Kawakita S
Department of Otolaryngology, Ehime University, School of Medicine.
Nihon Jibiinkoka Gakkai Kaiho. 1995 Mar;98(3):391-401. doi: 10.3950/jibiinkoka.98.391.
The innervation pattern of the arytenoid muscle (AR) was studied from the standpoint of the reinnervation process in 32 guinea pigs with typical unpaired AR. In 26 animals the muscle was denervated by cutting the left recurrent laryngeal nerve (RLN). The superior laryngeal nerve was also transected to eliminate the possibility of reinnervation from this nerve. Both light and electron-microscopic examinations in 18 denervated animals and 4 normal animals, and a glycogen depletion experiment in 8 denervated animals and 2 normal animals were carried out on the AR and the posterior cricoarytenoid muscle (PCA). 1. Light microscopic study: Anastomosis with arytenoid branches from the contralateral RLN was observed in the belly of AR. Half of the myelinated fibers in the intramuscular nerve funiculus remained degenerated as of seven days after transection. After three weeks, degeneration of the myelinated fiber was no longer seen, and the number of myelinated fibers had been restored to within the normal range. The muscle fibers of the left PCA degenerated completely, while those of the AR remained intact. 2. Electron-microscopic study. Three days after transection, the nerve terminals of half of the neuromuscular junctions (NMJs) were absent in the AR. Seven days after transection, however, both myelinated and unmyelinated fibers were recognized in the intramuscular nerve funiculus. Half of the NMJs in the AR were normal, one fourth had degenerated and the rest had regenerated. Five weeks after transection, no degeneration or regeneration of the NMJs was seen. Unmyelinated fibers were no longer found in the intramuscular funiculus. 3. Glycogen depletion experiment: As of three weeks after transection, half of the AR fibers stained with PAS despite electrical stimulation of the contralateral (right) RLN. Five weeks after transection, none of the AR fibers stained. Thus, all of the AR fibers appeared to have been the result of reinnervation from the contralateral RLN. The results of the present study indicate that transection of the unilateral RLN facilitates collateral sprouting from the contralateral RLN in guinea pigs. This collateral sprouting occurring between 3 and 7 days following denervation reinnervated the denervated muscle fibers before degeneration. Collateral sprouting branches may easily extend into adjacent denervated Schwann's sheaths, since the arytenoid branch of the RLN runs in contact with that of the contralateral RLN in the identical intramuscular nerve funiculus. Although each muscle fiber in the AR is innervated unilaterally, this unpaired muscle as a whole receives specific motor innervation from both RLNs.
从再支配过程的角度,对32只具有典型不成对杓状肌(AR)的豚鼠的杓状肌神经支配模式进行了研究。在26只动物中,通过切断左侧喉返神经(RLN)使肌肉失神经支配。同时切断喉上神经以排除该神经再支配的可能性。对18只失神经支配动物和4只正常动物的AR和环杓后肌(PCA)进行了光镜和电镜检查,并对8只失神经支配动物和2只正常动物进行了糖原耗竭实验。1. 光镜研究:在AR肌腹观察到与对侧RLN的杓状支的吻合。切断后7天,肌内神经束中一半的有髓纤维仍处于变性状态。3周后,不再见到有髓纤维变性,有髓纤维数量已恢复到正常范围内。左侧PCA的肌纤维完全变性,而AR的肌纤维保持完整。2. 电镜研究。切断后3天,AR中一半的神经肌肉接头(NMJ)的神经终末缺失。然而,切断后7天,在肌内神经束中可识别出有髓和无髓纤维。AR中一半的NMJ正常,四分之一变性,其余再生。切断后5周,未见NMJ的变性或再生。肌内神经束中不再发现无髓纤维。3. 糖原耗竭实验:切断后3周,尽管对侧(右侧)RLN受到电刺激,仍有一半的AR纤维对PAS染色呈阳性。切断后5周,没有AR纤维染色。因此,所有的AR纤维似乎都是对侧RLN再支配的结果。本研究结果表明,单侧RLN切断促进了豚鼠对侧RLN的侧支芽生。这种在失神经支配后3至7天发生的侧支芽生在变性前重新支配了失神经支配的肌纤维。侧支芽生分支可能很容易延伸到相邻的失神经施万细胞鞘中,因为RLN的杓状支在同一肌内神经束中与对侧RLN的杓状支接触走行。虽然AR中的每根肌纤维都是单侧支配的,但作为一个整体,这块不成对的肌肉从两侧RLN接受特定的运动神经支配。