علاج شلل الحبال الصوتية بعد الجراحة الناجم عن إصابة مباشرة للعصب الحنجري الراجع أثناء الجراحة

References

Intraoperative RLN re-innervation, including primary re-anastomosis or ansa cervicalis-to-RLN neurorrhaphy, should be considered if direct laryngeal nerve injury occurs during the surgical procedure (strong recommendation, moderate-quality evidence).

Surgical medialization procedures indicate injection laryngoplasty, medialization thyroplasty and/or arytenoid adduction.

However, intraoperative RLN re-innervation may take about 3–6 months to become effective; thus, the voice initially worsens after the procedure due to denervation.

DOI: 10.21053/ceo.2020.00409

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