Intermediate results of 306 recurrent laryngeal nerve sections for spastic dysphonia
- 5 January 1983
- journal article
- Published by Wiley in The Laryngoscope
- Vol. 93 (1) , 9-16
- https://doi.org/10.1288/00005537-198301000-00002
Abstract
Recurrent laryngeal nerve section for spastic dysphonia was first performed in 1975 because prior forms of treatment had failed. Virtually every patient has had a detailed postoperative follow-up which includes a tape recording and a self-assessment questionnaire. The majority of patients remain free of spasticity at this medium-term follow-up. In some, spasticity recurred with less than preoperative severity, A small percentage of patients have a persistent breathy phonation. The first group is treated with vocal fold lateralization procedure using the CO2 laser; the second, with Teflon.® When needed, voice therapy is also given. This paper provides a basis for diagnosis, indications for surgery, primary and secondary surgical techniques, encountered problems, and medium-term follow-up results.Keywords
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