Immediate selective laryngeal reinnervation in vagal paraganglioma patients

Marina Mat Baki, P. Clarke, M. A. Birchall

Research output: Contribution to journalArticle

Abstract

Objective This prospective case series aimed to present the outcomes of immediate selective laryngeal reinnervation.Methods Two middle-aged women with vagal paraganglioma undergoing an excision operation underwent immediate selective laryngeal reinnervation using the phrenic nerve and ansa cervicalis as the donor nerve. Multidimensional outcome measures were employed pre-operatively, and at 1, 6 and 12 months post-operatively.Results The voice handicap index-10 score improved from 23 (patient 1) and 18 (patient 2) at 1 month post-operation, to 5 (patient 1) and 1 (patient 2) at 12 months. The Eating Assessment Tool 10 score improved from 20 (patient 1) and 24 (patient 2) at 1 month post-operation, to 3 (patient 1) and 1 (patient 2) at 12 months. There was slight vocal fold abduction observed in patient one and no obvious abduction in patient two.Conclusion Selective reinnervation is safe to perform following vagal paraganglioma excision conducted on the same side. Voice and swallowing improvements were demonstrated, but no significant vocal fold abduction was achieved.

Original languageEnglish
Pages (from-to)846-851
Number of pages6
JournalJournal of Laryngology and Otology
Volume132
Issue number9
DOIs
Publication statusPublished - 1 Sep 2018

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Paraganglioma
Vocal Cords
Phrenic Nerve
Deglutition
Eating
Outcome Assessment (Health Care)
Tissue Donors

Keywords

  • Laryngeal Nerve Injuries
  • Laryngeal Reinnervation
  • Paraganglioma
  • vagus nerve
  • Vocal Cord Paralysis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Immediate selective laryngeal reinnervation in vagal paraganglioma patients. / Mat Baki, Marina; Clarke, P.; Birchall, M. A.

In: Journal of Laryngology and Otology, Vol. 132, No. 9, 01.09.2018, p. 846-851.

Research output: Contribution to journalArticle

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AB - Objective This prospective case series aimed to present the outcomes of immediate selective laryngeal reinnervation.Methods Two middle-aged women with vagal paraganglioma undergoing an excision operation underwent immediate selective laryngeal reinnervation using the phrenic nerve and ansa cervicalis as the donor nerve. Multidimensional outcome measures were employed pre-operatively, and at 1, 6 and 12 months post-operatively.Results The voice handicap index-10 score improved from 23 (patient 1) and 18 (patient 2) at 1 month post-operation, to 5 (patient 1) and 1 (patient 2) at 12 months. The Eating Assessment Tool 10 score improved from 20 (patient 1) and 24 (patient 2) at 1 month post-operation, to 3 (patient 1) and 1 (patient 2) at 12 months. There was slight vocal fold abduction observed in patient one and no obvious abduction in patient two.Conclusion Selective reinnervation is safe to perform following vagal paraganglioma excision conducted on the same side. Voice and swallowing improvements were demonstrated, but no significant vocal fold abduction was achieved.

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