Recovery of laryngeal function after intraoperative injury to the recurrent laryngeal nerve
Reads0
Chats0
TLDR
This review aims to provide an update on the current understandings of surgically-induced injury to the laryngeal nerves to clarify any differences between the transient and permanent injury of the RLN.Abstract:
Loss of function in the recurrent laryngeal nerve (RLN) during thyroid/parathyroid surgery, despite a macroscopically intact nerve, is a challenge which highlights the sensitivity and complexity of laryngeal innervation. Furthermore, the uncertain prognosis stresses a lack of capability to diagnose the reason behind the impaired function. There is a great deal of literature considering risk factors, surgical technique and mechanisms outside the nerve affecting the incidence of RLN paresis during surgery. To be able to prognosticate recovery in cases of laryngeal dysfunction and voice changes after thyroid surgery, the surgeon would first need to define the presence, location, and type of laryngeal nerve injury. There is little data describing the events within the nerve and the neurobiological reasons for the impaired function related to potential recovery and prognosis. In addition, very little data has been presented in order to clarify any differences between the transient and permanent injury of the RLN. This review aims, from an anatomical and neurobiological perspective, to provide an update on the current understandings of surgically-induced injury to the laryngeal nerves.read more
Citations
More filters
Journal ArticleDOI
Degeneration and regeneration of the nervous system
Journal ArticleDOI
Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice
TL;DR: This 672-page volume written by a single author contains 26 chapters in seven parts and three appendices and is intended for practicing electromyographers and all those concerned with electrodiagnostic tests in clinical practice.
Journal ArticleDOI
The Physiologic Impact of Unilateral Recurrent Laryngeal Nerve (RLN) Lesion on Infant Oropharyngeal and Esophageal Performance
Francois D. H. Gould,Andrew R. Lammers,Jocelyn Ohlemacher,Ashley Ballester,Luke Fraley,Andrew Gross,Rebecca Z. German +6 more
TL;DR: The results indicate that RLN lesion leads to increased frequency of aspiration, and increased esophageal dysfunction, with significant variation in these basic patterns at all levels, and suggests that neurological variation underlies this pattern.
Journal ArticleDOI
Timing of Nimodipine Therapy for the Treatment of Vocal Fold Paralysis
TL;DR: To retrospectively determine optimal timing for initiation of nimodipine within a cohort of patients with acute vocal fold paralysis, data are presented on patients diagnosed with VFP in the 1990s.
Journal ArticleDOI
Application of transoral continuous intraoperative neuromonitoring in natural orifice transluminal endoscopic surgery for thyroid disease: a preliminary study.
TL;DR: Cont-IONM is feasible and safe to use during transoral endoscopic thyroidectomies and may assist in the early detection of adverse EMG changes, thereby preventing paralysis of the RLNs.
References
More filters
Journal ArticleDOI
A multivariate analysis of objective voice changes after thyroidectomy without laryngeal nerve injury.
TL;DR: Voice changes may occur after thyroidectomy without any evident laryngeal injury, and deterioration and amelioration of acoustic parameters can be observed to occur differently among male and female patients.
Journal ArticleDOI
Motor and sensory branching of the recurrent laryngeal nerve in thyroid surgery
Emad Kandil,Samy Abdelghani,Paul Friedlander,Saud Alrasheedi,Ralph P. Tufano,Charles F. Bellows,Douglas P. Slakey +6 more
TL;DR: Great caution is therefore required after the presumed identification of the RLN to ensure there is no unidentified anterior branch, and the location of the motor fibers are located in the anterior branches.
Journal ArticleDOI
Nimodipine promotes regeneration of peripheral facial nerve function after traumatic injury following maxillofacial surgery: an off label pilot-study.
TL;DR: A positive effect of nimodipine on the acceleration of peripheral FN regeneration after surgically caused trauma is suggested in patients with a peripheral facial nerve paresis following maxillofacial surgery.
Journal ArticleDOI
Voice quality after surgical treatment for thyroid cancer.
Tatsuyoshi Maeda,Miki Saito,Naoki Otsuki,Koichi Morimoto,Miki Takahashi,Shinobu Iwaki,Hiroyuki Inoue,Chisato Tomoda,Akira Miyauchi,Ken-ichi Nibu +9 more
TL;DR: The results suggest that TT and ND have a distinct impact on voice quality after surgical treatment for thyroid cancer, probably due to slight and transient nerve conduction disorders induced by the manipulation around recurrent laryngeal nerves and/or larynGEal edemainduced by the disturbance of venous and lymphatic drainages.
Journal ArticleDOI
Repair of the recurrent laryngeal nerve.
TL;DR: Surgical repair and reconstruction of the injured recurrent laryngeal nerve are discussed in this article, where tips to avoid inadvertent nerve injury are noted, as well as aspects of non-recurring recurrent LGNs.
Related Papers (5)
Electrophysiological neural monitoring of the laryngeal nerves in thyroid surgery: review of the current literature.
Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement.
Gregory W. Randolph,Gregory W. Randolph,Henning Dralle,Hisham Abdullah,Marcin Barczyński,Rocco Domenico Alfonso Bellantone,Michael Brauckhoff,Bruno Carnaille,Sergii Cherenko,Fen‐Yu Chiang,Gianlorenzo Dionigi,Camille Finck,Dana M. Hartl,Dipti Kamani,Kerstin Lorenz,Paolo Miccolli,Radu Mihai,Akira Miyauchi,Lisa A. Orloff,Nancy D. Perrier,Manuel C Durán Poveda,Anatoly Romanchishen,Jonathan W. Serpell,Antonio Sitges-Serra,Tod Sloan,Sam Van Slycke,Samuel K. Snyder,Hiroshi Takami,Erivelto Volpi,Gayle E. Woodson +29 more