Skip to main content

Etiologies of Vocal Fold Paralysis and Conventional Surgical Procedures Used to Treat Paralytic Dysphonia

  • Chapter
Pathophysiology and Surgical Treatment of Unilateral Vocal Fold Paralysis

Abstract

Modern imaging techniques including computed tomography, magnetic resonance imaging, and ultrasonography have advanced greatly over the last three decades, allowing the causes of vocal fold paralysis (VFP) to be established and improving the surgical treatment of patients with previously inoperable life-threatening diseases. However, VFP sometimes persists or even appears as a complication following surgery, resulting in breathy dysphonia and/or swallowing difficulties that affect postoperative quality of life (QOL) [1–4]. Thus, phonosurgical treatment of patients with paralytic dysphonia is important to improve QOL after treatment of the primary disease. In this chapter, the author reviews his experience in terms of the etiologies of VFP, the optimal surgical treatments for breathy dysphonia, and the vocal outcomes after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Smith E, Taylor M, Mendoza M, Barkmeier J, Lemke J, Hoffman H. Spasmodic dysphonia and vocal fold paralysis: outcomes of voice problems on work-related functioning. J Voice. 1998;12:223–32.

    Article  CAS  PubMed  Google Scholar 

  2. Benninger MS, Ahuja AS, Gardner G, Grywalski C. Assessing outcomes for dysphonic patients. J Voice. 1998;12:540–50.

    Article  CAS  PubMed  Google Scholar 

  3. Baba M, Natsugoe S, Shimada M, Nakano S, Noguchi Y, Kawachi K, Kusano C, Aikou T. Does hoarseness of voice from recurrent nerve paralysis after esophagectomy for carcinoma influence patient quality of life? J Am Coll Surg. 1999;188:231–6.

    Article  CAS  PubMed  Google Scholar 

  4. Fang TJ, Li HY, Glicklich RE, Chen YH, Wang PC, Chuang HF. Quality of life measures and predictors for adults with unilateral vocal cord paralysis. Laryngoscope. 2008;118:1837–41.

    Article  PubMed  Google Scholar 

  5. Bachor E, Bonkowsky V, Hacki T. Herpes simplex virus type I reactivation as a cause of a unilateral temporary paralysis of the vagus nerve. Eur Arch Otorhinolaryngol. 1996;253:297–300.

    CAS  PubMed  Google Scholar 

  6. Amin MR, Koufman JA. Vagal neuropathy after upper respiratory infection: a viral etiology? Am J Otolaryngol. 2001;22:251–6.

    Article  CAS  PubMed  Google Scholar 

  7. Pinto JA, Pinto HCF, Ramalho JRO. Laryngeal herpes: a case report. J Voice. 2002;16:560–3.

    Article  PubMed  Google Scholar 

  8. Nakagawa H, Satoh M, Kusuyama T, Fukuda H, Ogawa K. Isolated vagus nerve paralysis caused by varicella zoster virus reactivation. Otolaryngol Head Neck Surg. 2005;133:460–1.

    Article  PubMed  Google Scholar 

  9. Chitose S, Umeno H, Hamakawa S, Nakashima T, Shoji H. Unilateral associated laryngeal paralysis due to varicella-zoster virus: virus antibody testing and videofluoroscopic findings. J Laryngol Otol. 2008;122:170–6.

    Article  PubMed  Google Scholar 

  10. Lin YY, Kao CH, Wang CH. Varicella zoster virus infection of the pharynx and larynx with multiple cranial neuropathies. Laryngoscope. 2011;121:1627–30.

    Article  PubMed  Google Scholar 

  11. Brunings W. Uber eine neue Behandlungsmethode der Rekurrenslamung. Verhandl ver Deutsch Laryngol. 1911;18:93–151.

    Google Scholar 

  12. Arnold GE. Alleviation of aphonia or dysphonia through intracordal injection of Teflon paste. Ann Otol Rhinol Laryngol. 1963;72:384–95.

    Article  Google Scholar 

  13. Arnold GE. Further experiences with intracordal Teflon injection. Laryngoscope. 1964;74:802–15.

    Article  CAS  PubMed  Google Scholar 

  14. Ward PH. Use of injectable Teflon in otolaryngology. Arch Otolaryngol. 1968;87:637–43.

    Article  CAS  PubMed  Google Scholar 

  15. Donnellan WL, Gabriel W, Maurizi DG, et al. The use of silastic in the treatment of unilateral cord paralysis. An experimental study. Ann Otol Rhinol Laryngol. 1966;75:646–56.

    Article  CAS  PubMed  Google Scholar 

  16. Fukuda H. Vocal rehabilitation by silicon injection. Nippon Jibiinkouka Gakkai Kaiho. 1970;73:1506–26. (in Japanese)

    Google Scholar 

  17. Lewy RB. Teflon injection of the vocal cord: complications, errors, and precautions. Ann Otol Rhinol Laryngol. 1983;92:473–4.

    Article  CAS  PubMed  Google Scholar 

  18. Varvares MA, Montgomery WW, Hilman RE. Teflon granuloma of the larynx: etiology, pathophysiology, and management. Ann Otol Rhinol Laryngol. 1995;104:511–5.

    Article  CAS  PubMed  Google Scholar 

  19. Flint PW, Corio RL, Cummings CW. Comparison of soft tissue response in rabbits following laryngeal implantation with hydroxylapatite, silicone rubber, and Teflon. Ann Otol Rhinol Laryngol. 1997;106:399–407.

    Article  CAS  PubMed  Google Scholar 

  20. Andrews JM. Cellular behavior to injected silicone fluid: a preliminary report. Plast Reconstr Surg. 1966;38:581–3.

    Article  CAS  PubMed  Google Scholar 

  21. Tsuzuki T, Fukuda H, Fujioka T. Response of the human larynx to silicone. Am J Otolaryngol. 1991;12:288–91.

    Article  CAS  PubMed  Google Scholar 

  22. Ford CH, Bless DM. A preliminary study of injectable collagen in human vocal fold augmentation. Otolaryngol Head Neck Surg. 1986;94:104–22.

    CAS  PubMed  Google Scholar 

  23. Mikaelian D, Lowry LD, Sataloff RT. Lipoinjection for unilateral vocal cord paralysis. Laryngoscope. 1991;101:465–9.

    CAS  PubMed  Google Scholar 

  24. Laccourreye O, Papon JF, Kania R, et al. Intracordal injection of autologous fat in patients with unilateral laryngeal nerve paralysis: long-term results from the patient’s perspective. Laryngoscope. 2003;113:541–5.

    Article  PubMed  Google Scholar 

  25. Rihkanen H. Vocal fold augmentation by injection of autologous fascia. Laryngoscope. 1998;108:51–4.

    Article  CAS  PubMed  Google Scholar 

  26. Duke SG, Salmon J, Blalock D, Postma GN, Koufman JA. Fascia augmentation of the vocal fold: graft yield in the canine and preliminary clinical experience. Laryngoscope. 2001;111:759–64.

    Article  CAS  PubMed  Google Scholar 

  27. Karpenko A, Dworkin J, Meleca R, et al. Cymetra injection for unilateral vocal fold paralysis. Ann Otol Rhinol Laryngol. 2003;112:927–34.

    Article  PubMed  Google Scholar 

  28. Milstein CF, Akst LM, Hicks D, Abelson TI, Strome M. Long-term effects of micronized AlloDerm injection for unilateral vocal fold paralysis. Laryngoscope. 2005;115:1691–6.

    Article  CAS  PubMed  Google Scholar 

  29. Belafsky PC, Postma GN. Vocal fold augmentation with calcium hydroxylapatite. Otolaryngol Head Neck Surg. 2004;131:351–4.

    Article  PubMed  Google Scholar 

  30. Carrol TL, Rosen CA. Long-term results of calcium hydroxylapatite for vocal fold augmentation. Laryngoscope. 2011;121:313–9.

    Article  CAS  Google Scholar 

  31. Gillespie MB, Dozier TS, Day TA, Martin-Harris B, Nguyen SA. Effectiveness of hydroxylapatite paste in vocal rehabilitation. Ann Otol Rhinol Laryngol. 2009;118:546–51.

    PubMed  Google Scholar 

  32. Finck C, Lefebvre P. Implantation of esterified hyaluronic acid in microdissected Reinke’s space after vocal fold microsurgery: first clinical experiences. Laryngoscope. 2005;115:1841–7.

    Article  CAS  PubMed  Google Scholar 

  33. Upton DC, Johnson M, Zelazny SK, Dailey SH. Prospective evaluation of office-based injection laryngoplasty with hyaluronic acid gel. Ann Otol Rhinol Laryngol. 2013;122:541–6.

    Article  PubMed  Google Scholar 

  34. Sato K, Umeno H, Nakashima T. Autologous fat injection laryngopharyngoplasty for aspiration after vocal fold paralysis. Ann Otol Rhinol Laryngol. 2004;113:87–92.

    Article  PubMed  Google Scholar 

  35. Tamura E, Fukuda H, Tabata Y, Nishimura M. Use of the buccal fat pad for vocal cord augmentation. Acta Otolaryngol. 2008;128:219–24.

    Article  PubMed  Google Scholar 

  36. Tamura E, Fukuda H, Tabata Y. Adipose tissue formation in response to basic fibroblast growth factor. Acta Otolaryngol. 2007;127:1327–31.

    Article  CAS  PubMed  Google Scholar 

  37. Mikus JL, Koufman JA, Kilpatrick SE. Fate of liposuctioned and purified autologous fat injections in the canine vocal fold. Laryngoscope. 1995;105:17–22.

    Article  CAS  PubMed  Google Scholar 

  38. Bauer CA, Valentino J, Hoffman HT. Long-term result of vocal cord augmentation with autogenous fat. Ann Otol Rhinol Laryngol. 1995;104:871–4.

    Article  CAS  PubMed  Google Scholar 

  39. Cantarella G, Mazzola RF, Domenichini E, Arnone F, Maraschi B. Vocal fold augmentation by autologous fat injection with lipostructure procedure. Otolaryngol Head Neck Surg. 2005;132:239–43.

    Article  PubMed  Google Scholar 

  40. Tamura E, Okada S, Shibuya M, Iida M. Comparison of fat tissues used in intrcordal autologous fat injection. Acta Otolaryngol. 2010;130:405–9.

    Article  PubMed  Google Scholar 

  41. Tsunoda K, Takanosawa M, Niimi S. Autologous transplantation of fascia into the vocal fold: a new phonosurgical technique for glottal incompetence. Laryngoscope. 1999;109:504–8.

    Article  CAS  PubMed  Google Scholar 

  42. Tsunoda K, Niimi S. Autologous transplantation of fascia into the vocal fold. Laryngoscope. 2000;110:680–2.

    Article  CAS  PubMed  Google Scholar 

  43. Tsunoda K, Baer T, Niimi S. Autologous transplantation of fascia into the vocal fold: long-term results of a new phonosurgical technique for glottal incompetence. Laryngoscope. 2001;111:453–7.

    Article  CAS  PubMed  Google Scholar 

  44. Nishiyama K, Hirose H, Iguchi Y, Nagai H, Yamanaka J, Okamoto M. Autologous transplantation of fascia into the vocal fold as a treatment for recurrent nerve paralysis. Laryngoscope. 2002;112:1420–5.

    Article  PubMed  Google Scholar 

  45. Nishiyama K, Hirose H, Masaki T, Nagai H, Hashimoto D, Usui D, Yao K, Tsunoda K, Okamoto M. Long-term result of the new endoscopic vocal fold medialization surgical technique for laryngeal palsy. Laryngoscope. 2006;116:231–4.

    Article  PubMed  Google Scholar 

  46. Sulica L, Rosen CA, Postma GN, Simpson B, Amin M, Courey M, Merati A. Current practice in injection augmentation of the vocal folds: indications, treatment principles, techniques, and complications. Laryngoscope. 2010;120:319–25.

    Article  PubMed  Google Scholar 

  47. Payr E. Plastik am Schildknorpel zur Behebung der Folgen einseitiger Stimmbandlahmung. Dtsch Med Wochenschr. 1915;43:1265–70.

    Google Scholar 

  48. Meurmann Y. Operative mediofixation of the vocal cord in complete unilateral paralysis. Arch Otolaryngol. 1952;55:544–53.

    Article  Google Scholar 

  49. Opheim O. Unilateral paralysis of the vocal cord. Acta Otolaryngol. 1955;45:226–30.

    Article  CAS  PubMed  Google Scholar 

  50. Sawashima M, Totsuka G, Kobayashi T, Hirose H. Surgery for hoarseness due to unilateral vocal cord paralysis. Arch Otolaryngol. 1968;87:289–94.

    Article  CAS  PubMed  Google Scholar 

  51. Bernstein L, Holt GP. Correction of vocal cord abduction in unilateral recurrent laryngeal nerve paralysis by transposition of the sternohyoid muscle. An experimental study in dogs. Laryngoscope. 1967;77:876–85.

    Article  CAS  PubMed  Google Scholar 

  52. Isshiki N, Morita H, Okamura H, Hiramoto M. Thyroplasty as a new phonosurgical technique. Acta Otolaryngol. 1974;78:451–7.

    Article  CAS  PubMed  Google Scholar 

  53. Isshiki N, Okamura H, Ishikawa T. Thyroplasty type I (lateral compression) for dysphonia due to vocal cord paralysis or atrophy. Acta Otolaryngol. 1975;80:465–73.

    Article  CAS  PubMed  Google Scholar 

  54. Carrau RL, Myers EN. Localization of true vocal cord for medialization thyroplasty. Laryngoscope. 1995;105:534–6.

    Article  CAS  PubMed  Google Scholar 

  55. Lee EC, Kuriloff DB. The pilot hole technique in type I thyroplasty. Laryngoscope. 1995;105:768–70.

    Article  CAS  PubMed  Google Scholar 

  56. Cummings CW, Purcell LL, Flint PW. Hydroxylapatite laryngeal implants for medialization: preliminary report. Ann Otol Rhinol Laryngol. 1993;102:843–51.

    Article  CAS  PubMed  Google Scholar 

  57. Montgomery WW, Montgomery SK. Montgomery thyroplasty implant system. Ann Otol Rhinol Laryngol. 1997;170(Suppl):1–16.

    CAS  Google Scholar 

  58. Friedrich G. Titanium vocal fold medialization implant: Introducing a novel implant system for external vocal fold medialization. Ann Otol Rhinol Laryngol. 1999;108:79–86.

    Article  CAS  PubMed  Google Scholar 

  59. McCulloch TM, Hoffman HT. Medialization laryngoplasty with expanded polytetrafluoroethylene. Surgical technique and preliminary results. Ann Otol Rhinol Laryngol. 1998;107:427–32.

    Article  CAS  PubMed  Google Scholar 

  60. Morrison LF. The “Reverse King operation”. Ann Otol Rhinol Laryngol. 1948;57:945–56.

    CAS  PubMed  Google Scholar 

  61. Montgomery WW. Cricoarytenoid arthrodesis. Ann Otol Rhinol Laryngol. 1966;75:380–91.

    Article  Google Scholar 

  62. Isshiki N, Tanabe M, Sawada M. Arytenoid adduction for unilateral vocal cord paralysis. Arch Otolaryngol. 1978;104:555–8.

    Article  CAS  PubMed  Google Scholar 

  63. Iwamura S, Kurita N. A new arytenoid adduction technique for one-vocal-fold paralysis-a direct pull of the lateral cricoarytenoid muscle. Tokeibugeka. 1996;6:1–10. (in Japanese)

    Google Scholar 

  64. Sonoda S, Kataoka H, Inoue T. Traction of lateral cricoarytenoid muscle for unilateral vocal fold paralysis: comparison with Isshiki’s original technique of arytenoids adduction. Ann Otol Rhinol Laryngol. 2005;114:132–8.

    Article  PubMed  Google Scholar 

  65. Tokashiki R, Hiramatsu H, Tsukahara K, Kanebayashi H, Nakamura M, Motohashi R, Yamada T, Suzuki M. A “fenestration approach” for arytenoid adduction through the thyroid ala combined with type I thyroplasty. Laryngoscope. 2007;117:1882–92.

    Article  PubMed  Google Scholar 

  66. Maragos NE. The posterior thyroplasty window: anatomical considerations. Laryngoscope. 1999;109:1228–31.

    Article  CAS  PubMed  Google Scholar 

  67. Su CY, Lui CC, Lin HC, Chiu JF, Cheng CA. A new paramedian approach to arytenoid adduction and strap muscle transposition for vocal fold medialization. Laryngoscope. 2002;112:342–50.

    Article  PubMed  Google Scholar 

  68. Slavit DH, Maragos NE. Physiologic assessment of arytenoid adduction. Ann Otol Rhinol Laryngol. 1992;101:321–7.

    Article  CAS  PubMed  Google Scholar 

  69. Su CY, Tsai SS, Chuang HCC, Chiu JF. Functional significance of arytenoid adduction with the suture attaching to cricoid cartilage versus to thyroid cartilage for unilateral paralytic dysphonia. Laryngoscope. 2005;115:1752–9.

    Article  PubMed  Google Scholar 

  70. Woodson GE, Picerno R, Yeung D, Hengesteg A. Arytenoid adduction: controlling vertical position. Ann Otol Rhinol Laryngol. 2000;109:360–4.

    Article  CAS  PubMed  Google Scholar 

  71. Rosen CA. Complications of phonosurgery: results of a national survey. Laryngoscope. 1998;108:1697–703.

    Article  CAS  PubMed  Google Scholar 

  72. Weinman EC, Maragos NE. Airway compromise in thyroplastic surgery. Laryngoscope. 2000;110:1082–5.

    Article  CAS  PubMed  Google Scholar 

  73. Abraham MT, Gonen M, Kraus DH. Complications of type I thyroplasty and arytenoids adduction. Laryngoscope. 2001;111:1322–9.

    Article  CAS  PubMed  Google Scholar 

  74. Maragos N. Pyriform sinus mucosa stabilization for prevention of postoperative airway obstruction in arytenoids adduction. Ann Otol Rhinol Laryngol. 2006;115:171–4.

    Article  PubMed  Google Scholar 

  75. Yumoto E, Nakano K, Oyamada Y, Hyodo M, Kobayashi J, Sanuki T. Laryngeal framework surgery for patients with unilateral vocal fold paralysis–present status and issues for future development. Tokeibugeka. 2001;11:83–9. (in Japanese)

    Google Scholar 

  76. Kraus DH, Orlikoff RF, Rizk SS, Rosenberg DB. Arytenoid adduction as an adjunct to type I thyroplasty for unilateral vocal cord paralysis. Head Neck. 1999;21:52–9.

    Article  CAS  PubMed  Google Scholar 

  77. McCulloch TM, Hoffman HT, Andrews BT, Karnell MP. Arytenoid adduction combined with Gore-tex medialization thyroplasty. Laryngoscope. 2000;110:1306–11.

    Article  CAS  PubMed  Google Scholar 

  78. Mortensen M, Carroll L, Woo P. Arytenoid adduction with medialization laryngoplasty versus injection or medialization laryngoplasty: the role of the arytenoidopexy. Laryngoscope. 2009;119:827–31.

    Article  PubMed  Google Scholar 

  79. Kimura M, Nito T, Imagawa H, Tayama N, Chan RW. Collagen injection as a supplement to arytenoid adduction for vocal fold paralysis. Ann Otol Rhinol Laryngol. 2008;117:430–6.

    Article  PubMed  Google Scholar 

  80. Zeitels SM, Hochman IH, Hillman RE. Adduction arytenopexy: a new procedure for paralytic dysphonia with implications for implant medialization. Ann Otol Rhinol Laryngol. 1998;107 Suppl 173:2–24.

    Google Scholar 

  81. Zeitels SM, Mauri M, Dailey SH. Adduction arytenopexy for vocal fold paralysis: indications and technique. J Laryngol Otol. 2004;118:508–16.

    Article  PubMed  Google Scholar 

  82. Zeitels SM, Hillman RE, Desloge RB, Bunting GA. Cricothyroid subluxation: a new innovation for enhancing the voice with laryngoplastic phonosurgery. Ann Otol Rhinol Laryngol. 1999;108:1126–31.

    Article  CAS  PubMed  Google Scholar 

  83. Haji T, Omori K, Mori K, Kojima H, Taira T, Isshiki N. Phonation after thyroplasty and arytenoid adduction. Pract Otorhinolaryngol. 1990;83:915–22. (in Japanese)

    Google Scholar 

  84. Isshiki N. Phonosurgery: theory and practice. Tokyo: Springer; 1989.

    Book  Google Scholar 

  85. Nonomura M, Kojima H, Omori K, Kanaji M, Honjo I, Nakamura T, Shimizu Y. Remobilization of paralyzed vocal cord by anticus-lateralis muscle suturing. Arch Otolaryngol Head Neck Surg. 1993;119:498–503.

    Article  CAS  PubMed  Google Scholar 

  86. Nonomura M, Kojima H, Omori K, Ishijima K, Hirano S, Hopnjo I. Dynamic reconstruction for unilateral recurrent laryngeal nerve paralysis: clinical application of anticus-lateralis muscle suturing. Pract Otorhinolaryngol. 1992;85:1095–100.

    Google Scholar 

  87. Miyauchi A, Matsusaka K, Kihara M, Matsuzuka F, Hirai K, Yokozawa T, Kobayashi A, Kuma K. The role of ansa-to-recurrent laryngeal nerve anastomosis in operations for thyroid cancer. Eur J Surg. 1998;164:927–33.

    Article  CAS  PubMed  Google Scholar 

  88. Miyauchi A, Inoue H, Tomoda C, Fukushima M, Kihara M, Higashiyama T, Takamura Y, Ito Y, Kobayashi K, Miya A. Improvement in phonation after reconstruction of the recurrent laryngeal nerve in patients with thyroid cancer invading the nerve. Surgery. 2009;146:1056–62.

    Article  PubMed  Google Scholar 

  89. Yumoto E, Sanuki T, Kumai Y. Immediate recurrent laryngeal nerve reconstruction and vocal outcome. Laryngoscope. 2006;116:1657–61.

    Article  PubMed  Google Scholar 

  90. Sanuki T, Yumoto E, Minoda R, Kodama N. The role of immediate recurrent laryngeal nerve reconstruction for thyroid cancer surgery. J Oncol. 2010;846235.

    Google Scholar 

  91. Yumoto E, Gould J, Baer T. Harmonics-to-noise ratio as an index of the degree of hoarseness. J Acoust Soc Am. 1982;71:1544–50.

    Article  CAS  PubMed  Google Scholar 

  92. Tanaka S, Asato T, Hiratsuka Y. Nerve-muscle transplantation to the paraglottic space after resection of recurrent laryngeal nerve. Laryngoscope. 2004;114:1118–22.

    Article  PubMed  Google Scholar 

  93. Tucker HM. Reinnervation of the unilaterally paralyzed larynx. Ann Otol Rhinol Laryngol. 1977;86:789–94.

    Article  CAS  PubMed  Google Scholar 

  94. Tucker HM, Rusnov M. Laryngeal reinnervation for unilateral vocal cord paralysis: long-term results. Ann Otol Rhinol Laryngol. 1981;90:457–9.

    Article  CAS  PubMed  Google Scholar 

  95. Tucker HM. Combined laryngeal framework medicalization and reinnervation for unilateral vocal fold paralysis. Ann Otol Rhinol Laryngol. 1990;99:778–81.

    Article  CAS  PubMed  Google Scholar 

  96. Tucker HM. Combined surgical medicalization and nerve-muscle pedicle reinnervation for unilateral vocal fold paralysis: improved functional results and prevention of long-term deterioration of voice. J Voice. 1997;11:474–8.

    Article  CAS  PubMed  Google Scholar 

  97. Tucker HM. Long-term preservation of voice improvement following surgical medicalization and reinnervation for unilateral vocal fold paralysis. J Voice. 1999;13:251–6.

    Article  CAS  PubMed  Google Scholar 

  98. May M, Beery Q. Muscle-nerve pedicle laryngeal reinnervation. Laryngoscope. 1986;96:1196–200.

    CAS  PubMed  Google Scholar 

  99. Maronian N, Waugh P, Robinson L, Hillel A. Electromyographic findings in recurrent laryngeal nerve reinnervation. Ann Otol Rhinol Laryngol. 2003;112:314–23.

    Article  PubMed  Google Scholar 

  100. Crumley RL, Izdebski K. Voice quality following laryngeal reinnervation by ansa hypoglossi transfer. Laryngoscope. 1986;96:611–6.

    Article  CAS  PubMed  Google Scholar 

  101. Crumley RL, Izdebski K, McMicken B. Nerve transfer versus Teflon injection for vocal cord paralysis: a comparison. Laryngoscope. 1988;98:1200–4.

    CAS  PubMed  Google Scholar 

  102. Crumley RL. Update: ansa cervicalis to recurrent laryngeal nerve anastomosis for unilateral laryngeal paralysis. Laryngoscope. 1991;101:384–8.

    Article  CAS  PubMed  Google Scholar 

  103. Lorenz RR, Esclamado RM, Teker AM, Strome M, Scharpf J, Hicks D, Milstein C, Lee WT. Ansa cervicalis-to-recurrent laryngeal nerve anastomosis for unilateral vocal fold paralysis: experience of a single institution. Ann Otol Rhinol Laryngol. 2008;117:40–5.

    Article  PubMed  Google Scholar 

  104. Olson DL, Goding GS, Michael DD. Acoustic and perceptual evaluation of laryngeal reinnervation by ansa cervicalis transfer. Laryngoscope. 1998;108:1767–72.

    Article  CAS  PubMed  Google Scholar 

  105. Paniello RC. Laryngeal reinnervation with the hypoglossal nerve: II. Clinical evaluation and early patient experience. Laryngoscope. 2000;110:739–48.

    Article  CAS  PubMed  Google Scholar 

  106. Su WF, Hsu YD, Chen HC, Sheng H. Laryngeal reinnervation by ansa cervicalis nerve implantation for unilateral vocal cord paralysis in humans. J Am Coll Surg. 2007;204:64–72.

    Article  PubMed  Google Scholar 

  107. Paniello RC, Edgar JD, Kallogjeri D, Piccirillo JF. Medialization versus reinnervation for unilateral vocal fold paralysis: a multicenter randomized clinical trial. Laryngoscope. 2011;121:2172–9.

    Article  PubMed Central  PubMed  Google Scholar 

  108. Chhetri DK, Gerratt BR, Kreinman J, Berke GS. Combined arytenoid adduction and laryngeal reinnervation in the treatment of vocal fold paralysis. Laryngoscope. 1999;109:1928–36.

    Article  CAS  PubMed  Google Scholar 

  109. Hassan MM, Yumoto E, Kumai Y, Sanuki T, Kodama N. Vocal outcome after arytenoid adduction and ansa cervicalis transfer. Aech Otolaryngol Head Neck Surg. 2012;138:60–5.

    Article  Google Scholar 

  110. Shaw GY, Szewczyk MA, Searle J, Woodroof J. Autologous fat injection into the vocal folds: technical considerations and long-term follow-up. Laryngoscope. 1997;107:177–86.

    Article  CAS  PubMed  Google Scholar 

  111. McCulloch TM, Andrews BT, Hoffman HT, Graham SM, Karnell MP, Minnick C. Long-term follow-up of fat injection laryngoplasty for unilateral vocal cord paralysis. Laryngoscope. 2002;112:1235–8.

    Article  PubMed  Google Scholar 

  112. Reijonen P, Lehikoinen-Sodeerlund S, Rihkanen H. Results of fascial augmentation in unilateral vocal fold paralysis. Ann Otol Rhinol Laryngol. 2002;111:523–9.

    Article  PubMed  Google Scholar 

  113. Cheng Y, Li Z, Huang J, Xue F, Jiang M, Wu K, Wang Q. Combination of autologous fascia lata and fat injection into the vocal fold via the cricothyroid gap for unilateral vocal fold paralysis. Arch Otolaryngol Head Neck Surg. 2009;135:759–63.

    Article  PubMed  Google Scholar 

  114. Lu FL, Casiano RR, Lundy DS, Xue JW. Longitudinal evaluation of vocal function after thyroplasty type I in the treatment of unilateral vocal paralysis. Laryngoscope. 1996;106:573–7.

    Article  CAS  PubMed  Google Scholar 

  115. Suehiro A, Hirano M, Kishimoto Y, Tanaka S, Ford CN. Comparative study of vocal outcomes with silicone versus Gore-tex thyroplasty. Ann Otol Rhinol Laryngol. 2009;118:405–8.

    PubMed  Google Scholar 

  116. Yumoto E, Okamoto K, Kawamura Y, Okamura H. Injection of atelocollagen to augment the paralyzed vocal fold. J Jpn Bronchoesophagol Soc. 1988;39:271–4. (in Japanese)

    Google Scholar 

  117. Yumoto E, Kadota Y. Thyroplasty type I as the treatment of hoarseness due to unilateral recurrent laryngeal nerve palsy. J Jpn Soc Head Neck Surg. 1993;3:161–7. (in Japanese)

    Google Scholar 

  118. Hyodo M, Yumoto E, Mori T, Kadota Y. Postoperative evaluation after arytenoid adduction. Practica Oto-Rhino-Laryngol. 1997;90:1129–34. (in Japanese)

    Google Scholar 

  119. Yumoto E, Oyamada Y, Goto H. Recent modifications in arytenoid adduction combined with type I thyroplasty. Larynx Jpn. 2003;15:78–83. (in Japanese)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Japan

About this chapter

Cite this chapter

Yumoto, E. (2015). Etiologies of Vocal Fold Paralysis and Conventional Surgical Procedures Used to Treat Paralytic Dysphonia. In: Pathophysiology and Surgical Treatment of Unilateral Vocal Fold Paralysis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55354-0_2

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-55354-0_2

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55353-3

  • Online ISBN: 978-4-431-55354-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics