Ansa-recurrent nerve anastomosis for vocal cord paralysis due to mediastinal lesions

Ann Thorac Surg. 1994 Apr;57(4):1020-1. doi: 10.1016/0003-4975(94)90230-5.

Abstract

Recurrent laryngeal or vagus nerve injuries in the mediastinum are repaired rarely because of technical difficulties. Impairment in phonation is especially severe in patients with respiratory dysfunction. We performed a simple and less invasive reconstruction, ansa cervicalis-recurrent laryngeal nerve anastomosis in the neck, to improve phonation in 2 patients. Although the reinnervated vocal cord did not regain normal movement, both of the patients obtained excellent improvement in phonation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anastomosis, Surgical
  • Female
  • Humans
  • Intraoperative Complications / surgery*
  • Lung Neoplasms / surgery*
  • Mediastinal Neoplasms / surgery*
  • Neck / innervation*
  • Postoperative Complications / etiology*
  • Postoperative Complications / physiopathology
  • Postoperative Complications / surgery*
  • Recurrent Laryngeal Nerve / surgery*
  • Recurrent Laryngeal Nerve Injuries*
  • Time Factors
  • Vocal Cord Paralysis / etiology*
  • Vocal Cord Paralysis / surgery*
  • Voice Disorders / etiology*
  • Voice Disorders / physiopathology
  • Voice Disorders / surgery*
  • Wounds and Injuries / complications