Innervation of the paralyzed laryngeal muscles by phrenic motoneurons. A quantitative study by light and electron microscopy

In the cat, inspiratory opening of the paralyzed glottis recovered after unilateral or bilateral reinnervation of the posterior cricoarytenoid (PCA) muscles by phrenic axons. The morphometric analysis of the regenerated recurrent laryngeal nerves (RLNs), showed that proliferation was abundant; 4 mon...

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Veröffentlicht in:The Laryngoscope 1992-08, Vol.102 (8), p.907-916
Hauptverfasser: Baldissera, F., Tredici, G., Marini, G., Fiori, M. G., Cantarella, G., Ottaviani, F., Zanoni, R.
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container_end_page 916
container_issue 8
container_start_page 907
container_title The Laryngoscope
container_volume 102
creator Baldissera, F.
Tredici, G.
Marini, G.
Fiori, M. G.
Cantarella, G.
Ottaviani, F.
Zanoni, R.
description In the cat, inspiratory opening of the paralyzed glottis recovered after unilateral or bilateral reinnervation of the posterior cricoarytenoid (PCA) muscles by phrenic axons. The morphometric analysis of the regenerated recurrent laryngeal nerves (RLNs), showed that proliferation was abundant; 4 months after the nerve anastomosis, more than 500 myelinated axonal branches repopulated the RLNs. The mean diameter of motor axons (3.5 to 5.0 μm) was lower than in normal phrenic and RLN (8 to 10 μm), and the mean internode length was about half that of the normal RLN. Histochemical examination of the PCA muscle revealed that muscle fiber composition (44% type I and 56% type II muscle fiber) was fairly similar to that of normal PCA. The contraction time of the reinnervated muscles was as long as 60 msec at the time of movement recovery, but it shortened to 25 to 30 msec when the reinnervation time increased. These anatomical and functional results support the choice of the phrenic nerve for laryngeal reinnervation.
doi_str_mv 10.1288/00005537-199208000-00011
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Histochemical examination of the PCA muscle revealed that muscle fiber composition (44% type I and 56% type II muscle fiber) was fairly similar to that of normal PCA. The contraction time of the reinnervated muscles was as long as 60 msec at the time of movement recovery, but it shortened to 25 to 30 msec when the reinnervation time increased. 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Stomatology ; Oxidoreductases - analysis ; Phrenic Nerve - pathology ; Phrenic Nerve - physiopathology ; Phrenic Nerve - surgery ; Reaction Time ; Recurrent Laryngeal Nerve - pathology ; Recurrent Laryngeal Nerve - physiopathology ; Recurrent Laryngeal Nerve - surgery ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Vocal Cord Paralysis - pathology ; Vocal Cord Paralysis - surgery</subject><ispartof>The Laryngoscope, 1992-08, Vol.102 (8), p.907-916</ispartof><rights>Copyright © 1992 The Triological Society</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5831-3d50ad45ef9ff9394d4afcaf8bb0aea1717ac1cafbd1291bb2af9d94ffd7a58a3</citedby><cites>FETCH-LOGICAL-c5831-3d50ad45ef9ff9394d4afcaf8bb0aea1717ac1cafbd1291bb2af9d94ffd7a58a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=5506290$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1386642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baldissera, F.</creatorcontrib><creatorcontrib>Tredici, G.</creatorcontrib><creatorcontrib>Marini, G.</creatorcontrib><creatorcontrib>Fiori, M. G.</creatorcontrib><creatorcontrib>Cantarella, G.</creatorcontrib><creatorcontrib>Ottaviani, F.</creatorcontrib><creatorcontrib>Zanoni, R.</creatorcontrib><title>Innervation of the paralyzed laryngeal muscles by phrenic motoneurons. A quantitative study by light and electron microscopy</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>In the cat, inspiratory opening of the paralyzed glottis recovered after unilateral or bilateral reinnervation of the posterior cricoarytenoid (PCA) muscles by phrenic axons. The morphometric analysis of the regenerated recurrent laryngeal nerves (RLNs), showed that proliferation was abundant; 4 months after the nerve anastomosis, more than 500 myelinated axonal branches repopulated the RLNs. The mean diameter of motor axons (3.5 to 5.0 μm) was lower than in normal phrenic and RLN (8 to 10 μm), and the mean internode length was about half that of the normal RLN. Histochemical examination of the PCA muscle revealed that muscle fiber composition (44% type I and 56% type II muscle fiber) was fairly similar to that of normal PCA. The contraction time of the reinnervated muscles was as long as 60 msec at the time of movement recovery, but it shortened to 25 to 30 msec when the reinnervation time increased. These anatomical and functional results support the choice of the phrenic nerve for laryngeal reinnervation.</description><subject>Adenosine Triphosphatases - analysis</subject><subject>Anastomosis, Surgical</subject><subject>Animals</subject><subject>Axons - physiology</subject><subject>Axons - ultrastructure</subject><subject>Biological and medical sciences</subject><subject>Cats</subject><subject>Electromyography</subject><subject>Laryngeal Muscles - innervation</subject><subject>Laryngeal Muscles - pathology</subject><subject>Medical sciences</subject><subject>Microscopy, Electron</subject><subject>Motor Neurons - cytology</subject><subject>Motor Neurons - physiology</subject><subject>Myofibrils - ultrastructure</subject><subject>Nerve Endings - ultrastructure</subject><subject>Nerve Fibers - ultrastructure</subject><subject>Nerve Fibers, Myelinated - ultrastructure</subject><subject>Nerve Regeneration</subject><subject>Neuromuscular Junction - physiology</subject><subject>Neuromuscular Junction - ultrastructure</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Oxidoreductases - analysis</subject><subject>Phrenic Nerve - pathology</subject><subject>Phrenic Nerve - physiopathology</subject><subject>Phrenic Nerve - surgery</subject><subject>Reaction Time</subject><subject>Recurrent Laryngeal Nerve - pathology</subject><subject>Recurrent Laryngeal Nerve - physiopathology</subject><subject>Recurrent Laryngeal Nerve - surgery</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Vocal Cord Paralysis - pathology</subject><subject>Vocal Cord Paralysis - surgery</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFGP1CAQx4nRnOvpRzDhwfjWE9rSwuNmPfcubjQxGvWJTCncVintAT2t8cPLXtf1VRJCmPnNf2b-CGFKLmjO-SuSDmNFnVEhcsLTL0uX0gdoRVlBs1II9hCtCMmLjLP8y2P0JIRviagLRs7QGS14VZX5Cv2-dk77O4jd4PBgcNxrPIIHO__SLbbgZ3ejweJ-CsrqgJsZj3uvXadwP8TB6ckPLlzgNb6dwMUuJqU7jUOc2vkA2-5mHzG4FmurVUww7jvlh6CGcX6KHhmwQT87vufo05vLj5urbPd-e71Z7zLFeFqmaBmBtmTaCGNEIcq2BKPA8KYhoIHWtAZFU6BpaS5o0-RgRCtKY9oaGIfiHL1cdEc_3E46RNl3QWlrwelhCrIuKCXJyATyBTxMGLw2cvRdn0yQlMiD8fKv8fJkvLw3PpU-P_aYml63_woXp1P-xTEPQYE1HpzqwgljjFS5IAl7vWA_Oqvn_24vd-sPXxkrKUnR-2myRaYLUf88yYD_Lqu6qJn8_G4rN9Xbqy2jPO3_B2b_sMQ</recordid><startdate>199208</startdate><enddate>199208</enddate><creator>Baldissera, F.</creator><creator>Tredici, G.</creator><creator>Marini, G.</creator><creator>Fiori, M. 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G. ; Cantarella, G. ; Ottaviani, F. ; Zanoni, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5831-3d50ad45ef9ff9394d4afcaf8bb0aea1717ac1cafbd1291bb2af9d94ffd7a58a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adenosine Triphosphatases - analysis</topic><topic>Anastomosis, Surgical</topic><topic>Animals</topic><topic>Axons - physiology</topic><topic>Axons - ultrastructure</topic><topic>Biological and medical sciences</topic><topic>Cats</topic><topic>Electromyography</topic><topic>Laryngeal Muscles - innervation</topic><topic>Laryngeal Muscles - pathology</topic><topic>Medical sciences</topic><topic>Microscopy, Electron</topic><topic>Motor Neurons - cytology</topic><topic>Motor Neurons - physiology</topic><topic>Myofibrils - ultrastructure</topic><topic>Nerve Endings - ultrastructure</topic><topic>Nerve Fibers - ultrastructure</topic><topic>Nerve Fibers, Myelinated - ultrastructure</topic><topic>Nerve Regeneration</topic><topic>Neuromuscular Junction - physiology</topic><topic>Neuromuscular Junction - ultrastructure</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Oxidoreductases - analysis</topic><topic>Phrenic Nerve - pathology</topic><topic>Phrenic Nerve - physiopathology</topic><topic>Phrenic Nerve - surgery</topic><topic>Reaction Time</topic><topic>Recurrent Laryngeal Nerve - pathology</topic><topic>Recurrent Laryngeal Nerve - physiopathology</topic><topic>Recurrent Laryngeal Nerve - surgery</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Vocal Cord Paralysis - pathology</topic><topic>Vocal Cord Paralysis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baldissera, F.</creatorcontrib><creatorcontrib>Tredici, G.</creatorcontrib><creatorcontrib>Marini, G.</creatorcontrib><creatorcontrib>Fiori, M. G.</creatorcontrib><creatorcontrib>Cantarella, G.</creatorcontrib><creatorcontrib>Ottaviani, F.</creatorcontrib><creatorcontrib>Zanoni, R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><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>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baldissera, F.</au><au>Tredici, G.</au><au>Marini, G.</au><au>Fiori, M. G.</au><au>Cantarella, G.</au><au>Ottaviani, F.</au><au>Zanoni, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Innervation of the paralyzed laryngeal muscles by phrenic motoneurons. A quantitative study by light and electron microscopy</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1992-08</date><risdate>1992</risdate><volume>102</volume><issue>8</issue><spage>907</spage><epage>916</epage><pages>907-916</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>In the cat, inspiratory opening of the paralyzed glottis recovered after unilateral or bilateral reinnervation of the posterior cricoarytenoid (PCA) muscles by phrenic axons. The morphometric analysis of the regenerated recurrent laryngeal nerves (RLNs), showed that proliferation was abundant; 4 months after the nerve anastomosis, more than 500 myelinated axonal branches repopulated the RLNs. The mean diameter of motor axons (3.5 to 5.0 μm) was lower than in normal phrenic and RLN (8 to 10 μm), and the mean internode length was about half that of the normal RLN. Histochemical examination of the PCA muscle revealed that muscle fiber composition (44% type I and 56% type II muscle fiber) was fairly similar to that of normal PCA. The contraction time of the reinnervated muscles was as long as 60 msec at the time of movement recovery, but it shortened to 25 to 30 msec when the reinnervation time increased. These anatomical and functional results support the choice of the phrenic nerve for laryngeal reinnervation.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>1386642</pmid><doi>10.1288/00005537-199208000-00011</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenosine Triphosphatases - analysis
Anastomosis, Surgical
Animals
Axons - physiology
Axons - ultrastructure
Biological and medical sciences
Cats
Electromyography
Laryngeal Muscles - innervation
Laryngeal Muscles - pathology
Medical sciences
Microscopy, Electron
Motor Neurons - cytology
Motor Neurons - physiology
Myofibrils - ultrastructure
Nerve Endings - ultrastructure
Nerve Fibers - ultrastructure
Nerve Fibers, Myelinated - ultrastructure
Nerve Regeneration
Neuromuscular Junction - physiology
Neuromuscular Junction - ultrastructure
Non tumoral diseases
Otorhinolaryngology. Stomatology
Oxidoreductases - analysis
Phrenic Nerve - pathology
Phrenic Nerve - physiopathology
Phrenic Nerve - surgery
Reaction Time
Recurrent Laryngeal Nerve - pathology
Recurrent Laryngeal Nerve - physiopathology
Recurrent Laryngeal Nerve - surgery
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Vocal Cord Paralysis - pathology
Vocal Cord Paralysis - surgery
title Innervation of the paralyzed laryngeal muscles by phrenic motoneurons. A quantitative study by light and electron microscopy
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