Faculty Collaboration Database

Lack of evoked laryngeal electromyography response in patients with a clinical diagnosis of vocal cord paralysis. Ann Otol Rhinol Laryngol 2001 Sep;110(9):815-9

Date

09/18/2001

Pubmed ID

11558756

DOI

10.1177/000348940111000903

Scopus ID

2-s2.0-0034841857 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

There has been recent debate about whether patients with vocal cord immobility have a neurologic paralysis or whether synkinesis, the misdirection of axons to competing laryngeal muscles, is responsible for the lack of voluntary vocal cord motion. This issue was studied in 15 patients with vocal cord paralysis who underwent laryngeal reinnervation. Evoked electromyography was performed with a surface electrode endotracheal tube. The recurrent laryngeal nerve (RLN) was identified and stimulated with constant current. Of the 15 patients, only 1 produced a compound muscle action potential upon nerve stimulation. The remaining 14 patients had no evoked response during RLN stimulation. A control group of 8 patients with normal vocal cord mobility was studied, and each had a normal evoked electromyography response after RLN stimulation. These results support the assertion that patients who require treatment for vocal cord paralysis do not have synkinesis produced by RLN reinnervation.

Author List

Damrose EJ, Huang RY, Blumin JH, Blackwell KE, Sercarz JA, Berke GS

Author

Joel H. Blumin MD Chief, Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Electric Stimulation
Electromyography
Female
Humans
Laryngeal Muscles
Male
Middle Aged
Postoperative Period
Thyroidectomy
Vocal Cord Paralysis