再支配在喉返神经损伤管理中的作用：现状与进展
Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances.
作者信息
Fancello Virginia, Nouraei S A Reza, Heathcote Kate J
机构信息
aCentre for Airway, Voice and Swallowing, Department of Ear Nose and Throat Surgery, Poole Hospital NHS Foundation Trust, Poole, UK bPhD Program in Molecular Oncology, University of Sassari, Sassari, Italy.
出版信息
Curr Opin Otolaryngol Head Neck Surg. 2017 Dec;25(6):480-485. doi: 10.1097/MOO.0000000000000416.
PURPOSE OF REVIEW
To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy.
RECENT FINDINGS
Recent reports show positive outcomes on both unilateral and bilateral reinnervations. The phrenic nerve is the most commonly used donor for bilateral vocal palsy, but use of the superior laryngeal nerve has also been suggested.
SUMMARY
Reinnervation of the larynx is a complex undertaking that can be performed by ENT surgeons with skills in microsurgery. Advances in this this field represent a paradigm shift in laryngeal rehabilitation and a prerequisite for laryngeal transplantation. Advances in basic understanding of nerve regeneration and in particular the need to surgically manage competitive reinnervation make the results of laryngeal reinnervation more predictable.
综述目的
介绍目前关于单侧和双侧声带麻痹不同喉再支配手术的知识现状。
最新发现
近期报告显示单侧和双侧再支配手术均取得了积极成果。膈神经是双侧声带麻痹最常用的供体神经，但也有人建议使用喉上神经。
总结
喉再支配是一项复杂的工作，可由具备显微外科技术的耳鼻喉科医生进行。该领域的进展代表了喉康复的范式转变，也是喉移植的先决条件。对神经再生的基本认识取得进展，特别是手术处理竞争性再支配的必要性，使得喉再支配的结果更具可预测性。
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