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Ann Thorac Surg 1994;57:1020-1021
© 1994 The Society of Thoracic Surgeons


Articles

Ansa-recurrent nerve anastomosis for vocal cord paralysis due to mediastinal lesions

Akira Miyauchi, MD*, Fenichi Matsusaka, MD, Hitoshi Kawaguchi, MD, Kema Nakamoto, MD, Masazumi Maeda, MD

Second Department of Surgery, Kagawa Medical School, Kagawa, Japan

Accepted for publication July 22, 1993.

* Address reprint requests to Dr Miyauchi, Second Department of Surgery, Kagawa Medical School, Miki-cho, Kita-gun, Kagawa, 761–807 Japan.

Recurrent laryngeal or vagus nerve injuries in the mediastinum are repaired rarely because of technical difficulties. Impairment in phonation is especially severe in patients with respiratory dysfunction. We performed a simple and less invasive reconstruction, ansa cervicalisrecurrent laryngeal nerve anastomosis in the neck, to improve phonation in 2 patients. Although the reinner-vated vocal cord did not regain normal movement, both of the patients obtained excellent improvement in phonation.







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Copyright © 1994 by The Society of Thoracic Surgeons.