Recurrent Laryngeal Nerve Dissection A Case Report Involving Return of Spastic Dysphonia after Initial Surgery Reports
Reports  |   February 01, 1980
Recurrent Laryngeal Nerve Dissection
 
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Article Information
Reports   |   February 01, 1980
Recurrent Laryngeal Nerve Dissection
Journal of Speech and Hearing Disorders, February 1980, Vol. 45, 112-118. doi:10.1044/jshd.4501.112
History: Received February 14, 1979 , Accepted April 3, 1979
 
Journal of Speech and Hearing Disorders, February 1980, Vol. 45, 112-118. doi:10.1044/jshd.4501.112
History: Received February 14, 1979; Accepted April 3, 1979

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.

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