title: Reconstructive procedures for impaired upper airway function: laryngeal respiration.
abstract: The larynx is the "bottleneck" of the human airway. For this reason, the effects of stenosing laryngeal pathologies on the vital factor respiratory gas exchange are particularly critical.Internal stabilization is a prerequisite for recovery of the laryngeal respiratory function in severe forms of inspiratory collapse (laryngomalacia). Effective laser surgery techniques have been developed to this end in recent years.Glottis-dilating surgery in cases of bilateral vocal cord motion impairment is now moving in the direction of endoscopic laser cordotomy or cordectomy, whereas arytenoidectomy and open surgical procedures are now used only rarely due to higher secondary morbidity rates. In individual cases, in particular if functional recovery is expected, temporary laterofixation of a vocal cord using an endoscopic suturing technique can be a helpful approach.Extensive laryngeal defects can be covered by means of composite grafts with mucosal lining, a supporting skeleton and their own vascularization. Autologous transplantation of the larynx, with its complex surgical and immunological problems, has become a manageable procedure. The problems of post-transplantation reinnervation and risk assessment of immunosuppression-induced recurrence of the tumor are still under consideration.Reanimation of the bilaterally paralyzed larynx by means of neurorrhaphy (neurosuture), neural grafting and, more recently, functional electrostimulation (pacemaker) represents a challenge for the coming years. In most cases of paralysis of the recurrent laryngeal nerve, a part of the muscles is maintained by synkinetic reinnervation when therapy is carried out, which however also prevents effective vocal cord movement due to simultaneous activity of agonists and antagonists. Modulation of reinnervation by means of electrostimulation and modern genetic therapy approaches justify hopes of better outcomes in the future.
authors.affiliation: Department of Otorhinolaryngology/Plastic Surgery, SRH Wald-Klinikum Gera gGmbH, teaching hospital of the Friedrich-Schiller-University Jena, Gera.
authors.forename: Andreas
authors.initials: A
authors.lastname: Müller
references.citation: Ann Otol Rhinol Laryngol. 2003 Jun;112(6):492-8
references.pmid: 12834115
references.citation: Sleep. 1992 Dec;15(6 Suppl):S69-72
references.pmid: 1470814
references.citation: J Fam Pract. 1984 Dec;19(6):782-90
references.pmid: 6502082
references.citation: Rays. 1997 Jul-Sep;22(3):425-40
references.pmid: 9446947
references.citation: Ann Otol Rhinol Laryngol. 1996 Sep;105(9):689-93
references.pmid: 8800054
references.citation: Laryngoscope. 1995 Jan;105(1):49-52
references.pmid: 7837913
references.citation: Clin Exp Immunol. 2003 Dec;134(3):497-502
references.pmid: 14632757
references.citation: Indian J Pediatr. 2001 Apr;68  Suppl 2:S3-10
references.pmid: 11411375
references.citation: Ann Otol Rhinol Laryngol. 2001 Jan;110(1):25-30
references.pmid: 11201804
references.citation: HNO. 2002 Aug;50(8):727-32
references.pmid: 12243027
references.citation: Laryngorhinootologie. 2004 Jun;83(6):381-6
references.pmid: 15197678
references.citation: Laryngoscope. 2000 Jul;110(7):1147-50
references.pmid: 10892686
references.citation: Otolaryngol Head Neck Surg. 1985 Oct;93(5):634-8
references.pmid: 3932932
references.citation: Ann Otol Rhinol Laryngol. 1977 Nov-Dec;86(6 Pt 1):771-6
references.pmid: 596775
references.citation: Pneumologie. 1995 Mar;49 Suppl 1:152-4
references.pmid: 7617601
references.citation: Am J Otolaryngol. 1993 Mar-Apr;14(2):116-21
references.pmid: 8484476
references.citation: Ann Otol Rhinol Laryngol. 1990 Oct;99(10 Pt 1):764-71
references.pmid: 2221731
references.citation: Kyobu Geka. 1998 Nov;51(12):996-1000
references.pmid: 9838775
references.citation: Transplantation. 2003 Dec 27;76(12):1763-70
references.pmid: 14688529
references.citation: Laryngol Rhinol Otol (Stuttg). 1986 Nov;65(11):621-7
references.pmid: 3807598
references.citation: Acta Otorrinolaringol Esp. 2004 Jan;55(1):34-40
references.pmid: 15108620
references.citation: J Laryngol Otol. 1992 Mar;106(3):226-30
references.pmid: 1564379
references.citation: Am J Surg. 1985 Oct;150(4):447-51
references.pmid: 3876782
references.citation: BMJ. 2003 Jun 7;326(7401):1226-7
references.pmid: 12791714
references.citation: Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Jun;16(6):267-9
references.pmid: 12599773
references.citation: Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Dec;16(12):665-6
references.pmid: 12669438
references.citation: Acta Otorhinolaryngol Ital. 2003 Feb;23(1):33-7
references.pmid: 12812133
references.citation: Otolaryngol Pol. 1994;48(1):72-4
references.pmid: 7970767
references.citation: Arch Otolaryngol Head Neck Surg. 1999 May;125(5):555-60
references.pmid: 10326814
references.citation: Chest. 2004 Apr;125(4):1265-9
references.pmid: 15078733
references.citation: J Laryngol Otol. 1998 Oct;112(10):940-3
references.pmid: 10211216
references.citation: J Pediatr Surg. 1999 Jul;34(7):1053-6
references.pmid: 10442586
references.citation: Laryngoscope. 2000 Jun;110(6):1000-6
references.pmid: 10852521
references.citation: J Am Coll Surg. 2003 Jul;197(1):52-7
references.pmid: 12831924
references.citation: Arch Otolaryngol Head Neck Surg. 2003 Oct;129(10):1077-80; discussion 1080
references.pmid: 14568790
references.citation: N Engl J Med. 2001 May 31;344(22):1676-9
references.pmid: 11386266
references.citation: Int J Pediatr Otorhinolaryngol. 1998 Nov 15;46(1-2):21-6
references.pmid: 10190701
references.citation: Laryngoscope. 1995 Oct;105(10):1111-7
references.pmid: 7564844
references.citation: Ann Thorac Surg. 1995 Dec;60(6):1623-6
references.pmid: 8787454
references.citation: Rev Laryngol Otol Rhinol (Bord). 2000;121(1):31-5
references.pmid: 10865481
references.citation: Laryngoscope. 2003 Jul;113(7):1149-56
references.pmid: 12838013
references.citation: Mt Sinai J Med. 2003 May;70(3):163-5
references.pmid: 12764533
references.citation: Ann Otol Rhinol Laryngol. 1994 Apr;103(4 Pt 1):271-8
references.pmid: 8154768
references.citation: Ann Otol Rhinol Laryngol. 2001 Sep;110(9):801-10
references.pmid: 11558754
references.citation: Laryngoscope. 1988 Apr;98(4):455-9
references.pmid: 3258397
references.citation: Arch Otolaryngol Head Neck Surg. 1992 Oct;118(10):1023-7
references.pmid: 1389049
references.citation: Acta Otorhinolaryngol Belg. 2000;54(1):13-21
references.pmid: 10719589
references.citation: Int J Pediatr Otorhinolaryngol. 2003 Sep;67(9):999-1003
references.pmid: 12907057
references.citation: Otolaryngol Clin North Am. 2004 Feb;37(1):1-23, v
references.pmid: 15062684
references.citation: Arch Otolaryngol Head Neck Surg. 1996 Mar;122(3):302-6
references.pmid: 8607959
references.citation: Acta Otolaryngol. 2004 Sep;124(7):839-46
references.pmid: 15370570
references.citation: Arch Otolaryngol Head Neck Surg. 1999 May;125(5):525-8
references.pmid: 10326809
references.citation: Ann Otolaryngol Chir Cervicofac. 1992;109(5):235-9
references.pmid: 1292378
references.citation: J Voice. 1998 Dec;12(4):536-9
references.pmid: 9988040
references.citation: Laryngoscope. 1993 Aug;103(8):872-82
references.pmid: 8361290
references.citation: J Laryngol Otol. 2002 Sep;116(9):733-5
references.pmid: 12437813
references.citation: Med Clin (Barc). 1998 Oct 24;111(13):481-4
references.pmid: 9859063
references.citation: Laryngoscope. 1991 Apr;101(4 Pt 1):384-7; discussion 388
references.pmid: 1895854
references.citation: Liver Transpl. 2004 Feb;10(2 Suppl 1):S81-5
references.pmid: 14762845
references.citation: J Voice. 2002 Sep;16(3):415-21
references.pmid: 12395994
references.citation: Otolaryngol Head Neck Surg. 1991 Nov;105(5):755-6
references.pmid: 1754265
references.citation: Ann Otol Rhinol Laryngol. 2001 Jun;110(6):532-42
references.pmid: 11407844
references.citation: Laryngoscope. 2004 Apr;114(4):726-32
references.pmid: 15064631
references.citation: Arch Otolaryngol Head Neck Surg. 1997 Apr;123(4):406-11
references.pmid: 9109789
references.citation: Ann Otol Rhinol Laryngol. 1989 Dec;98(12 Pt 1):930-4
references.pmid: 2589760
references.citation: Z Exp Chir Transplant Kunstliche Organe. 1983;16(6):344-51
references.pmid: 6666191
references.citation: Lasers Surg Med. 1983;2(4):293-9
references.pmid: 6865636
references.citation: Ann Otol Rhinol Laryngol. 1999 Mar;108(3):239-44
references.pmid: 10086615
references.citation: HNO. 2002 Oct;50(10):940-2
references.pmid: 12376909
references.citation: Gastrointest Endosc. 1994 Mar-Apr;40(2 Pt 1):174-7
references.pmid: 8013817
references.citation: Laryngoscope. 2000 May;110(5 Pt 1):739-48
references.pmid: 10807353
references.citation: Eur Arch Otorhinolaryngol. 1999;256(6):291-5
references.pmid: 10456277
references.citation: Pediatr Pulmonol. 2003 Apr;35(4):288-91
references.pmid: 12629626
references.citation: J Voice. 1996 Sep;10(3):236-44
references.pmid: 8865094
references.citation: Otolaryngol Clin North Am. 1991 Oct;24(5):1253-74
references.pmid: 1754224
references.citation: Arch Otolaryngol (1925). 1948 Apr;47(4):505-8
references.pmid: 18879951
references.citation: ORL J Otorhinolaryngol Relat Spec. 2003 Nov-Dec;65(6):359-65
references.pmid: 14981330
references.citation: Arch Otolaryngol Head Neck Surg. 1999 Mar;125(3):274-9
references.pmid: 10190798
references.citation: J Laryngol Otol. 1974 Jul;88(7):589-97
references.pmid: 4422396
references.citation: J Appl Physiol (1985). 1985 Feb;58(2):635-44
references.pmid: 3980366
references.citation: Ann Otol Rhinol Laryngol. 1991 Sep;100(9 Pt 1):717-21
references.pmid: 1952662
references.citation: HNO. 1995 Feb;43(2):70-5
references.pmid: 7713768
references.citation: Otolaryngol Head Neck Surg. 1985 Oct;93(5):645-9
references.pmid: 3932934
references.citation: HNO. 2002 Feb;50(2):146-54
references.pmid: 12080625
references.citation: Int J Pediatr Otorhinolaryngol. 1999 Aug 20;49(3):225-30
references.pmid: 10519702
references.citation: J Laryngol Otol. 1991 Jun;105(6):454-5
references.pmid: 2072014
references.citation: Laryngoscope. 2004 Feb;114(2):368-71
references.pmid: 14755220
references.citation: Ann Otol Rhinol Laryngol. 1994 Apr;103(4 Pt 1):319-23
references.pmid: 8154776
references.citation: J Voice. 2000 Jun;14(2):282-6
references.pmid: 10875581
references.citation: Ann Otol Rhinol Laryngol. 1987 Jan-Feb;96(1 Pt 1):72-6
references.pmid: 3813390
references.citation: Ann Otol Rhinol Laryngol. 2003 Feb;112(2):174-9
references.pmid: 12597292
references.citation: J Laryngol Otol. 1985 Sep;99(9):891-4
references.pmid: 3930639
references.citation: Biomed Tech (Berl). 1990;35 Suppl 2:145-7
references.pmid: 2223964
references.citation: Laryngoscope. 1987 Oct;97(10):1207-10
references.pmid: 3498866
references.citation: Int J Pediatr Otorhinolaryngol. 2004 Jan;68(1):15-20
references.pmid: 14687682
references.citation: Arch Otolaryngol Head Neck Surg. 1994 Oct;120(10):1130-6
references.pmid: 7522470
references.citation: Ann Otol Rhinol Laryngol. 1994 Aug;103(8 Pt 1):583-9
references.pmid: 8060049
references.citation: Otolaryngol Pol. 2004;58(1):165-71
references.pmid: 15101276
references.citation: J Laryngol Otol. 1991 Dec;105(12):1040-5
references.pmid: 1787357
references.citation: Int J Pediatr Otorhinolaryngol. 1998 Jun 1;44(1):43-6
references.pmid: 9720679
references.citation: Clin Otolaryngol Allied Sci. 2004 Feb;29(1):51-4
references.pmid: 14961852
references.citation: Laryngoscope. 1998 Jun;108(6):929-34
references.pmid: 9628512
references.citation: Semin Thorac Cardiovasc Surg. 1996 Oct;8(4):381-91
references.pmid: 8899925
references.citation: Am J Otolaryngol. 2002 Nov-Dec;23(6):386-9
references.pmid: 12430134
references.citation: Ann Surg. 1964 Sep;160:351-65
references.pmid: 14206844
references.citation: J Int Med Res. 2001 Nov-Dec;29(6):541-5
references.pmid: 11803740
references.citation: Ann Otol Rhinol Laryngol. 2004 Mar;113(3 Pt 1):212-7
references.pmid: 15053204
references.citation: Monaldi Arch Chest Dis. 1999 Feb;54(1):18-21
references.pmid: 10218367
references.citation: Am Rev Respir Dis. 1977 Feb;115(2):315-42
references.pmid: 320923
references.citation: Head Neck. 2004 Feb;26(2):111-7
references.pmid: 14762879
references.citation: Otolaryngol Clin North Am. 2004 Feb;37(1):59-74
references.pmid: 15062687
references.citation: Ann Otol Rhinol Laryngol. 2000 Apr;109(4):365-71
references.pmid: 10778890
references.citation: Ann Otol Rhinol Laryngol. 2001 Nov;110(11):1007-10
references.pmid: 11713909
references.citation: Am J Respir Crit Care Med. 2001 Nov 15;164(10 Pt 1):1874-8
references.pmid: 11734439
references.citation: J Otolaryngol. 1986 Apr;15(2):116-8
references.pmid: 3712541
references.citation: Acta Otolaryngol. 1989 Sep-Oct;108(3-4):311-6
references.pmid: 2816346
references.citation: Ear Nose Throat J. 2004 Jun;83(6):424-7
references.pmid: 15266881
references.citation: Arch Otolaryngol. 1985 Apr;111(4):262-3
references.pmid: 3977757
references.citation: Brain Res. 2004 Nov 19;1027(1-2):18-29
references.pmid: 15494153
references.citation: Ann Otol Rhinol Laryngol. 1996 Mar;105(3):169-75
references.pmid: 8615579
references.citation: HNO. 2004 Apr;52(4):363-77; quiz 378
references.pmid: 15014893
references.citation: Pediatr Pathol. 1994 Mar-Apr;14(2):301-25
references.pmid: 8008692
references.citation: Exp Neurol. 2001 Nov;172(1):70-80
references.pmid: 11681841
references.citation: Ann Otol Rhinol Laryngol. 2002 Nov;111(11):972-6
references.pmid: 12450169
references.citation: Arch Ital Otol Rinol Laringol Patol Cervicofacc. 1970 Nov-Dec;81(6):341-52
references.pmid: 4400135
references.citation: Laryngorhinootologie. 1998 Apr;77(4):213-8
references.pmid: 9592755
references.citation: Laryngorhinootologie. 2000 Jul;79(7):416-22
references.pmid: 11005095
references.citation: Int J Pediatr Otorhinolaryngol. 2001 Oct 19;61(1):31-8
references.pmid: 11576629
references.citation: Ann Otol Rhinol Laryngol. 2003 Apr;112(4):314-23
references.pmid: 12731626
references.citation: J Neurosci. 2002 Aug 15;22(16):7121-31
references.pmid: 12177208
references.citation: Otolaryngol Head Neck Surg. 1999 Jan;120(1):78-83
references.pmid: 9914553
references.citation: Arch Phys Med Rehabil. 2003 Aug;84(8):1150-3
references.pmid: 12917853
references.citation: Laryngoscope. 1976 Jun;86(6):769-79
references.pmid: 933669
references.citation: Arch Otolaryngol Head Neck Surg. 1992 Jun;118(6):654-7
references.pmid: 1637544
references.citation: Lancet. 1998 Feb 21;351(9102):539-40
references.pmid: 9492768
references.citation: Arch Otolaryngol Head Neck Surg. 2001 Oct;127(10):1260-4
references.pmid: 11587609
references.citation: Anasthesiol Intensivmed Notfallmed Schmerzther. 2004 Aug;39(8):497-501
references.pmid: 15319848
references.citation: HNO. 2004 Mar;52(3):261-4
references.pmid: 15007522
references.citation: Laryngoscope. 1994 Jun;104(6 Pt 1):736-40
references.pmid: 8196449
references.citation: HNO. 2001 Mar;49(3):166-79
references.pmid: 11320618
references.citation: Ann Otol Rhinol Laryngol. 1993 Nov;102(11):837-42
references.pmid: 8239343
references.citation: Laryngorhinootologie. 1996 Apr;75(4):215-22
references.pmid: 8688127
references.citation: Trans Sect Otolaryngol Am Acad Ophthalmol Otolaryngol. 1977 Mar-Apr;84(2):310
references.pmid: 898504
references.citation: Br J Surg. 1997 Jun;84(6):739-40
references.pmid: 9189077
references.citation: Ann Otol Rhinol Laryngol. 2000 Jul;109(7):654-7
references.pmid: 10903047
references.citation: Arch Otolaryngol Head Neck Surg. 2004 Sep;130(9):1048-51
references.pmid: 15381591
references.citation: Adv Otorhinolaryngol. 1995;49:170-3
references.pmid: 7653356
references.citation: Eur Arch Otorhinolaryngol. 2002 Jul;259(6):287-9
references.pmid: 12115073
references.citation: Pediatr Pulmonol. 2002 Sep;34(3):189-95
references.pmid: 12203847
references.citation: Curr Gastroenterol Rep. 2003 Jun;5(3):247-52
references.pmid: 12734048
references.citation: J Neurophysiol. 2002 Apr;87(4):2195-9
references.pmid: 11929937
references.citation: J Otolaryngol Soc Aust. 1968 Mar;2(3):3-7
references.pmid: 5729534
references.citation: Laryngoscope. 2003 Dec;113(12):2192-5
references.pmid: 14660926
references.citation: Otolaryngol Head Neck Surg. 2000 Apr;122(4):488-94
references.pmid: 10740166
references.citation: Wound Repair Regen. 2001 Jan-Feb;9(1):44-9
references.pmid: 11350639
references.citation: Laryngoscope. 2002 Jan;112(1):124-33
references.pmid: 11802050
references.citation: Laryngoscope. 1996 Jun;106(6):791-3
references.pmid: 8656970
references.citation: J Laryngol Otol. 2001 Apr;115(4):257-66
references.pmid: 11276324
references.citation: Laryngoscope. 1989 Mar;99(3):346-8
references.pmid: 2918809
references.citation: Eur Arch Otorhinolaryngol. 1999;256(8):407-11
references.pmid: 10525946
references.citation: Laryngorhinootologie. 1994 Aug;73(8):417-22
references.pmid: 7945659
references.citation: Pediatr Pulmonol Suppl. 1999;18:73-5
references.pmid: 10093102
references.citation: Am J Respir Crit Care Med. 2002 Aug 15;166(4):501-9
references.pmid: 12186828
references.citation: Arch Otolaryngol. 1984 Aug;110(8):546-51
references.pmid: 6743107
references.citation: Otolaryngol Head Neck Surg. 1999 Dec;121(6):760-5
references.pmid: 10580234
references.citation: Pediatrics. 1999 Aug;104(2 Pt 1):263-9
references.pmid: 10429005
references.citation: Am J Otolaryngol. 1992 Mar-Apr;13(2):75-7
references.pmid: 1642330
references.citation: Otolaryngol Head Neck Surg. 1995 Jun;112(6):773-6
references.pmid: 7777369
references.citation: Ann Otol Rhinol Laryngol. 1999 Feb;108(2):143-6
references.pmid: 10030231
references.citation: Hum Gene Ther. 1998 Sep 20;9(14):2039-47
references.pmid: 9759931
references.citation: Ann Otol Rhinol Laryngol. 1996 Oct;105(10):764-9
references.pmid: 8865770
references.citation: Laryngoscope. 1993 Apr;103(4 Pt 1):394-8
references.pmid: 8459748
references.citation: Laryngoscope. 1967 Sep;77(9):1644-67
references.pmid: 6053797
references.citation: Eur J Neurosci. 2002 Apr;15(8):1327-42
references.pmid: 11994127
references.citation: ORL J Otorhinolaryngol Relat Spec. 2000 Mar-Apr;62(2):87-95
references.pmid: 10729798
references.citation: Ann Otol Rhinol Laryngol. 1990 Aug;99(8):605-10
references.pmid: 2116750
references.citation: ANZ J Surg. 2003 Oct;73(10):784-6
references.pmid: 14525565
references.citation: Ann Otol Rhinol Laryngol. 2004 Jun;113(6):483-7
references.pmid: 15224834
references.citation: Eur Arch Otorhinolaryngol. 2003 Aug;260(7):381-5
references.pmid: 12682846
references.citation: Laryngoscope. 1984 Oct;94(10):1376-80
references.pmid: 6332961
references.citation: Laryngoscope. 1983 Oct;93(10):1348-50
references.pmid: 6353100
references.citation: Am J Surg. 2003 Sep;186(3):306-11
references.pmid: 12946838
references.citation: Arch Otolaryngol Head Neck Surg. 1995 Jul;121(7):773-7
references.pmid: 7598856
references.citation: Br J Surg. 2002 Nov;89(11):1470-5
references.pmid: 12390394
references.citation: Laryngoscope. 1999 Mar;109(3):415-8
references.pmid: 10089968
references.citation: Laryngoscope. 2003 Aug;113(8):1308-13
references.pmid: 12897551
references.citation: Acta Otorhinolaryngol Belg. 1995;49(4):303-11
references.pmid: 8525826
references.citation: Eur Arch Otorhinolaryngol. 1999;256(8):403-6
references.pmid: 10525945
references.citation: Otolaryngol Clin North Am. 1991 Dec;24(6):1385-9
references.pmid: 1792076
references.citation: Laryngoscope. 2000 Dec;110(12):2008-11
references.pmid: 11129010
references.citation: Otolaryngol Clin North Am. 1988 Nov;21(4):595-612
references.pmid: 3054715
references.citation: Ann Otol Rhinol Laryngol. 2003 Aug;112(8):678-82
references.pmid: 12940664
references.citation: Laryngoscope. 1982 Sep;92(9 Pt 1):1049-59
references.pmid: 7121159
references.citation: Ann Otol Rhinol Laryngol. 1996 Jun;105(6):438-45
references.pmid: 8638894
references.citation: Head Neck. 2004 Jun;26(6):477-84
references.pmid: 15162348
references.citation: Laryngol Rhinol Otol (Stuttg). 1981 Aug;60(8):397-401
references.pmid: 7346673
references.citation: Acta Otorhinolaryngol Belg. 1986;40(2):358-76
references.pmid: 3751530
references.citation: HNO. 2004 Apr;52(4):336-43
references.pmid: 14999390
references.citation: Ann Otol Rhinol Laryngol. 1995 Jul;104(7):537-41
references.pmid: 7598366
references.citation: J Laryngol Otol. 2003 Apr;117(4):302-6
references.pmid: 12816221
references.citation: Arch Otolaryngol Head Neck Surg. 2001 Oct;127(10):1211-5
references.pmid: 11587601
references.citation: Ann Otol Rhinol Laryngol. 1980 Sep-Oct;89(5 Pt 1):397-400
references.pmid: 7436240
references.citation: Int J Pediatr Otorhinolaryngol. 1997 Aug 20;41(2):199-206
references.pmid: 9306176
references.citation: Arch Otolaryngol. 1974 Feb;99(2):100-1
references.pmid: 4809934
references.citation: Ann Otol Rhinol Laryngol. 2000 Dec;109(12 Pt 1):1140-5
references.pmid: 11130827
references.citation: Microsurgery. 2000;20(8):372-4
references.pmid: 11150986
references.citation: Arch Bronconeumol. 2002 Oct;38(10):463-7
references.pmid: 12372195
references.citation: J Voice. 1994 Mar;8(1):92-4
references.pmid: 8167794
references.citation: Ann Otol Rhinol Laryngol. 2002 Jan;111(1):21-6
references.pmid: 11800366
references.citation: DNA Cell Biol. 2003 Sep;22(9):549-64
references.pmid: 14577908
references.citation: Laryngoscope. 1970 Aug;80(8):1244-50
references.pmid: 5469227
references.citation: Laryngoscope. 1979 Nov;89(11):1779-83
references.pmid: 502699
references.citation: Ann Otol Rhinol Laryngol. 1997 Nov;106(11):887-90
references.pmid: 9373076
references.citation: Ann Otolaryngol Chir Cervicofac. 1968 Oct-Nov;85(7):637-54
references.pmid: 5727325
references.citation: Laryngoscope. 2003 Jul;113(7):1244-51
references.pmid: 12838027
references.citation: Przegl Lek. 2004;61(1):13-6
references.pmid: 15230099
references.citation: Otolaryngol Head Neck Surg. 1983 Jun;91(3):294-8
references.pmid: 6410332
references.citation: Otolaryngol Head Neck Surg. 2000 Jul;123(1 Pt 1):101-2
references.pmid: 10889490
references.citation: Laryngoscope. 1997 Sep;107(9):1281-3
references.pmid: 9292618
references.citation: HNO. 1988 Jan;36(1):1-12
references.pmid: 3280524
references.citation: Ann Otol Rhinol Laryngol. 2002 Dec;111(12 Pt 1):1120-7
references.pmid: 12498375
references.citation: Arch Otorhinolaryngol. 1984;240(2):133-7
references.pmid: 6477290
references.citation: Laryngoscope. 2000 Jan;110(1):140-4
references.pmid: 10646730
references.citation: Ann Otol Rhinol Laryngol. 1999 Nov;108(11 Pt 1):1053-60
references.pmid: 10579232
references.citation: Adv Otorhinolaryngol. 1995;49:174-5
references.pmid: 7653357
references.citation: Ann Otol Rhinol Laryngol. 1997 Sep;106(9):770-4
references.pmid: 9302910
references.citation: Tohoku J Exp Med. 2001 May;194(1):45-54
references.pmid: 11556733
references.citation: Paediatr Anaesth. 2003 Jun;13(5):448-52
references.pmid: 12791121
references.citation: HNO. 1997 Jul;45(7):551-5
references.pmid: 9340338
references.citation: Laryngoscope. 1993 Aug;103(8):857-64
references.pmid: 8361288
references.citation: Eur Arch Otorhinolaryngol. 2002 Oct;259(9):459-64
references.pmid: 12386747
references.citation: Semin Thorac Cardiovasc Surg. 1994 Oct;6(4):200-5
references.pmid: 7803576
references.citation: Ann Otol Rhinol Laryngol. 2002 Sep;111(9):821-7
references.pmid: 12296338
references.citation: Med Sci Monit. 2002 Oct;8(10):BR397-400
references.pmid: 12388912
references.citation: J Laryngol Otol. 2001 Jan;115(1):35-8
references.pmid: 11233619
references.citation: Arch Otolaryngol Head Neck Surg. 1993 Jul;119(7):772-6
references.pmid: 8391276
references.citation: Arch Otolaryngol Head Neck Surg. 2001 Jun;127(6):694-9
references.pmid: 11405871
references.citation: Arch Otolaryngol Head Neck Surg. 2003 Feb;129(2):201-6
references.pmid: 12578449
references.citation: Acta Otorhinolaryngol Belg. 1999;53(3):181-8
references.pmid: 10635389
references.citation: Ann Otol Rhinol Laryngol. 1978 Sep-Oct;87(5 Pt 1):649-57
references.pmid: 718062
references.citation: Laryngoscope. 1975 May;85(5):787-96
references.pmid: 1142953
references.citation: Arch Dis Child. 1977 Mar;52(3):215-8
references.pmid: 849000
references.citation: Laryngoscope. 1994 Mar;104(3 Pt 1):247-52
references.pmid: 8127177
references.citation: Ann Transplant. 1998;3(4):41-7
references.pmid: 10370802
references.citation: Eur Arch Otorhinolaryngol. 2003 May;260(5):235-8
references.pmid: 12750909
references.citation: Pneumologie. 1997 Jan;51(1):14-8
references.pmid: 9132741
references.citation: Am J Otolaryngol. 1995 Jan-Feb;16(1):40-8
references.pmid: 7717472
references.citation: Laryngoscope. 1999 Sep;109(9):1516-20
references.pmid: 10499065
references.citation: Int J Pediatr Otorhinolaryngol. 1989 Dec;18(2):129-37
references.pmid: 2625389
references.citation: Acta Otorhinolaryngol Belg. 1995;49(4):331-9
references.pmid: 8525830
references.citation: Ann Otol Rhinol Laryngol. 1984 Sep-Oct;93(5 Pt 1):430-7
references.pmid: 6497235
references.citation: Arch Ohren Nasen Kehlkopfheilkd. 1954;165(2-6):459-63
references.pmid: 14350693
references.citation: Rev Mal Respir. 1999 Nov;16(4 Pt 2):685-92
references.pmid: 10897832
references.citation: Ann Otol Rhinol Laryngol. 2004 Aug;113(8):623-7
references.pmid: 15330141
references.citation: Rays. 1997 Jul-Sep;22(3):360-71
references.pmid: 9446940
references.citation: Ann Otol Rhinol Laryngol. 1994 Nov;103(11):852-7
references.pmid: 7978998
references.citation: Int J Pediatr Otorhinolaryngol. 2001 Mar;57(3):235-44
references.pmid: 11223456
references.citation: Am J Otolaryngol. 2002 Nov-Dec;23(6):378-81
references.pmid: 12430132
references.citation: Ann Otol Rhinol Laryngol. 2003 May;112(5):428-33
references.pmid: 12784982
references.citation: HNO. 2002 Dec;50(12):1057-61
references.pmid: 12474127
references.citation: Acta Otolaryngol. 1981 May-Jun;91(5-6):337-52
references.pmid: 7023175
references.citation: Clin Anat. 1999;12(2):94-102
references.pmid: 10089034
references.citation: Otolaryngol Clin North Am. 2004 Feb;37(1):161-81, vii-viii
references.pmid: 15062692
references.citation: Rev Mal Respir. 1995;12(6):585-92
references.pmid: 8677352
references.citation: Laryngoscope. 1989 Feb;99(2):136-42
references.pmid: 2913424
references.citation: Monatsschr Ohrenheilkd Laryngorhinol. 1968;102(7):443-6
references.pmid: 5722910
references.citation: Am J Med. 2001 Dec 3;111 Suppl 8A:78S-84S
references.pmid: 11749930
references.citation: Arch Otolaryngol Head Neck Surg. 1998 Apr;124(4):393-8
references.pmid: 9559685
references.citation: Int J Pediatr Otorhinolaryngol. 1997 Feb 14;39(1):9-18
references.pmid: 9051435
references.citation: Arch Otolaryngol Head Neck Surg. 1990 Sep;116(9):1047-50
references.pmid: 2383390
references.citation: Laryngoscope. 1988 Jun;98(6 Pt 1):659-63
references.pmid: 3374242
references.citation: Ann Otol Rhinol Laryngol. 1994 Oct;103(10):780-8
references.pmid: 7944169
references.citation: Laryngorhinootologie. 1991 Jan;70(1):17-20
references.pmid: 2025340
references.citation: Int J Pediatr Otorhinolaryngol. 1985 Nov;10(2):153-8
references.pmid: 4093254
references.citation: HNO. 1999 Aug;47(8):702-5
references.pmid: 10506496
references.citation: Eur Arch Otorhinolaryngol. 1991;248(8):445-8
references.pmid: 1768405
references.citation: Laryngoscope. 1994 Jun;104(6 Pt 1):666-8
references.pmid: 8196440