영구적인 일측성 성대마비의 치료 방법으로서의 후두신경재식술
Laryngeal Reinnervation as a Treatment Option for Permanent Unilateral Vocal Fold Paralysis
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
For unilateral vocal fold paralysis (UVFP) persisting beyond 6–12 months, laryngeal reinnervation provides neural input to maintain vocal fold bulk and tone while allowing gradual voice improvement over time. We report a 71-year-old male with recurrent hoarseness and aspiration despite prior vocal fold injection for idiopathic left UVFP. Ansa cervicalis-to-recurrent laryngeal nerve anastomosis resulted in progressive improvement of subjective and objective voice parameters over 12 months without complications. Laryngeal reinnervation centralized the paralyzed vocal fold, prevented atrophy, avoided inflammatory reactions from injected materials, and permitted future medialization procedures. This case demonstrates laryngeal reinnervation’s efficacy in carefully selected UVFP patients, achieving successful voice outcomes in an elderly individual.
Abstract
For unilateral vocal fold paralysis (UVFP) persisting beyond 6–12 months, laryngeal reinnervation provides neural input to maintain vocal fold bulk and tone while allowing gradual voice improvement over time. We report a 71-year-old male with recurrent hoarseness and aspiration despite prior vocal fold injection for idiopathic left UVFP. Ansa cervicalis-to-recurrent laryngeal nerve anastomosis resulted in progressive improvement of subjective and objective voice parameters over 12 months without complications. Laryngeal reinnervation centralized the paralyzed vocal fold, prevented atrophy, avoided inflammatory reactions from injected materials, and permitted future medialization procedures. This case demonstrates laryngeal reinnervation’s efficacy in carefully selected UVFP patients, achieving successful voice outcomes in an elderly individual.
참고문헌 (10)
- Benninger MS, "Evaluation and treatment of the unilateral paralyzed vocal fold", Otolaryngol Head Neck Surg, 111(4), pp.497~508 (1994)
- Kim H, "The choice of laryngeal reinnervation versus medicalization laryngoplasty in unilateral vocal fold paralysis", J Korean Soc Laryngol Phoniatr Logop, 31(1), pp.1~6 (2020)
- Lee WT, "Results of ansa to recurrent laryngeal nerve reinnervation", Otolaryngol Head Neck Surg, 136(3), pp.450~454 (2007)
- Crumley RL, "Voice quality following laryngeal reinnervation by ansa hypoglossi transfer", Laryngoscope, 96(6), pp.611~616 (1986)
- Crumley RL, "Laryngeal synkinesis revisited", Ann Otol Rhinol Laryngol, 109(4), pp.365~371 (2000)
- Paniello RC, "Laryngeal reinnervation", Otolaryngol Clin North Am, 37(1), pp.161~181 (2004)
- Siu J, "A comparison of outcomes in interventions for unilateral vocal fold paralysis : a systematic review", Laryngoscope, 126(7), pp.1616~1624 (2016)
- Paniello RC, "Medialization versus reinnervation for unilateral vocal fold paralysis : a multicenter randomized clinical trial", Laryngoscope, 121(10), pp.2172~2179 (2011)
- Chhetri DK, "Laryngeal reinnervation for unilateral vocal fold paralysis using ansa cervicalis nerve to recurrent laryngeal nerve anastomosis", Oper Tech Otolayngol Head Neck Surg, 23(3), pp.173~177 (2012)
- Li M, "Effect of duration of denervation on outcomes of ansa-recurrent laryngeal nerve reinnervation", Laryngoscope, 124(8), pp.1900~1905 (2014)