Hostname: page-component-549f558674-p2g5l Total loading time: 0 Render date: 2026-07-16T16:19:44.129Z Has data issue: false hasContentIssue false
  • English
  • Français

Unilateral vocal fold paralysis: a review of the current methods of surgical rehabilitation

Published online by Cambridge University Press:  29 June 2007

Meredydd Lloyd Harries
Meredydd Lloyd Harries*
Affiliation:
The Voice Clinic, The Royal National Throat Nose and Ear Hospital, London. UK.
*
Address for correspondence: Meredydd Lloyd Harries, The Voice Clinic, The Royal National Throat Nose and Ear Hospital, Grays Inn Road, London WC1X 8DA.
Get access Rights & Permissions [Opens in a new window]

Absteract

This review article discusses the surgical treatment of patients suffering from unilateral vocal fold paralysis who have already been assessed and considered appropriate candidates for surgery. There are currently three main methods of surgical rehabilitation; injection medialisation; laryngeal framework surgery; re-innervation procedures.

Keywords

Vocal fold paralysisSurgery

Information

Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 2 , February 1996 , pp. 111 - 116
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Arnold, O. (1962) Vocal rehabilitation of paralytic dysphonia. IX. Technique of intracordal injection. Archives of Otolaryngology 76: 358–368.Google Scholar
Boedts, D., Roels, H., Kluyskens, P. (1967) Laryngeal tissue responses to Teflon. Archives of Otolaryngology 86: 562–567.CrossRefGoogle ScholarPubMed
Brunings, W. (1911) Uber eine neue Behandlungsmethode der Rekurrslahmung. 18. Verhandlungen der Deutscher Laryngology 93: 151.Google Scholar
Buller, A., Kean, C., Ranatunga, K. (1987) Transformation of contraction speed in muscle following cross reinnervation: Dependence on muscle size. Journal of Muscle Research and Cell Motility 8: 504–516.CrossRefGoogle ScholarPubMed
Chajchir, A., Beuzaquen, I., Wexler, E. (1990) Fat injection. Aesthetic Plastic Surgery 14: 127–136.Google Scholar
Crumley, R. (1985) Update of laryngeal reinnervation concepts and options. In Surgery of the Larynx (Bailey, B., Biller, H., eds.) W. Saunders, Philadelphia, pp 135–147.Google Scholar
Crumley, R. (1988) Laryngeal synkinesis: its significance to the laryngologist. Annals of Otology, Rhinology and Laryngology 97: 87–92.Google Scholar
Crumley, R. (1991) Update: ansa cervicalis to recurrent laryngeal nerve anastomosis for unilateral paralysis. Laryngoscope 101: 344–348.Google Scholar
Crumley, R., Izdebski, K. (1986) Voice quality following reinnervation by ansa hypoglossi transfer. Laryngoscope 6: 342–346.Google Scholar
Cummings, C., Purcell, L., Flint, P. (1993) Hydroxylapatite laryngeal implants for medialization preliminary report. Annals of Otology, Rhinology and Laryngology 102: 843–851.CrossRefGoogle ScholarPubMed
Dedo, H., Carlsoo, B. (1982) Histological evaluation of Teflon granulomas of human vocal cords. Acta Otolaryngology 85: 47–56.Google Scholar
Doyle, P. (1968) Indications and contraindications for recurrent laryngeal nerve repair. Transactions of the Pacific Coast Oto-Ophthalmological Society 50: 354–357.Google Scholar
Ellenbogen, B., Gerber, T., Coon, R., Tool, R. (1981) Accessory muscle activity and respiration. OtolaryngologyHead and Neck Surgery 89: 370–375.CrossRefGoogle ScholarPubMed
Fata, J., Malmgren, L., Gacek, R., Dum, R., Woo, P. (1987) Histochemical study of the posterior cricoarytenoid muscle reinnervation by a nerve-muscle pedicle in the cat. Annals of Otology, Rhinology and Laryngology 96: 479–487.Google Scholar
Flint, P., Cummings, C. (1993) Phonosurgical procedures. In Otolaryngology, Head and Neck Surgery. (Cummings, C., ed.). 2nd Edition, Vol. 3, C. V. Mosby Co., St Louis. pp 2072–2109.Google Scholar
Ford, C. (1986) Histological studies on the fate of soluble collagen injected into canine vocal folds. Laryngoscope 96: 1248–1257.CrossRefGoogle ScholarPubMed
Ford, C. (1991) Laryngeal injection techniques. In Phonosurgery: Assessment and Surgical Management of Voice Disorders. Raven Press Ltd., New York, pp 123–141.Google Scholar
Ford, C., Bless, D. (1987) Collagen injection in the scarred vocal fold. Journal of Voice 1: 116–118.CrossRefGoogle Scholar
Ford, C., Bless, D., Loftus, J. (1992) Role of collagen in the treatment of glottic insufficiency: A study of 119 patients. Annals of Otology, Rhinology and Laryngology 101: 237–247.Google Scholar
Gardener, o., Parnes, S. (1991) Status of the mucosal wave post vocal cord injection versus thyroplasty. Journal of Voice 5: 64–73.CrossRefGoogle Scholar
Goding, G. Jr. (1991) Nerve-muscle pedicle re-innervation of the vocal cord. Otolaryngology Clinics of North America 24: 115–128.Google Scholar
Green, D., Berke, G., Ward, P. (1991) Vocal fold medialization by surgical augmentation versus arytenoid adduction in the in vivo canine model. Annals of Otology, Rhinology and Laryngology 100: 280–287.Google Scholar
Horsley, J. (1909) Suture of the recurrent laryngeal nerve with report of a case. Transactions of the Southern Surgical Gynecological Association 22: 161–170.Google Scholar
Illouz, Y. (1988) Present results of fat injection. Aesthetic Plastic Surgery 12: 175–181.Google Scholar
Isaacson, O., Kim, J., Kirchner, J., Kirchner, J. (1990) Histology of Isshiki Thyroplasty Type 1. Annals of Otology, Rhinology and Laryngology 99: 42–45.CrossRefGoogle Scholar
Isshiki, N. (1989) Phonosurgery; Theory and Practice. Springer-Verlag, Tokyo Chapter 3: 23–33.Google Scholar
Isshiki, N., Morita, H., Okamura, H., Hiramoto, M. (1974) Thyroplasty as a new phonosurgical technique. Acta Otolaryngology 78: 451–457.Google Scholar
Isshiki, N., Tanbe, M., Sawada, M. (1978) Arytenoid adduction for unilateral vocal cord paralysis. Archives of Otolaryngology 104: 555–558.Google Scholar
Kaufman, J. (1986) Laryngoplasty for vocal cord medialization: an alternative to Teflon. Larynoscope 96: 726–731.Google Scholar
Kaufman, J. (1993) Management of vocal fold paralysis. The Centre for voice disorders of Wake University, Winston Salem, The Visible Voice. Vol. 2, Number 3: 50–71.Google Scholar
Kirchenberg, M., Shwatz, I. (1985) Excitation and contraction of skeletal muscle. In Best and Taylor's Physiological Basis of Medical Practice (West, J. ed.), Williams and Wilkins, Baltimore, pp 58–106.Google Scholar
Lahey, F. (1928) Suture of the recurrent laryngeal nerve for bilateral abductory paralysis. Annals of Surgery 87: 481–484.Google Scholar
Lewy, R. (1983) Teflon injection of the vocal cord: Complications, errors, and precautions. Annals of Otology, Rhinology and Laryngology 92: 473–474.Google Scholar
Lewy, R., Millet, D. (1978) Immediate local tissue reactions to Teflon vocal cord implants. Laryngoscope 88: 1339–1342.Google Scholar
Malizia, A. (1984) Migration and granulomatous reaction after periurethral injection of Polytef (Teflon). Journal of the American Medical Association 251: 3277–3281.CrossRefGoogle ScholarPubMed
May, M., Barry, Q. (1986) Muscle-nerve pedicle reinnervation. Laryngoscope 96: 1196–1200.CrossRefGoogle Scholar
McCaffrey, T. (1993) Transcutaneous teflon injection for vocal cord paralysis. Otolaryngology—Head and Neck Surgery 109: 54–59.Google Scholar
Meurman, Y. (1952) Operative mediofixation of the vocal cord in complete unilateral paralysis. Archives of Otolaryngology 55: 544–553.Google Scholar
Mikaelian, D., Lowry, L., Sataloff, R. (1991) Lipoinjection for unilateral vocal cord paralysis. Laryngoscope 101: 465–468.CrossRefGoogle ScholarPubMed
Mikus, J., Kaufman, J., Kilpatrick, S. (1995) Fate of liposuctioned and purified autologous fat injections in the canine vocal fold. Laryngoscope 105: 17–22.CrossRefGoogle ScholarPubMed
Montgomery, W., Blaugrund, S., Varvares, M. (1993) Thyroplasty: a new approach. Annals of Otology, Rhinology and Laryngology 102: 571–579.CrossRefGoogle ScholarPubMed
Netterville, J., Stone, R., Luken, E., Civantos, F., Ossoff, R. (1993) Silastic medialization and arytenoid adduction: The Vanderbilt experience. Annals of Otology, Rhinology and Laryngology 102: 413–424.Google Scholar
Opheim, o. (1955) Unilateral paralysis of the vocal cord. Operative treatment. Annals of Otolaryngology 45: 226–230.Google Scholar
Payr, E. (1915) Plastik am Schildknorpel zur Behebung Folgen einsteiner Stimmbandlahmung. Deutsche medizinische Wochenschrift 43: 1265–1270.Google Scholar
Remade, M., Hamoir, M., Etienne, M. (1990) Gax-collagen injection to correct aspiration problems after subtotal laryngectomy. Laryngoscope 100: 663–669.Google Scholar
Rosen, M., Malmgren, L., Gacek, R. (1983) Three-dimensional computer reconstruction of the distribution of neuromuscular junctions in the thyroarytenoid muscle. Annals of Otology, Rhinology and Laryngology 92: 424–429.Google Scholar
Sawashima, M., Totsuka, G., Kobayashi, T. (1968) Surgery for hoarseness due to unilateral vocal cord paralysis. Archives of Otolaryngology 87: 289–294.CrossRefGoogle ScholarPubMed
Schram, V., May, M., Lavorato, A. (1978) Gelfoam paste injection for vocal cord paralysis: Temporary rehabilitation of glottic incompetence. Laryngoscope 88: 1268.Google Scholar
Sercarz, J., Berke, G., Gerratt, B., Ming, Y., Natividad, M. (1992) Videostroboscopy of human vocal fold paralysis. Annals of Otology, Rhinology and Laryngology 101: 567–577.Google Scholar
Slavit, D., McCaffery, T. (1991) Regulation of phonatory efficiency by vocal fold tension and glottic width in the excised canine larynx. Annals of Otology, Rhinology and Laryngology 100: 668–677.Google Scholar
Spiegel, J., Sataloff, R. (1987) The treatment of vocal fold paralysis with injectable collagen: clinical concerns. Journal of Voice 1: 119–121.Google Scholar
Stone, J., Arnold, G. (1967) Human larynx injected with Teflon paste. Archives of Otolaryngology 86: 550–561.Google Scholar
Strasnick, B., Berke, G., Ward, P. (1991) transcutaneous teflon injection for unilateral vocal cord paralysis: An update. Laryngoscope 101: 785–787.Google Scholar
Tucker, H. (1983) Complications after surgical management of the paralysed larynx. Laryngoscope 93: 295–298.Google Scholar
Tucker, H. (1987) In The Larynx. 1st edition. Thieme Medical Publishers Inc., New York, pp 235–258.Google Scholar
Von Leden, H. (1991) The history of phonosurgery. In Phonosurgery: Assessment and Surgical Management of Voice Disorders. (Ford, C., Bless, D., eds.), Raven Press Ltd., New York, pp 3–23.Google Scholar
Wexler, D., Gray, S., Jiang, J., Titze, I. (1989) Phonosurgical studies: Fat-graft reconstruction of injured canine vocal cords. Annals of Otology, Rhinology and Laryngology 98: 668–672.Google Scholar