Selective cricothyroid muscle reinnervation by muscle-nerve-muscle neurotization.

Published

Journal Article

OBJECTIVE: To determine if selective reinnervation of the cricothyroid muscle could be achieved with muscle-nerve-muscle neurotization. DESIGN: Case series. SETTING: Tertiary referral center. PATIENTS: Three consecutive patients with high vagal lesions that resulted in unilateral laryngeal paralysis. INTERVENTIONS: Patients underwent laryngeal reinnervation with ansa hypoglossi to recurrent laryngeal nerve anastomosis. In addition, patients underwent selective cricothyroid muscle reinnervation by muscle-nerve-muscle neurotization technique. MAIN OUTCOME MEASURES: Objective and subjective improvement in voice quality and electromyographic evidence of selective reinnervation of the cricothyroid muscle. RESULTS: All patients recovered normal or near-normal speaking voice and had normal objective measures of voice quality. They also showed electromyographic evidence of cricothyroid muscle reinnervation. CONCLUSION: The muscle-nerve-muscle neurotization technique was successful in providing selective reinnervation of the cricothyroid muscle in our 3 patients.

Full Text

Duke Authors

Cited Authors

  • El-Kashlan, HK; Carroll, WR; Hogikyan, ND; Chepeha, DB; Kileny, PR; Esclamado, RM

Published Date

  • October 1, 2001

Published In

Volume / Issue

  • 127 / 10

Start / End Page

  • 1211 - 1215

PubMed ID

  • 11587601

Pubmed Central ID

  • 11587601

Electronic International Standard Serial Number (EISSN)

  • 1538-361X

International Standard Serial Number (ISSN)

  • 0886-4470

Digital Object Identifier (DOI)

  • 10.1001/archotol.127.10.1211

Language

  • eng