Recovery of laryngeal function after intraoperative injury to the recurrent laryngeal nerve
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
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Degeneration and regeneration of the nervous system
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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.
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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.
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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.
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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.
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Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice
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