Recurrent laryngeal nerve morphometry in short‐term experimental diabetes (728.21)

Cricotracheal separation (CTS) is an uncommon injury, with a high index of suspicion required to establish the diagnosis. Computerized tomography (CT) plays a role in diagnosis but cannot necessarily be relied upon. Bilateral recurrent laryngeal nerve (RLN) palsies are usually associated with this type of injury. We recently treated a patient with CTS in whom one RLN was intact from the time of the injury and the other nerve recovered within three months. Computed tomography was inconclusive.Early open repair of the injury and frequent follow-up examinations led to successful decannulation after six weeks and excellent short-term voice and airway outcomes.A detailed discussion of this unusual case is followed by a review of the current literature on CTS, with particular emphasis on significant management dilemmas and controversies.Clinical suspicion remains more sensitive than investigations in diagnosing CTS. Permanent bilateral RLN palsies are not inevitable following these injuries.

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Phrenic Nerve Morphometry in Short Term and Long Term Experimental Diabetes

The FASEB Journal ◽

10.1096/fasebj.25.1_supplement.868.10 ◽

2011 ◽

Vol 25 (S1) ◽

Author(s):

Adriana Cristina Licursi Alcântara ◽

Natália Massumi Tanaka ◽

Omar Andrade Rodrigues Filho ◽

Valéria Paula Sassoli Fazan

Keyword(s):

Phrenic Nerve ◽

Experimental Diabetes ◽

Short Term ◽

Nerve Morphometry

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213 CLINICAL SIGNIFICANCE OF ROBOTIC ESOPHAGECTOMY FOR THORACIC ESOPHAGEAL CANCER

Diseases of the Esophagus ◽

10.1093/dote/doab052.213 ◽

2021 ◽

Vol 34 (Supplement_1) ◽

Author(s):

Hiroya Takeuchi ◽

Hirotoshi Kikuchi ◽

Yoshihiro Hiramatsu ◽

Tomohiro Matsumoto ◽

Wataru Soneda ◽

...

Keyword(s):

Esophageal Cancer ◽

Recurrent Laryngeal Nerve ◽

Clinical Significance ◽

Nerve Palsy ◽

Recurrent Laryngeal Nerve Palsy ◽

Laryngeal Nerve ◽

Short Term ◽

Invasive Esophagectomy ◽

Laryngeal Nerve Palsy ◽

Robotic Esophagectomy

Abstract Nowadays many patients with esophageal cancer are treated with thoracoscopic esophagectomy (TE) with precise mediastinal lymphadenectomy as a minimally invasive esophagectomy (MIE) in Japan. These advanced endoscopic surgeries are believed to contribute to early postoperative recovery. More recently robotic esophagectomy (RE) appeared attractively. To date, however, there has been a very limited number of comparison studies to verify the benefits of RE for esophageal cancer, especially in Japan where squamous cell carcinoma is predominant. Methods We retrospectively compared the short-term outcomes between TE (n = 43) and RE (n = 19) which were performed in our institution between 2018 and 2020 to verify the clinical significance of RE. Preoperative background factors of the patients compared were almost identical between the two groups. Results The operative time was longer in the RE group than in the OE group, whereas blood loss was equivalent between the two groups. There was no significant differences in the number of dissected mediastinal lymph nodes between the TE and RE groups (33+/−15 vs 29+/−11). The incidence of postoperative recurrent laryngeal nerve palsy was markedly less in the RE group than the TE group (5.2% vs. 18.6%). Moreover, the incidence of postoperative pneumonia also tended to be less in the RE group than in the TE group (5.2% vs. 11.6%). There were no operative mortality in the two groups. Conclusion Our results suggest that RE is comparable with conventional TE in terms of short-term outcome after surgery, and beneficial to technically reduce the recurrent laryngeal nerve palsy as a promising MIE.

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Robot-assisted Thoracoscopic Lymphadenectomy Along the Left Recurrent Laryngeal Nerve for Esophageal Squamous Cell Carcinoma in the Prone Position: Technical Report and Short-term Outcomes

World Journal of Surgery ◽

10.1007/s00268-012-1538-8 ◽

2012 ◽

Vol 36 (7) ◽

pp. 1608-1616 ◽

Cited By ~ 72

Author(s):

Koichi Suda ◽

Yoshinori Ishida ◽

Yuichiro Kawamura ◽

Kazuki Inaba ◽

Seiichiro Kanaya ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Esophageal Squamous Cell Carcinoma ◽

Recurrent Laryngeal Nerve ◽

Cell Carcinoma ◽

Prone Position ◽

Laryngeal Nerve ◽

Robot Assisted ◽

Short Term ◽

Technical Report ◽

Left Recurrent Laryngeal Nerve

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Effects of Acute Insulin Treatment in the Recurrent Laryngeal Nerve Myelinated Fiber Morphometry in Experimental Diabetes

The FASEB Journal ◽

10.1096/fasebj.29.1_supplement.705.3 ◽

2015 ◽

Vol 29 (S1) ◽

Author(s):

Vânia Alice Mendes ◽

Greice Anne Silva ◽

Jaci Castania ◽

Helio Salgado ◽

Valéria Paula Fazan

Keyword(s):

Recurrent Laryngeal Nerve ◽

Insulin Treatment ◽

Experimental Diabetes ◽

Laryngeal Nerve ◽

Myelinated Fiber

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Short-term laryngeal electromyography and histopathological findings after primary reconstruction of the inferior laryngeal nerve in rabbits: prospective study

The Journal of Laryngology & Otology ◽

10.1017/s0022215112002381 ◽

2012 ◽

Vol 127 (1) ◽

pp. 48-53 ◽

Cited By ~ 2

Author(s):

A Dalgic ◽

T Kandogan ◽

M Koc ◽

C Ahmet Kulan ◽

A Yagci ◽

...

Keyword(s):

Recurrent Laryngeal Nerve ◽

Vocal Fold ◽

Primary Anastomosis ◽

Rabbit Model ◽

Laryngeal Nerve ◽

Histopathological Analysis ◽

Laryngeal Electromyography ◽

Short Term ◽

Nerve Recovery ◽

Nerve Anastomosis

AbstractIntroduction:The recurrent laryngeal nerve can be injured during surgery. This study investigated recurrent laryngeal nerve reinnervation.Objective:To study the short-term effects of primary anastomosis of the recurrent laryngeal nerve, by laryngeal electromyography and histopathological analysis, in a rabbit model.Method:Twenty Zealand rabbits underwent either right recurrent laryngeal nerve (1) transection with excision of 1 cm or (2) transection and end-to-end primary anastomosis. Vocal fold movements, laryngeal electromyography results and histological changes were recorded.Results:Vocal fold analysis showed a paramedian vocal fold in both groups, with perceptible vibratory movements in group two. Electromyography revealed total denervation potentials in group one, but denervation and regeneration signs in group two. Histopathologically, hyperkeratosis and parakeratosis of the vocal fold mucosa were seen in group one, and signs of parakeratosis and hyperplasia in group two.Conclusion:Even under ideal conditions for primary recurrent laryngeal nerve anastomosis, a return to normal muscle function is unlikely. However, such anastomosis prevents muscle atrophy, and should be performed as soon as possible. The degree of nerve recovery is associated with the number, amplitude and myelination level of fibrils returning to the original motor end-plaque.

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Erratum: Recurrent Laryngeal Nerve Dissection

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.4503.427b ◽

1980 ◽

Vol 45 (3) ◽

Author(s):

Frank B. Wilson ◽

D. J. Oldring ◽

Kathleen Mueller

Keyword(s):

Case Report ◽

Recurrent Laryngeal Nerve ◽

Laryngeal Nerve ◽

Long Period ◽

Initial Surgery

On page 112 of the report by Wilson, Oldring, and Mueller ("Recurrent Laryngeal Nerve Dissection: A Case Report Involving Return of Spastic Dysphonia after Initial Surgery," pp. 112-118), the paraphrase from Cooper (1971), "if the patients are carefully selected and are willing to remain in therapy for a long period of time," was inadvertantly put in quotation marks.

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