Laryngeal reinnervation in unilateral vocal fold paralysis- case report and literature review
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2017, Vol 6, Issue 2
Abstract
Laryngeal reinnervation is the method of treatment in unilateral vocal fold paralysis. During the surgery an anastomosis between the main branch of ansa cervicalis and recurrent laryngeal nerve is formed. Regeneration of the nerve’s functional abilities is a long process, lasting from 4 to 6 months, up to a year. A 35 year-old male was admitted to the Department of Otolaryngology at Warsaw Medical University in order to undergo surgical removal of reoccurrence of Schwannoma in left cerebellopontine angle by translabyrinthine approach. Post-operative period was complicated with vagal nerve paralysis. The patient reported hoarseness, dysphagia and choking. Physical examination revealed left vocal fold immobilization in abducted position, saliva in piriform fossa and left-sided soft palate paralysis yet the patient was discharged home. 4 weeks after the surgery, the patient was admitted to the hospital again due to developing aspiration pneumonia. Augmentation of the left vocal fold with calcium hydroxyapatite was performed 2 months later. After this intervention temporary vocal improvement and choking frequency reduction was observed. Finally, the patient underwent laryngeal reinnervation with formation of ansa cervicalis main branch to recurrent laryngeal nerve anastomosis. Left vocal fold regained its functional abilities and the quality of the voice improved. Laryngovideostroboscopy performed 6 months later revealed mobilization of left vocal fold sufficient for proper glottis closure. The voice measures normalized and the swallowing improved. Conclusions This case report and analyzed data confirm that laryngeal reinnervation surgery in unilateral vocal fold paralysis helps achieve satisfactory effects in voice function and life quality.
Authors and Affiliations
Anna Rzepakowska, Justyna Jachimowska, Kazimierz Niemczyk
Keywords
Related Articles
- EP ID EP189591
- DOI 10.5604/01.3001.0010.0932
- Views 173
- Downloads 0
Wpływ terapii logopedycznej na poprawę jakości głosu u chorych z jednostronnym porażeniem krtani
Cel pracy: Ocena wpływu terapii logopedycznej na jakość głosu u pacjentów z jednostronnym porażeniem krtani. Materiał i Metody: Badaniem objęto 11 pacjentów, w tym 8 kobiet i 3 mężczyzn w wieku od 16 do 72 lat, diagnozow...
Voice rehabilitation with the application of massage device ‘‘ Medical 2VR’’ in patients after total laryngectomy
Aim: The aim of the study was to evaluate the effectiveness of a deeply invasive massager Medical 2VR, Cyberbiomed as a supportive voice rehabilitation method in patients after total removal of the larynx. Backgrou nd: V...
Glomus tympanicum – clinical characteristics and surgical management
Objective: The aim was to determine the clinical characteristics and analysis of surgical treatment of patients with glomus tympanicum hospitalized in the Department of Otolaryngology of Warsaw Medical University. Materi...
Rzadki nowotwór przewodu słuchowego wywodzący się z gruczołów woskowinowych – opis przypadku
Nowotwory przewodu słuchowego zewnętrznego stanowią <1% nowotworów złośliwych regionu głowy i szyi. 2,4% wszystkich nowotworów występujących w tej lokalizacji to nowotwory wywodzące się z gruczołów woskowinowych. W przes...
Ciało obce nosa, zatok sitowych i oczodołu penetrujące do środkowego dołu czaszki
We present the case of wooden foreig n body penetrating the nasal cavity, ethmoid sinus, orbit and brain, comp licated by the right eye blindness . 29-year-old man was admitted because of the foreign body pen etrating by...