Videostroboscopic findings in unilateral superior laryngeal nerve paralysis and paresis

2007 ◽  
Vol 136 (4) ◽  
pp. 660-662 ◽  
Author(s):  
Veling Tsai ◽  
Andrew Celmer ◽  
Gerald S. Berke ◽  
Dinesh K. Chhetri
2009 ◽  
Vol 119 (5) ◽  
pp. 1017-1032 ◽  
Author(s):  
Nelson Roy ◽  
Michael E. Barton ◽  
Marshall E. Smith ◽  
Christopher Dromey ◽  
Ray M. Merrill ◽  
...  

1981 ◽  
Vol 89 (3) ◽  
pp. 463-470 ◽  
Author(s):  
Tom I. Abelson ◽  
Harvey M. Tucker

The diagnosis of superior laryngeal nerve paralysis is infrequently made because of disagreement concerning the laryngeal findings in unilateral cricothyroid muscle dysfunction. Results of experimental unilateral superior laryngeal nerve paralysis in dogs and humans are shown with a review of the literature. The findings are documented by electromyographic studies and laryngeal photographs, and serve to clarify aspects of the functional anatomy of the cricothyroid muscle and the cricoid and thyroid cartilages.


1994 ◽  
Vol 111 (6) ◽  
pp. 807-815 ◽  
Author(s):  
Sina Nasri ◽  
Ali Namazie ◽  
Jody Kreiman ◽  
Joel A. Sercarz ◽  
Bruce R. Gerratt ◽  
...  

Recent evidence suggests that the lung-thorax system functions as a constant pressure source during phonation. However, previous animal models used a constant flow source. This article describes an in vivo canine model that maintains a constant subglottic pressure during phonation to more closely simulate the pulmonary system. At any given subglottic pressure, increasing levels of recurrent laryngeal nerve stimulation resulted in a significant rise in resistance followed by a plateau. Increasing levels of superior laryngeal nerve stimulation, however, produced no significant change in glottal resistance. Three experimental conditions were studied: Normal, unilateral recurrent laryngeal nerve paralysis, and paralysis followed by arytenoid adduction. In normal canines, maximal vocal efficiency values were the highest, indicating the best match between pressure and resistance. The vocal efficiency values were significantly lower in recurrent laryngeal nerve paralysis, indicating pressure-resistance mismatch. Arytenoid adduction increased the maximal vocal efficiency values and decreased the mismatch observed in the paralyzed state. These findings may provide insight into an understanding of normal and pathologic laryngeal behavior.


1994 ◽  
Vol 103 (2) ◽  
pp. 93-97 ◽  
Author(s):  
Shinzo Tanaka ◽  
Minoru Hirano ◽  
Hirohito Umeno

Laryngeal behavior in unilateral superior laryngeal nerve (SLN) paralysis was investigated in animal models and clinical cases. The occurrence of an oblique glottis caused by rotation of the posterior glottis to the paralytic side was the main focus of this study. The animal model study employed live dogs. When the SLN on one side was sectioned, spontaneous phonation did not cause a significantly oblique glottis. When the unaffected SLN was electrically stimulated during spontaneous phonation, an oblique glottis occurred. When the SLN was unilaterally stimulated during spontaneous phonation with both SLNs sectioned, a markedly oblique glottis occurred. In the clinical study, larynges of 17 patients with SLN paralysis were examined during a test task in which a low-pitched phonation was followed by a high-pitched phonation. The purpose of this task was to activate the unaffected cricothyroid muscle during the test phonation. Five patients could not perform the test task. The glottis obviously rotated in 9 patients, whereas no significant rotation of the glottis occurred in 3. One of the latter 3 had an incomplete paralysis, and the other 2 had marked scarring around the laryngeal framework. We conclude that a unilateral SLN paralysis causes a rotation of the posterior glottis to the paralytic side when the unaffected cricothyroid muscle is markedly activated. The test consisting of low-pitched phonation followed by high-pitched phonation is a relatively simple and accurate diagnostic procedure for unilateral SLN paralysis.


2009 ◽  
Vol 119 (4) ◽  
pp. 816-826 ◽  
Author(s):  
Nelson Roy ◽  
Marshall E. Smith ◽  
Christopher Dromey ◽  
Jonathan Redd ◽  
Skylee Neff ◽  
...  

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