Experimental Studies on the Reinnervation of Posterior Cricoarytenoid Muscle by the Upper Branch of Phrenic Nerve
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Experimental Studies on the Reinnervation of Posterior Cricoarytenoid Muscle by the Upper Branch of Phrenic Nerve
Military Medical ResearchIssue 2, Pages: 95-100(1990)
Affiliations:
1. Department of Otolaryngology Changhai Hospital
2. Second Military Medical University
3. ,Shanghai,200433
4. Department of Neurology
Author bio:
Funds:
DOI:
CLC:
Published:1990
Accepted:
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[1]吴皓,李兆基,萧轼之,周水淼,罗申.Experimental Studies on the Reinnervation of Posterior Cricoarytenoid Muscle by the Upper Branch of Phrenic Nerve[J].Journal of Medical Colleges of PLA,1990(02):95-100+199.
DOI:
[1]吴皓,李兆基,萧轼之,周水淼,罗申.Experimental Studies on the Reinnervation of Posterior Cricoarytenoid Muscle by the Upper Branch of Phrenic Nerve[J].Journal of Medical Colleges of PLA,1990(02):95-100+199.DOI:
Experimental Studies on the Reinnervation of Posterior Cricoarytenoid Muscle by the Upper Branch of Phrenic Nerve
摘要
Abstract
<正> The purpose of this work was to reestablish the respiratory abduction of theparalyzed vocal cord through reinnervation of the posterior cricoarytenoid(PCA)mus-cle by part of phrenic fibres.In fifteen adult cats the adductor branch of the recurrentlaryngeal nerve(RLN)of the right side was cut and its distal end ligated
while the pro -ximal end was implanted into the PCA muscle belly.The whole RLN was then transectedin the tracheoesophageal groove and its distal stump anastomosed to the upper branchof the phrenic nerve.Various techniques for observation were used on day 40
80 and 150after operation.Direct laryngoscopy showed that the inspiratory abduction of the para-lyzed vocal cord recovered within 40 d in all cats.Eighty days later
a larger abducentmotion of the glottis was observed on the reinnervated side.Abduction was caused byreinnervation of the PCA muscle from phrenic motoneurons
as demonstrated by laryn-geal electromyogram
and the function of diaphragm maintained as revealed by monito-ring of the intrathoracic pressure.
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