Recurrent laryngeal nerve dissection: a case report involving return of spastic dysphonia after initial surgery

This case study describes successful management of spastic dysphonia using a procedure whereby the right recurrent laryngeal nerve was severed. Thirteen months following the surgical treatment, the subject reported a return of the preoperative vocal characteristics of spastic dysphonia. Tests and in...

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Bibliographic Details
Published inThe Journal of speech and hearing disorders Vol. 45; no. 1; p. 112
Main Authors Wilson, F B, Oldring, D J, Mueller, K
Format Journal Article
LanguageEnglish
Published United States 01.02.1980
Subjects
Female
Humans
Laryngeal Nerves - surgery
Middle Aged
Postoperative Complications
Voice Disorders - etiology
Voice Disorders - surgery
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Summary:This case study describes successful management of spastic dysphonia using a procedure whereby the right recurrent laryngeal nerve was severed. Thirteen months following the surgical treatment, the subject reported a return of the preoperative vocal characteristics of spastic dysphonia. Tests and inspection revealed that the right recurrent nerve was again intact and the right vocal fold was functional. A second surgical procedure was performed, modified to prevent neural reconnection, with a return of the improved voice observed following the initial surgery. The results are discussed in terms of etiological considerations of spastic dysphonia.
ISSN:0022-4677
DOI:10.1044/jshd.4501.112