 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Female Humans Male Microsurgery - methods Nerve Regeneration - physiology Nerve Transfer - methods Neurosurgical Procedures - methods Recovery of Function - physiology Recurrent Laryngeal Nerve Injuries - complications Recurrent Laryngeal Nerve Injuries - diagnosis Recurrent Laryngeal Nerve Injuries - surgery Severity of Illness Index Vocal Cord Paralysis - etiology Vocal Cord Paralysis - physiopathology Vocal Cord Paralysis - surgery |
| title | Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances |
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