Results of ansa to recurrent laryngeal nerve reinnervation

Walter T. Lee, Claudio Milstein, Douglas Hicks, Lee M. Akst, Ramon M. Esclamado

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

Objective: We sought to describe the results of ansa cervicalis to recurrent laryngeal nerve (ansa-RLN) reinnervation for unilateral vocal fold paralysis. Study design: A chart review was performed on patients undergoing ansa-RLN reinnervation for unilateral vocal cord paralysis at a tertiary care center. Patient perceptions of preoperative and postoperative voice quality was surveyed. Acoustic and visual parameters were assessed from videostroboscopy. Results: From a total of 25 study patients, 15 patients underwent both preoperative and postoperativ video stroboscopies. In stroboscopies within 6 months, the average improvement in overall severity, roughness, and breathiness was 69, 79, and 100 percent, respectively. In stroboscopies after 6 months, the average improvement in overall severity, roughness, and breathiness was 63, 66, and 100 percent, respectively. Postoperatively, all patients had reinnervation of the vocal fold. Conclusions: Voice outcomes were improved in patients with preoperative and postoperative stroboscopies. Significance: Ansa-RLN reinnervation should be considered as a treatment for unilateral vocal fold paralysis.

Original languageEnglish (US)
Pages (from-to)450-454
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume136
Issue number3
DOIs
StatePublished - Mar 2007
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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