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Evolving concepts of laryngeal paralysis

Published online by Cambridge University Press:  25 September 2007

G Woodson
G Woodson*
Affiliation:
Division of Otolaryngology, Southern Illinois University, Springfield, Illinois, USA
*
Address correspondence to: Dr Gayle Woodson, Division of Otolaryngology, Southern Illinois University, PO Box 19662, Springfield, Illinois 62794-9662, USA. Fax: 217 545 7912 E-mail: [email protected]
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Abstract

Accepted concepts of the pathophysiology and treatment of laryngeal paralysis have changed over the years. It has long been observed that symptoms of laryngeal paralysis vary greatly, both between patients and over time. There have been various theories to explain these differences. This article reviews how these ideas have changed over time as research has produced new information. Currently, the most popular view is that the laryngeal nerve regenerates after injury, albeit incompletely and inconsistently, and that variations in symptoms and laryngeal posture can be accounted for by muscle activity.

Keywords

LarynxParalysisSurgery
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 5 , May 2008 , pp. 437 - 441
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Garcia, M. Observations on the human voice. Proceedings of the Royal Society of Medicine 1855;7:399Google Scholar
2 New, GB, Childrey, JH. Paralysis of the vocal cords: a study of 217 medical cases. Arch Otol 1932;16:143–59CrossRefGoogle Scholar
3 Jackson, C, Jackson, CL. Disease and Injuries of the Larynx. New York: Macmillan, 1942;330Google Scholar
4 Arnold, G. Vocal rehabilitation of paralytic dysphonia. IX: Technique of intracordal injection. Arch Otolaryngol 1962;76:358–68CrossRefGoogle Scholar
5 Isshiki, N, Okamura, H, Ishikawa, T. Thyroplasty type I (lateral compression) for dysphonia due to vocal cord paralysis or atrophy. Acta Otolaryngol 1975;80:465–73CrossRefGoogle ScholarPubMed
6 Semon, F. On the proclivity of the abductor fibers of the recurrent laryngeal nerve to become affected sooner than the adductor fibers or even exclusively. Arch Laryngol 1881;2:197–222Google Scholar
7 Gacek, RR, Malmgren, LT, Lyon, MJ. Related articles, links localization of adductor and abductor motor nerve fibers to the larynx. Ann Otol Rhinol Laryngol 1977;86:771–6CrossRefGoogle Scholar
8 Grossman, M. Contribution to the mutual functional relationships of the muscles of the larynx. Arch Laryngol Rhinol 1906;18:463–71Google Scholar
9 Woodson, GE, Sant'Ambrogio F, Mathew O, Sant'Ambrogio G. Effects of cricothyroid contraction on laryngeal resistance and glottic area. Ann Otol Rhinol Laryngol 1989;98:119–24CrossRefGoogle ScholarPubMed
10 Amis, TC, Brancatisano, A, Tully, A, Engel, LA. Effects of cricothyroid muscle contraction on upper airway flow dynamics in dogs. J Appl Physiol 1992;72:2329–35CrossRefGoogle ScholarPubMed
11 Woodson, GE. Configuration of the glottis in laryngeal paralysis II: animal experiments. Laryngoscope 1993;103:1235–41CrossRefGoogle ScholarPubMed
12 Woodson, GE, Murry, MP, Schweizer, V, Hengesteg, A, Chen, N, Yeung, E. Unilateral cricothyroid contraction and glottic configuration. J Voice 1998;12:335–9CrossRefGoogle ScholarPubMed
13 Koufman, JA, Walker, FO, Joharji, GM. The cricothyroid muscle does not influence vocal fold position in laryngeal paralysis. Laryngoscope 1995;105:368–72CrossRefGoogle Scholar
14 Hirano, M, Nozoe, I, Shin, J, Maeyama, T. Electromyography for laryngeal paralysis. In: Hirano, M, Kirchner, J, Bless, D, eds. Neurolaryngology: Recent Advances. Boston: College-Hill, 1987;232–48Google Scholar
15 Blitzer, A, Jahn, AF, Keidar, A. Semon's law revisited: an electromyographic analysis of laryngeal synkinesis. Ann Otol Rhinol Laryngol 1996;105:764–9CrossRefGoogle ScholarPubMed
16 Crumley, R. Experiments in laryngeal reinnervation. Laryngoscope 1982;92(suppl 30):1–27CrossRefGoogle ScholarPubMed
17 Shindo, ML, Herzon, GD, Hanson, DG, Cain, DF, Sahgal, V. Effects of denervation on laryngeal muscles: a canine model. Laryngoscope 1992;102:663–9CrossRefGoogle ScholarPubMed
18 Zealear, DL, Hamdan, Al, Rainey, CL. The effects of denervation on posterior cricoarytenoid muscle physiology and histochemistry. Ann Otol Rhinol Laryngol 1994;103:780–8CrossRefGoogle ScholarPubMed
19 Aronson, AE, DeSanto, LW. Adductor spastic dysphonia: three years after recurrent laryngeal nerve resection. Laryngoscope 1983;93:1–8CrossRefGoogle ScholarPubMed
20 Netterville, JL, Stone, RE, Rainey, C, Zealear, DL, Osoff, RH. Recurrent laryngeal nerve avulsion for treatment of spastic dysphonia. Ann Otol Rhinol Laryngol 1991;100:10–14CrossRefGoogle ScholarPubMed
21 Damrose, EJ, Huang, RY, Blumin, JH, Blackwell, KE, Sercarz, JA, Berke, GS. Lack of evoked laryngeal electromyography response in patients with a clinical diagnosis of vocal cord paralysis. Ann Otol Rhinol Laryngol 2001;110:815–19CrossRefGoogle ScholarPubMed
22 Crumley, R. Laryngeal synkinesis: its significance to the laryngologist. Ann Otol Rhinol Laryngol 1989;98:87–92CrossRefGoogle Scholar
23 Gordon, T, Sulaiman, O, Boyd, JF. Experimental strategies to promote functional recovery after peripheral nerve injuries. J Peripher Nerv Syst 2003;8:236–50CrossRefGoogle ScholarPubMed
24 Nahm, I, Shin, T, Chiba, T. Regeneration of the recurrent laryngeal nerve in the guinea pig: reorganization of motoneurons after freezing injury. Am J Otolaryngol 1990;11:90–8CrossRefGoogle ScholarPubMed
25 Flint, PW, Downs, DH, Colterera, M. Laryngeal synkinesis following reinnervation in the rat. Ann Otol Rhinol Laryngol 1991;100:797–806CrossRefGoogle ScholarPubMed
26 Wani, M, Woodson, G. Paroxysmal laryngospasm after laryngeal nerve injury. Laryngoscope 1999;109:694–7CrossRefGoogle ScholarPubMed
27 Gordon, JH, McCabe, BF. The effect of accurate neurorrhaphy on reinnervation and return of laryngeal function. Laryngoscope; 1993;78:236–50CrossRefGoogle Scholar
28 Boles, R, Fritzell, B. Injury and repair of the recurrent laryngeal nerves in dogs. Laryngoscope 1969;78:236–50Google Scholar
29 Tashiro, T. Experimental studies on the reinnervation of larynx after accurate neurorrhaphy. Laryngoscope 1972;82:225–36CrossRefGoogle ScholarPubMed
30 Sirabodhi, C, Sundmaker, W, Atkins, JP. Electromyographyic studies of laryngeal paralysis and regeneration of laryngeal motor nerves in dogs. Laryngoscope 1963;73:148–64CrossRefGoogle Scholar
31 van Lith-Bijl, JT, Mahieu, HF, Stolk, RJ, Tonnaer, JA, Groenhout, C, Konings, PN. Laryngeal abductor function after recurrent laryngeal nerve injury in cats. Arch Otolaryngol Head Neck Surg 1996;122:393–6CrossRefGoogle ScholarPubMed
32 van Lith-Bijl, JT, Tsolk, RJ, Tonnaer, JA, Groenhout, C, Konings, PN, Mahieu, GF. Selective laryngeal reinnervation with separate phrenic and ansa cervicalis nerve transfers. Arch Otolaryngol Head Neck Surg 1997;123:406–11CrossRefGoogle ScholarPubMed
33 Peterson, KL, Andrews, R, Manek, A, Ye, M, Sercarz, JA. Objective measures of laryngeal function after reinnervation of the anterior and posterior recurrent laryngeal nerve branches. Laryngoscope 1998;108:889–98CrossRefGoogle ScholarPubMed
34 Woodson, GE. Spontaneous laryngeal reinnervation after recurrent laryngeal or vagus nerve injury. Ann Otol Rhinol Laryngol 2007;116:57–65CrossRefGoogle ScholarPubMed
35 Isshiki, N, Tanabe, M, Sawada, M. Arytenoid adduction for unilateral vocal cord paralysis. Arch Otolaryngol 1978;104:555–8CrossRefGoogle ScholarPubMed
36 Woo, P, Pearl, AW, Hsiung, MW, Som, P. Failed medialization laryngoplasty: management by revision surgery. Otolaryngol Head Neck Surg 2001;124:615–21CrossRefGoogle ScholarPubMed
37 Neuman, TR, Hengesteg, A, Lepage, RP, Kaufman, KR, Woodson, GE. Three-dimensional motion of the arytenoid adduction procedure in cadaver larynges. Ann Otol Rhinol Laryngol 1994;103:265–70CrossRefGoogle ScholarPubMed
38 Bryant, NJ, Woodson, GE, Kaufman, K, Rosen, C, Hengesteg, A, Chen, N et al. Human posterior cricoarytenoid muscle compartments. Anatomy and mechanics. Arch Otolaryngol Head Neck Surg 1996;122:1331–6CrossRefGoogle ScholarPubMed
39 Faaborg-Anderson, K. Electromyographic investigation of intrinsic laryngeal muscles in humans. Acta Physiol Scand Suppl 1957;140:1–27Google Scholar
40 Woodson, GE, Picerno, R, Yeung, D, Hengesteg, A. Arytenoid adduction: controlling vertical position. Ann Otol Rhinol Laryngol 2000;109:360–4CrossRefGoogle ScholarPubMed
41 Woodson, GE, Weiss, T. Arytenoid abduction for dynamic rehabilitation of bilateral laryngeal paralysis. Ann Otol Laryngol Otol 2007;116Google Scholar