Nerve-muscle pedicle reinnervation of the paralyzed vocal cord.
Reinnervation offers great potential for the rehabilitation of the paralyzed larynx, a potential that has yet to be realized. The nerve-muscle pedicle (NMP) technique is one method of reinnervation that attempts to transfer a nerve with a portion of its muscle intact to a denervated muscle. The selection of the nerve to incorporate into a NMP is examined in the first part of this article. Experimental data that argue for and against the use of a NMP, a description of the indications and the techniques for the procedure, and a review of the clinical results are detailed.
Goding
G S
GS
Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis.
D000818:Animals; D003714:Denervation; D006801:Humans; D007821:Laryngeal Muscles / Q000294:innervation / Q000503:physiopathology; D016067:Nerve Transfer / Q000379:methods; D013524:Surgical Flaps / Q000379:methods; D014826:Vocal Cord Paralysis / Q000503:physiopathology / Q000601:surgery*