Summary
Background
The goal of this systematic review is to elucidate an evidence-based review of the
benefit of laryngeal electromyography (LEMG) in determining surgical success following
reanastamosis and implantation reinnervation surgery for treating vocal fold paralysis.
Methods
We searched the following databases: PubMed, Embase and MEDLINE from inception to
September 2022. Articles that included postoperative LEMG as a tool to evaluate patients
after surgery for vocal fold paralysis were included.
Results
A total of 203 studies were identified, 106 were read in full, and 11 that met the
inclusion criteria were systematically reviewed.
Conclusion
The available evidence suggests that postoperative LEMG data is consistent with visual,
perceptual, and acoustic analysis and therefore is a reliable tool in determining
surgical success. LEMG provides both qualitative and quantitative evaluation, rather
than the qualitative evaluation provided by standard methods, which yields additional
parameters that more effectively and definitively characterize percent of muscle reinnervation
at each stage and timeline the patient's recovery.
Graphical Abstract
Graphical Abstract
Key Words
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References
- Unilateral vocal fold paralysis: causes, options and outcomes.Aust N Z J Surg. 1999; 69: 509-513
- Laryngeal reinnervation for paediatric vocal cord palsy: a systematic review [published online ahead of print, 2022 Jul 15].Eur Arch Otorhinolaryngol. 2022; https://doi.org/10.1007/s00405-022-07471-y
- Prognostic indicators of unilateral vocal fold paralysis.Arch Otolaryngol Head Neck Surg. 2008; 134: 380-388
- Systematic review of laryngeal reinnervation techniques.Otolaryngol Head Neck Surg. 2010; 143: 749-759
- Videostroboscopy of human vocal fold paralysis.Ann Otol Rhinol Laryngol. 1992; 101: 567-577
ALA: https://alahns.org/wp-content/uploads/CLC/34-Unilateral-Vocal-Fold-Paralysis.pdf. Accessed September 1, 2022.
- Vocal improvement after voice therapy in unilateral vocal fold paralysis.J Voice. 2008; 22: 113-118
- Laryngeal reinnervation for bilateral vocal fold paralysis.Curr Opin Otolaryngol Head Neck Surg. 2011; 19: 434-438
- Laryngeal reinnervation: traditional approaches.in: Rubin JS Sataloff RT Korovin GS Diagnosis and Treatment of Voice Disorders. 4th Edition. Plural Publishing, San Diego, Ca2017: 847-869
- Voice quality following laryngeal reinnervation by ansa hypoglossi transfer.Laryngoscope. 1986; 96: 611-616
- Combined surgical Medialization and nerve-muscle pedicle reinnervation for unilateral vocal fold paralysis.J Voice. 1997; 11: 474-487
- Laryngeal Electromyography.3rd Edition. Plural Publishing, San Diego, CA2017: 1-181
- The electrical activity of voluntary muscle in man under normal and pathological conditions.Brain. 1944; 67: 178-257
- Selective reinnervation using phrenic nerve and hypoglossal nerve for bilateral vocal fold paralysis.Laryngoscope. 2019; 129: 2669-2673https://doi.org/10.1002/lary.27768
- Reinnervation of bilateral posterior cricoarytenoid muscles using the left phrenic nerve in patients with bilateral vocal fold paralysis.PLoS One. 2013; 8 (Published 2013 Oct 2): e77233https://doi.org/10.1371/journal.pone.0077233
- Bridging gaps between the recurrent laryngeal nerve and ansa cervicalis using autologous nerve grafts.J Voice. 2013; 27: 381-387https://doi.org/10.1016/j.jvoice.2013.01.009
- Effect of duration of denervation on outcomes of ansa-recurrent laryngeal nerve reinnervation.Laryngoscope. 2014; 124: 1900-1905https://doi.org/10.1002/lary.24623
Mansor WN, Azman M, Remli R, Yunus MR, Baki MM. Primary nonselective laryngeal reinnervation in iatrogenic acute recurrent laryngeal nerve injury: Case series and literature review. Ear, Nose & Throat Journal. 2021; 014556132199360. https://doi.org/10.1177/0145561321993605
- Primary nonselective laryngeal reinnervation in iatrogenic acute recurrent laryngeal nerve injury: Case series and literature review.Ear, Nose & Throat Journal. 2021; 014556132199360https://doi.org/10.1177/0145561321993605
- Electromyographic findings in recurrent laryngeal nerve reinnervation.Ann Otol Rhinol Laryngol. 2003; 112: 314-323https://doi.org/10.1177/000348940311200405
- Nimodipine and microsurgery induced recovery of the vocal cord after recurrent laryngeal nerve resection.Laryngoscope. 2005; 115: 1863-1865https://doi.org/10.1097/01.mlg.0000177034.51559.50
- Predictors of voice outcome in pediatric non-selective laryngeal reinnervation.Laryngoscope. 2020; 130: 1525-1531https://doi.org/10.1002/lary.28282
- Medialization versus reinnervation for unilateral vocal fold paralysis: a multicenter randomized clinical trial.Laryngoscope. 2011; 121: 2172-2179https://doi.org/10.1002/lary.21754
- Laryngeal reinnervation featuring refined nerve-muscle pedicle implantation evaluated via electromyography and use of coronal images.Otolaryngol Head Neck Surg. 2015; 152: 697-705https://doi.org/10.1177/0194599815568945
- Update: laryngeal reinnervation for unilateral vocal cord paralysis with the ansa cervicalis.Laryngoscope. 1996; 106: 1522-1527https://doi.org/10.1097/00005537-199612000-00015
- Classification and approach to patients with functional voice disorders.Ann Otol Rhinol Laryngol. 1982; 91: 372-377https://doi.org/10.1177/000348948209100409
- Nonselective reinnervation as a primary or salvage treatment of unilateral vocal fold palsy.Laryngoscope. 2020; 130: 1756-1763https://doi.org/10.1002/lary.28324
- Laryngeal electromyography: clinical application.J Voice. 2010; 24: 228-234https://doi.org/10.1016/j.jvoice.2008.08.005
Article info
Publication history
Published online: December 12, 2022
Accepted:
November 23,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
