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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1986;29(6): 792-808. |
Experimental Studies on Laryngeal Reinnervation |
Hong Shik Choi, MD1, Kwang Moon Kim, MD1, Gill Ryoung Kim, MD1, Won Pyo Hong, MD1, Jae Young Kim, MD1, Jae Ho Moon, MD2, and Won Young Lee, MD2 |
1;Department of Otolaryngology, 2;Rehabilitation, Yonsei University, College of Medicine, Korea |
Laryngeal Reinnervation에 대한 실험적 연구 |
최홍식1 · 김광문1 · 김기령1 · 홍원표1 · 김재영1 · 문재호2 · 이원영2 |
연세대학교 의과대학 이비인후과학교실1;재활의학과학교실2; |
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ABSTRACT |
Three types of injuries were inflicted upon the right recurrent laryngeal nerves of ten dogs. The larynges of these dogs were observed regularly for six months or more by direct laryngoscopy, EMG recordings from the thyroarytenoid muscle, and conduction studies of recurrent laryngeal nerves. Control dogs, whose right recurrent larngeal nerves had been resected segmentally, never regained any normal functions visually or electromyographically. All the dogs with the crushed injury showed complete return of normal functions except one dog, which returned partially. The dogs having a section and neuorrhaphy showed abnormal medial bulging and shivering motion of the right vocal cord during inspiration. From the EMG examination, inspiratory discharges were seen at the right thyroarytenoid muscle simultaneously with the abnormal motion of the right vocal cord. After 6 months, the specimens of the right recurrent laryngeal nerve were obtained and morphological studies were done by light microscopy and electron microscopy. The penetration rate of the myelinated fibers through the neuorrhaphy site was about 60 per cent.
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