Vagal stimulation and laryngeal electromyography for recurrent laryngeal reinnervation in children
Christen L. Caloway MD Gillian R. Diercks MD, MPH Gregory Randolph MD Christopher J. Hartnick MD, MPH
First published: 12 June 2019 https://doi.org/10.1002/lary.28135
Editor's Note: This Manuscript was accepted for publication on May 28, 2019.
Presented as a poster at the American Broncho‐Esophagological Association Annual Meeting, Austin, Texas, U.S.A., May 1–5, 2019.
c.l.c. was involved in execution of the study, acquisition of data, analysis and interpretation of data, drafting the article, and final approval of the final manuscript as submitted. g.r.d., g.r., and c.j.h. were involved in planning and execution of the study, as well as the critical review and revision of the manuscript and approval of the final manuscript as submitted. c.l.c. had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
The authors have no funding, financial relationships, or conflicts of interest to disclose.
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Abstract
Ansa‐to‐recurrent laryngeal nerve (ANSA‐RLN) reinnervation procedures are now often first‐line treatments for some children with unilateral vocal fold immobility. Although many describe that children with prolonged denervation and true vocal fold atrophy should not undergo this procedure, there has been no gold‐standard means of identifying true denervation. Here, we describe a novel technique using evoked vagal electromyography to predict degree of chronic nerve injury prior to recurrent laryngeal nerve reinnervation in children. This is a simple, readily available technique that may play an important role in predicting likelihood of success with pediatric ANSA‐RLN reinnervation. Laryngoscope, 2019
Christen L. Caloway MD Gillian R. Diercks MD, MPH Gregory Randolph MD Christopher J. Hartnick MD, MPH
First published: 12 June 2019 https://doi.org/10.1002/lary.28135
Editor's Note: This Manuscript was accepted for publication on May 28, 2019.
Presented as a poster at the American Broncho‐Esophagological Association Annual Meeting, Austin, Texas, U.S.A., May 1–5, 2019.
c.l.c. was involved in execution of the study, acquisition of data, analysis and interpretation of data, drafting the article, and final approval of the final manuscript as submitted. g.r.d., g.r., and c.j.h. were involved in planning and execution of the study, as well as the critical review and revision of the manuscript and approval of the final manuscript as submitted. c.l.c. had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
The authors have no funding, financial relationships, or conflicts of interest to disclose.
Read the full text
ePDFPDFTOOLS SHARE
Abstract
Ansa‐to‐recurrent laryngeal nerve (ANSA‐RLN) reinnervation procedures are now often first‐line treatments for some children with unilateral vocal fold immobility. Although many describe that children with prolonged denervation and true vocal fold atrophy should not undergo this procedure, there has been no gold‐standard means of identifying true denervation. Here, we describe a novel technique using evoked vagal electromyography to predict degree of chronic nerve injury prior to recurrent laryngeal nerve reinnervation in children. This is a simple, readily available technique that may play an important role in predicting likelihood of success with pediatric ANSA‐RLN reinnervation. Laryngoscope, 2019
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