Publications [#151617] of Walter T Lee

Papers Published

1. WT Lee, C Milstein, D Hicks, LM Akst, RM Esclamado, Results of ansa to recurrent laryngeal nerve reinnervation., Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 136 no. 3 (March, 2007), pp. 450-4, ISSN 0194-5998 [doi]
   (last updated on 2013/05/16)

   Abstract:
   OBJECTIVE: We sought to describe the results of ansa cervicalis to recurrent laryngeal nerve (ansa-RLN) reinnervation for unilateral vocal fold paralysis. METHODS: A chart review was performed on patients undergoing ansa-RLN reinnervation for unilateral vocal cord paralysis at a tertiary care center. Patient perceptions of preoperative and postoperative voice quality was surveyed. Acoustic and visual parameters were assessed from videostroboscopy. RESULTS: From a total of 25 study patients, 15 patients underwent both preoperative and postoperativ video stroboscopies. In stroboscopies within 6 months, the average improvement in overall severity, roughness, and breathiness was 69, 79, and 100 percent, respectively. In stroboscopies after 6 months, the average improvement in overall severity, roughness, and breathiness was 63, 66, and 100 percent, respectively. Postoperatively, all patients had reinnervation of the vocal fold. CONCLUSIONS: Voice outcomes were improved in patients with preoperative and postoperative stroboscopies. CONCLUSIONS: Ansa-RLN reinnervation should be considered as a treatment for unilateral vocal fold paralysis.

   Keywords:
   Adult • Aged • Anastomosis, Surgical • Attitude to Health • Female • Follow-Up Studies • Hoarseness • Humans • Male • Middle Aged • Neck Muscles • Nerve Transfer • Recurrent Laryngeal Nerve • Retrospective Studies • Speech Acoustics • Stroboscopy • Treatment Outcome • Video Recording • Vocal Cord Paralysis • Vocal Cords • Voice Quality • innervation • innervation* • methods* • physiology • physiopathology • surgery • surgery*