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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 34(5); 1991 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1991;34(5): 985-990.
The effect of electrical stimulation of recurrent nerve on vocal cord position.
Eun Chang Choi, Hong Shik Choi, Young Mo Kim, Un Kyo Chung, Yong Jae Park
반회신경의 전기자극이 성대의 위치에 미치는 영향
최은창1 · 최홍식1 · 김영모2 · 정운교1 · 박용재3
연세대학교 의과대학 이비인후과학교실1;인하대학교 의과대학 이비인후과학교실2;영동세브란스병원 의용공학과3;
ABSTRACT

Electrical stimulation of the intrinsic laryngeal muscle is one of the methods of rehabilitation of the vocal cord paralysis. Since the report of Obert in 1984, various procedures of stimulation have reported. But kinds of electric stimulation were of variety. Knowing the position of the vocal cord with the change of electric stimulation is fundamental for the study of electric rehabilitation procedures of the laryngeal paralysis. We investigated the position of the vocal cord depending on stimuli using our own stimulator and electrode under the videolaryngoscopic examination in the canine larynx. Results are as follows ; 1) Abduction was noted with the stimuli below 20Hz, adduction was revealed above 30Hz stimuli. So vocal cord position was totally depend on the frequency of the stimulus. 2) Threshold of recurrent laryngeal nerve was 0.5 V. 3) The length of the vocal cord was increased and glottic opening was decreased with simultaneous stimulation of RLN and SLN, comparing with that of RLN stimulation only. 4) Vocal cord position is depend on the electric stimulation, especially on the frequency. For the clinical application, laryngospasm may be treated with electrical stimulation of RLN, if we can stimulate it transcutaneously. 

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