Recurrent Nerve/Ansa Cervicalis Nerve Anastomosis: A Treatment Alternative in Unilateral Recurrent Nerve Paralysis
Sectioning of the right recurrent nerve was done in 5 mongrel dogs under general anaesthesia. The distal stump was anastomosed with the ansa cervicalis nerve branch to the sternothyroid muscle. Three to 5 months later the vocal cord movements during light and very light anaesthesia were videorecorde...
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| Veröffentlicht in: | Acta oto-laryngologica 1992-01, Vol.112 (2), p.353-357 |
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| creator | Brøndbo, K. Jacobsen, E. Gjellan, M. Refsum, H. |
| description | Sectioning of the right recurrent nerve was done in 5 mongrel dogs under general anaesthesia. The distal stump was anastomosed with the ansa cervicalis nerve branch to the sternothyroid muscle. Three to 5 months later the vocal cord movements during light and very light anaesthesia were videorecorded. Under light anaesthesia contraction and medial bulging of the reinnervated right vocal cord occurred in 4 of the dogs. Under very light anaesthesia there was also some adduction of the right vocal cord in these 4 dogs. The right recurrent nerve was then sectioned proximally to the anastomosis and stimulated electrically. In all 5 dogs we observed that electrical stimulation produced a strong adduction of the right vocal cord. Histochemistry of the right vocal and posterior cricoarytenoid muscles showed that reinnervation had taken place. The study indicates that in cases of unilateral vocal cord paralysis an anastomosis between the ansa cervicalis and the recurrent nerve will result in improved phonatory function of the affected vocal cord. |
| doi_str_mv | 10.1080/00016489.1992.11665432 |
| format | Article |
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The distal stump was anastomosed with the ansa cervicalis nerve branch to the sternothyroid muscle. Three to 5 months later the vocal cord movements during light and very light anaesthesia were videorecorded. Under light anaesthesia contraction and medial bulging of the reinnervated right vocal cord occurred in 4 of the dogs. Under very light anaesthesia there was also some adduction of the right vocal cord in these 4 dogs. The right recurrent nerve was then sectioned proximally to the anastomosis and stimulated electrically. In all 5 dogs we observed that electrical stimulation produced a strong adduction of the right vocal cord. Histochemistry of the right vocal and posterior cricoarytenoid muscles showed that reinnervation had taken place. The study indicates that in cases of unilateral vocal cord paralysis an anastomosis between the ansa cervicalis and the recurrent nerve will result in improved phonatory function of the affected vocal cord.</description><identifier>ISSN: 0001-6489</identifier><identifier>EISSN: 1651-2251</identifier><identifier>DOI: 10.1080/00016489.1992.11665432</identifier><identifier>PMID: 1605006</identifier><identifier>CODEN: AOLAAJ</identifier><language>eng</language><publisher>Stockholm: Taylor & Francis</publisher><subject>Anastomosis, Surgical - methods ; Animals ; Biological and medical sciences ; Cranial Nerves - physiopathology ; Cranial Nerves - surgery ; Dogs ; Electric Stimulation ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; histochemistry ; laryngeal muscles ; Laryngoscopy ; Medical sciences ; Microsurgery - methods ; Nerve Regeneration - physiology ; Recurrent Laryngeal Nerve - physiopathology ; Recurrent Laryngeal Nerve - surgery ; reinnervation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Vocal Cord Paralysis - physiopathology ; Vocal Cord Paralysis - surgery ; Wound Healing - physiology</subject><ispartof>Acta oto-laryngologica, 1992-01, Vol.112 (2), p.353-357</ispartof><rights>1992 Taylor and Francis Group, LLC 1992</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-c747bb614a56b407b87e7c60640d573bd7b8642ad383e13763736ab999ace88f3</citedby><cites>FETCH-LOGICAL-c393t-c747bb614a56b407b87e7c60640d573bd7b8642ad383e13763736ab999ace88f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/00016489.1992.11665432$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/00016489.1992.11665432$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,4010,4036,4037,23909,23910,25118,27900,27901,27902,59620,59726,60409,60515</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5324703$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1605006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brøndbo, K.</creatorcontrib><creatorcontrib>Jacobsen, E.</creatorcontrib><creatorcontrib>Gjellan, M.</creatorcontrib><creatorcontrib>Refsum, H.</creatorcontrib><title>Recurrent Nerve/Ansa Cervicalis Nerve Anastomosis: A Treatment Alternative in Unilateral Recurrent Nerve Paralysis</title><title>Acta oto-laryngologica</title><addtitle>Acta Otolaryngol</addtitle><description>Sectioning of the right recurrent nerve was done in 5 mongrel dogs under general anaesthesia. The distal stump was anastomosed with the ansa cervicalis nerve branch to the sternothyroid muscle. Three to 5 months later the vocal cord movements during light and very light anaesthesia were videorecorded. Under light anaesthesia contraction and medial bulging of the reinnervated right vocal cord occurred in 4 of the dogs. Under very light anaesthesia there was also some adduction of the right vocal cord in these 4 dogs. The right recurrent nerve was then sectioned proximally to the anastomosis and stimulated electrically. In all 5 dogs we observed that electrical stimulation produced a strong adduction of the right vocal cord. Histochemistry of the right vocal and posterior cricoarytenoid muscles showed that reinnervation had taken place. The study indicates that in cases of unilateral vocal cord paralysis an anastomosis between the ansa cervicalis and the recurrent nerve will result in improved phonatory function of the affected vocal cord.</description><subject>Anastomosis, Surgical - methods</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Cranial Nerves - physiopathology</subject><subject>Cranial Nerves - surgery</subject><subject>Dogs</subject><subject>Electric Stimulation</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>histochemistry</subject><subject>laryngeal muscles</subject><subject>Laryngoscopy</subject><subject>Medical sciences</subject><subject>Microsurgery - methods</subject><subject>Nerve Regeneration - physiology</subject><subject>Recurrent Laryngeal Nerve - physiopathology</subject><subject>Recurrent Laryngeal Nerve - surgery</subject><subject>reinnervation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Vocal Cord Paralysis - physiopathology</subject><subject>Vocal Cord Paralysis - surgery</subject><subject>Wound Healing - physiology</subject><issn>0001-6489</issn><issn>1651-2251</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1KxDAURoMoOo4-gtKFuOuYNG3SuiuDfzCoiK7DbZpCJE3HpFXm7U3pjIIbV0m-nO8mHITOCV4QnOMrjDFhaV4sSFEkC0IYy1Ka7KEZYRmJkyQj-2g2QvFIHaFj79_HY5Fnh-iQMJxhzGbIvSg5OKdsHz0q96muSushWoatlmC0n9KotOD7ru289tdRGb06BX07lkrTK2eh1wHSNnqz2kBIwER_BkfPENJNGHCCDhowXp1u1zl6u715Xd7Hq6e7h2W5iiUtaB9LnvKqYiSFjFUp5lXOFZcMsxTXGadVHRKWJlDTnCpCOaOcMqiKogCp8ryhc3Q5zV277mNQvhet9lIZA1Z1gxc8CeY44QFkEyhd571TjVg73YLbCILFKFvsZItRttjJDsWz7QtD1ar6tzbZDfcX23vwwWbjwErtf7CMJinHNGDlhGnbdK6Fr86ZWvSwMZ3bdeg_X_kGjAibzg</recordid><startdate>19920101</startdate><enddate>19920101</enddate><creator>Brøndbo, K.</creator><creator>Jacobsen, E.</creator><creator>Gjellan, M.</creator><creator>Refsum, H.</creator><general>Taylor & Francis</general><general>Taylor and Francis</general><scope>IQODW</scope><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>19920101</creationdate><title>Recurrent Nerve/Ansa Cervicalis Nerve Anastomosis: A Treatment Alternative in Unilateral Recurrent Nerve Paralysis</title><author>Brøndbo, K. ; Jacobsen, E. ; Gjellan, M. ; Refsum, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-c747bb614a56b407b87e7c60640d573bd7b8642ad383e13763736ab999ace88f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Anastomosis, Surgical - methods</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Cranial Nerves - physiopathology</topic><topic>Cranial Nerves - surgery</topic><topic>Dogs</topic><topic>Electric Stimulation</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>histochemistry</topic><topic>laryngeal muscles</topic><topic>Laryngoscopy</topic><topic>Medical sciences</topic><topic>Microsurgery - methods</topic><topic>Nerve Regeneration - physiology</topic><topic>Recurrent Laryngeal Nerve - physiopathology</topic><topic>Recurrent Laryngeal Nerve - surgery</topic><topic>reinnervation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Vocal Cord Paralysis - physiopathology</topic><topic>Vocal Cord Paralysis - surgery</topic><topic>Wound Healing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brøndbo, K.</creatorcontrib><creatorcontrib>Jacobsen, E.</creatorcontrib><creatorcontrib>Gjellan, M.</creatorcontrib><creatorcontrib>Refsum, H.</creatorcontrib><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>Acta oto-laryngologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brøndbo, K.</au><au>Jacobsen, E.</au><au>Gjellan, M.</au><au>Refsum, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent Nerve/Ansa Cervicalis Nerve Anastomosis: A Treatment Alternative in Unilateral Recurrent Nerve Paralysis</atitle><jtitle>Acta oto-laryngologica</jtitle><addtitle>Acta Otolaryngol</addtitle><date>1992-01-01</date><risdate>1992</risdate><volume>112</volume><issue>2</issue><spage>353</spage><epage>357</epage><pages>353-357</pages><issn>0001-6489</issn><eissn>1651-2251</eissn><coden>AOLAAJ</coden><abstract>Sectioning of the right recurrent nerve was done in 5 mongrel dogs under general anaesthesia. The distal stump was anastomosed with the ansa cervicalis nerve branch to the sternothyroid muscle. Three to 5 months later the vocal cord movements during light and very light anaesthesia were videorecorded. Under light anaesthesia contraction and medial bulging of the reinnervated right vocal cord occurred in 4 of the dogs. Under very light anaesthesia there was also some adduction of the right vocal cord in these 4 dogs. The right recurrent nerve was then sectioned proximally to the anastomosis and stimulated electrically. In all 5 dogs we observed that electrical stimulation produced a strong adduction of the right vocal cord. Histochemistry of the right vocal and posterior cricoarytenoid muscles showed that reinnervation had taken place. The study indicates that in cases of unilateral vocal cord paralysis an anastomosis between the ansa cervicalis and the recurrent nerve will result in improved phonatory function of the affected vocal cord.</abstract><cop>Stockholm</cop><pub>Taylor & Francis</pub><pmid>1605006</pmid><doi>10.1080/00016489.1992.11665432</doi><tpages>5</tpages></addata></record> |
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| ispartof | Acta oto-laryngologica, 1992-01, Vol.112 (2), p.353-357 |
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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Anastomosis, Surgical - methods Animals Biological and medical sciences Cranial Nerves - physiopathology Cranial Nerves - surgery Dogs Electric Stimulation Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics histochemistry laryngeal muscles Laryngoscopy Medical sciences Microsurgery - methods Nerve Regeneration - physiology Recurrent Laryngeal Nerve - physiopathology Recurrent Laryngeal Nerve - surgery reinnervation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Vocal Cord Paralysis - physiopathology Vocal Cord Paralysis - surgery Wound Healing - physiology |
| title | Recurrent Nerve/Ansa Cervicalis Nerve Anastomosis: A Treatment Alternative in Unilateral Recurrent Nerve Paralysis |
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