Réinnervation laryngée sélective des paralysies bilatérales : une technique applicable à la réhabilitation fonctionnelle d’un larynx transplanté

Jp, Marie; Mardion, Nicolas Bon; Moerman, Mieke; Malard, O.; Céruse, Philippe; Verin, E.

doi:10.1016/j.aforl.2014.07.134

Cited by 3 publications

(9 citation statements)

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“…Selective reinnervation of the larynx has been progressively optimized to restore the function of the PCA muscles, overcoming the limits of static glottic-widening procedures 10-13 , 19 . Tucker described a nerve–muscle pedicle technique using ansa hypoglossi with an island of strap muscle embedded into the PCA 20 .…”

Section: Discussionmentioning

confidence: 99%

“…As described by Marie et al 10 , BSLR is based on the ansa – adductor anastomoses and C3 – bilateral abductor (using nerve graft) implantations 9 , 10 . Baldissera 24 first identified the phrenic nerve as an ideal candidate for the reinnervation of the abductor muscles, and in the literature, it has been effectively associated with positive outcomes 9 .…”

Section: Discussionmentioning

confidence: 99%

“…According to Marie 10 , the adductors are reinnervated by transecting the main trunks of the RLNs with the aim of denervating all the intrinsic muscles before neurorrhaphy. The adductors could be reinnervated with the ansa hypoglossi, but more recently, the nerve for the thyrohyoid muscle has been identified as the best choice 9 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Different methods of bilateral reinnervation of the larynx have been proposed in the literature, varying on the basis of the donor nerves 4 . In 2014, Marie reported promising results in BVFP patients treated with bilateral selective laryngeal reinnervation (BSLR), reporting a decannulation rate of 92.5% in 40 patients with more than 1 year of follow-up 10 . To date, this BSLR technique has been reproduced in only a few centers [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

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Bilateral selective laryngeal reinnervation in patients with bilateral vocal cord palsy

Puxeddu¹,

Marrosu²,

Filauro³

et al. 2023

Acta Otorhinolaryngol Ital

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SUMMARY Objective Bilateral selective reinnervation of the larynx aims to restore both vocal cord tone and abductor movements in patients with bilateral vocal cord palsy. Methods Four females and one male treated by bilateral selective reinnervation of the larynx were included in the present study. In all cases, both posterior cricoarytenoid muscles were reinnervated using the C3 right phrenic nerve root through the great auricular nerve graft, while adductor muscle tone was bilaterally restored using the thyrohyoid branches of the hypoglossal nerve through transverse cervical nerve grafts. Results After a minimum follow-up of 48 months, all patients were successfully tracheostomy free and had recovered normal swallowing. At laryngoscopy, the first patient recovered a left unilateral partial abductor movement, the second had complete bilateral abductor movements, the third did not show improvements of abductor movements, but symptomatology was improved, the fourth recovered partial bilateral abductor movements and the fifth case did not show improvements and needed posterior cordotomy. Conclusions Bilateral selective laryngeal reinnervation, although a complex surgical procedure, offers a more physiologic recovery in the treatment of bilateral vocal fold paralysis. Selection criteria still needs to be precisely defined to avoid unexpected failures.

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Section: Discussionmentioning

confidence: 99%