喉返神经再支配的袢神经结果
Results of ansa to recurrent laryngeal nerve reinnervation.
作者信息
Lee Walter T, Milstein Claudio, Hicks Douglas, Akst Lee M, Esclamado Ramon M
机构信息
Department of Otolaryngology, Head and Neck Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
出版信息
Otolaryngol Head Neck Surg. 2007 Mar;136(3):450-4. doi: 10.1016/j.otohns.2006.11.040.
OBJECTIVE
We sought to describe the results of ansa cervicalis to recurrent laryngeal nerve (ansa-RLN) reinnervation for unilateral vocal fold paralysis.
STUDY DESIGN
A chart review was performed on patients undergoing ansa-RLN reinnervation for unilateral vocal cord paralysis at a tertiary care center. Patient perceptions of preoperative and postoperative voice quality was surveyed. Acoustic and visual parameters were assessed from videostroboscopy.
RESULTS
From a total of 25 study patients, 15 patients underwent both preoperative and postoperativ video stroboscopies. In stroboscopies within 6 months, the average improvement in overall severity, roughness, and breathiness was 69, 79, and 100 percent, respectively. In stroboscopies after 6 months, the average improvement in overall severity, roughness, and breathiness was 63, 66, and 100 percent, respectively. Postoperatively, all patients had reinnervation of the vocal fold.
CONCLUSIONS
Voice outcomes were improved in patients with preoperative and postoperative stroboscopies.
SIGNIFICANCE
Ansa-RLN reinnervation should be considered as a treatment for unilateral vocal fold paralysis.
目的
我们试图描述颈襻至喉返神经（颈襻-喉返神经）再支配术治疗单侧声带麻痹的结果。
研究设计
对在一家三级医疗中心接受颈襻-喉返神经再支配术治疗单侧声带麻痹的患者进行病历回顾。调查患者对术前和术后嗓音质量的看法。通过频闪喉镜评估声学和视觉参数。
结果
在总共25例研究患者中，15例患者接受了术前和术后频闪喉镜检查。在6个月内的频闪喉镜检查中，总体严重程度、粗糙程度和气息声的平均改善率分别为69%、79%和100%。在6个月后的频闪喉镜检查中，总体严重程度、粗糙程度和气息声的平均改善率分别为63%、66%和100%。术后，所有患者的声带均实现了再支配。
结论
术前和术后进行频闪喉镜检查的患者嗓音结果得到改善。
意义
颈襻-喉返神经再支配术应被视为单侧声带麻痹的一种治疗方法。
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