Shindo M L, Herzon G D, Hanson D G, Cain D J, Sahgal V
Department of Otolaryngology-Head and Neck Surgery, Northwestern University Medical School, Chicago.
Laryngoscope. 1992 Jun;102(6):663-9. doi: 10.1288/00005537-199206000-00012.
The purpose of this study was to chronologically evaluate the changes in functional and histomorphometry of denervated laryngeal muscles. In 14 adult mongrel dogs, a 2.5-cm segment of the right recurrent laryngeal nerve was excised. Videolaryngoscopy and electromyography were performed at 1, 2, 3, 4, 5, 6, and 9 months under intravenous sedation. The animals were then killed, and the laryngeal muscles were processed for histochemical reactions. The mean muscle fiber diameter, standard deviation, and muscle fiber type composition were determined. The findings indicate that, following recurrent laryngeal nerve sectioning, the canine intrinsic laryngeal muscles undergo denervation atrophy for approximately 3 months, after which reinnervation occurs. The source of reinnervation appears to be from regenerated nerve fibers of the sectioned recurrent laryngeal nerve. The nerve fibers nonselectively reinnervated the abductor and adductor muscles of the larynx.
本研究的目的是按时间顺序评估去神经支配的喉肌在功能和组织形态测量学方面的变化。在14只成年杂种犬中,切除右侧喉返神经2.5厘米长的一段。在静脉镇静下,于1、2、3、4、5、6和9个月时进行视频喉镜检查和肌电图检查。然后处死动物,对喉肌进行组织化学反应处理。测定平均肌纤维直径、标准差和肌纤维类型组成。研究结果表明,在喉返神经切断后,犬的喉内肌会经历约3个月的去神经萎缩,之后会发生再支配。再支配的来源似乎是切断的喉返神经再生的神经纤维。这些神经纤维非选择性地重新支配喉的外展肌和内收肌。