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利用膈运动神经元选择性喉再支配恢复猫麻痹声带的外展功能。

Restoring abduction of paralyzed vocal cords in the cat using selective laryngeal reinnervation by phrenic motoneurons.

作者信息

Baldissera F, Cantarella G, Marini G, Ottaviani F

出版信息

Laryngoscope. 1986 Dec;96(12):1399-404. doi: 10.1288/00005537-198612000-00017.

DOI:10.1288/00005537-198612000-00017
PMID:3784747
Abstract

The aim of this work was to reestablish the respiratory function of the paralyzed larynx through reinnervation of the posterior cricoarytenoid (PCA) muscle by phrenic motoneurons. In nine adult cats the adductor branch of the recurrent laryngeal nerve (RLN) of one side was cut and ligated, while the abductor branch was left intact. The whole RLN was then transected lower in the neck and its distal stump anastomosed to the upper branch of the phrenic nerve. Periodical laryngoscopies under ketamine anesthesia assessed that the inspiratory abduction of the paralyzed vocal cord recovered within 45 days to 60 days in all cats. Abduction was caused by reinnervation of the PCA muscle from phrenic motoneurons, as demonstrated by electrophysiological and anatomical (retrograde transport of horseradish peroxidase) testings.

摘要

这项工作的目的是通过膈运动神经元对环杓后肌(PCA)进行再支配,从而恢复麻痹喉部的呼吸功能。在9只成年猫中,一侧喉返神经(RLN)的内收肌支被切断并结扎,而外展肌支保持完整。然后在颈部较低位置横断整个RLN,并将其远端残端与膈神经的上支进行吻合。在氯胺酮麻醉下定期进行喉镜检查评估,所有猫的麻痹声带吸气性外展在45天至60天内恢复。电生理和解剖学(辣根过氧化物酶逆行运输)测试表明,外展是由膈运动神经元对PCA肌肉的再支配引起的。

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Restoring abduction of paralyzed vocal cords in the cat using selective laryngeal reinnervation by phrenic motoneurons.利用膈运动神经元选择性喉再支配恢复猫麻痹声带的外展功能。
Laryngoscope. 1986 Dec;96(12):1399-404. doi: 10.1288/00005537-198612000-00017.
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Recovery of inspiratory abduction of the paralyzed vocal cords after bilateral reinnervation of the cricoarytenoid muscles by one single branch of the phrenic nerve.通过膈神经的单个分支对环杓肌进行双侧神经再支配后,麻痹声带的吸气外展恢复情况。
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Newer technique of laryngeal reinnervation: superior laryngeal nerve (motor branch) as a driver of the posterior cricoarytenoid muscle.喉再支配新技术:以喉上神经(运动支)作为环杓后肌的驱动神经
Ann Otol Rhinol Laryngol. 1989 Nov;98(11):907-9. doi: 10.1177/000348948909801113.

引用本文的文献

1
Laryngeal reinnervation surgery - results of a selective approach in an animal study.喉再支配手术——动物研究中一种选择性方法的结果
Indian J Otolaryngol Head Neck Surg. 1997 Jul;49(3):203-8. doi: 10.1007/BF02991282.
2
Intrinsic muscles and distribution of the recurrent laryngeal nerve in the pig larynx.猪喉内肌及喉返神经的分布
Eur Arch Otorhinolaryngol. 2005 Apr;262(4):281-5. doi: 10.1007/s00405-004-0803-3. Epub 2004 Aug 20.