title: Ansa-recurrent nerve anastomosis for vocal cord paralysis due to mediastinal lesions.
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.
authors.affiliation: Second Department of Surgery, Kagawa Medical School, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Miyauchi
authors.forename: K
authors.initials: K
authors.lastname: Matsusaka
authors.forename: H
authors.initials: H
authors.lastname: Kawaguchi
authors.forename: K
authors.initials: K
authors.lastname: Nakamoto
authors.forename: M
authors.initials: M
authors.lastname: Maeda
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008175:Lung Neoplasms / Q000601:surgery*; D008479:Mediastinal Neoplasms / Q000601:surgery*; D009333:Neck / Q000294:innervation*; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D012009:Recurrent Laryngeal Nerve / Q000601:surgery*; D061226:Recurrent Laryngeal Nerve Injuries; D013997:Time Factors; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000601:surgery*; D014832:Voice Disorders / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D014947:Wounds and Injuries / Q000150:complications