Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances

Current Opinion in Otolaryngology & Head and Neck Surgery
Virginia FancelloKate J Heathcote

Abstract

To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy. Recent reports show positive outcomes on both unilateral and bilateral reinnervations. The phrenic nerve is the most commonly used donor for bilateral vocal palsy, but use of the superior laryngeal nerve has also been suggested. Reinnervation of the larynx is a complex undertaking that can be performed by ENT surgeons with skills in microsurgery. Advances in this this field represent a paradigm shift in laryngeal rehabilitation and a prerequisite for laryngeal transplantation. Advances in basic understanding of nerve regeneration and in particular the need to surgically manage competitive reinnervation make the results of laryngeal reinnervation more predictable.

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Citations

Oct 10, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Maria Catalina Espinosa, Julina Ongkasuwan
Nov 30, 2019·The Laryngoscope·Nyall R LondonCarole Fakhry
Mar 20, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Janet W LeeJean-Paul Marie
Nov 26, 2019·Journal of Voice : Official Journal of the Voice Foundation·Zaer SaïdBon-Mardion Nicolas

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