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Immediate selective laryngeal reinnervation in vagal paraganglioma patients

Published online by Cambridge University Press:  05 September 2018

M Mat Baki ,
P Clarke  and
M A Birchall
M Mat Baki
Affiliation:
Faculty of Medicine, Universiti Kebangsaan Malaysia
P Clarke
Affiliation:
Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
M A Birchall*
Affiliation:
Royal National Throat, Nose and Ear Hospital, University College London Hospital NHS Trust, UK Ear Institute, University College London, UK
*
Address for correspondence: Prof Martin Anthony Birchall, Professorial Unit, Royal National Throat, Nose and Ear Hospital, 330 Grays Inn Road, London WC1X 8DA, UK E-mail: m.birchall@ucl.ac.uk
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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.

Keywords

ParagangliomaVocal Cord ParalysisLaryngeal ReinnervationLaryngeal Nerve Injuriesvagus nerve
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 9 , September 2018 , pp. 846 - 851
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Prof M A Birchall takes responsibility for the integrity of the content of the paper.

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