INFLUENCE OF INDEPENDENT RE-INNERVATION OF L ARYNX ON MANIFESTATIONS OF DYSFAGIC SYNDROME IN THE PATIENTS WITH ONE-DIMENSIONS PARASITES

Authors

  • Palamarchuk V. O. Ukrainian scientific and practical center of endocrine surgery, transplantation of endocrine organs and tissues of the Ministry of Health of Ukraine, Kyiv, Ukraine
  • Tovkai O. A. Ukrainian scientific and practical center of endocrine surgery, transplantation of endocrine organs and tissues of the Ministry of Health of Ukraine, Kyiv, Ukraine
  • Mazur O. V. Ukrainian scientific and practical center of endocrine surgery, transplantation of endocrine organs and tissues of the Ministry of Health of Ukraine, Kyiv, Ukraine
  • Solomennikova N. V. Ukrainian scientific and practical center of endocrine surgery, transplantation of endocrine organs and tissues of the Ministry of Health of Ukraine, Kyiv, Ukraine

DOI:

https://doi.org/10.21856/j-PEP.2019.4.12

Keywords:

abduction unilateral paralysis of the larynx, non-selective reinnervation of the larynx, dysphonia, dysphagia.

Abstract

  Introduction. One of the most common postoperative complications of thyroid surgery is unilateral abduction paralysis of the larynx, resulting from traumatization of the reccurent laryngeal nerves. The prevalence of
this complication varies in different limits, however, the average prevalence rate according from 0.3–13.2 % of
all performed thyroid surgery.
The purpose of the work is to evaluate the effectiveness of non-selective reinnervation of the larynx with
unilateral laryngeal paralysis in order to correct the dysphonic and dysphagic syndromes.
Methods. The results of surgical and conservative treatment of abduction unilateral paralysis of the larynx
with the aim of correcting the dysphonic and dysphagic syndromes are analyzed. For the study, the main (46)
and control (13) patient groups were taken. In the main group, all patients underwent non-selective reinnervation of the larynx with the imposition of anastomosis RLN-ansa cervicalis, in the control group — conducting
conservative treatment in accordance with generally accepted protocols. Results were compared on the VHI-30
and EAT-10 scales before and after treatment.
Results. It was established that the implementation of non-selective reinnervation of RLN-ansa cervicalis led to the elimination of clinical manifestations of dysphonia in 45 patients out of 46 operated, dysphagic
syndrome in 34 out of 35. In the control group, these indicators were significantly lower: in 9 patients out
of 13 there were signs of dysphonia, in 6 with 10 signs of dysphagia. The effectiveness of treatment of dysphagic
and dysphonic syndromes in the main group was 97.8 % and 97.1 % according to the results of the VHI-30 and
EAT-10 scales, compared with the control group of 30.8 % and 46.1 %.
Findings. Non-selective reinnervation of the larynx with abduction unilateral laryngeal paralysis is a
highly effective method of treating dysphonic and dysphagic syndromes, the implementation of which led to an
improvement in the quality of life of patients, the latter acquiring sufficient voice and swallowing function

References

Heitmiller RF, Tseng E, Jones B. Dysphagia 2000; 15(4): 184-187. doi: http://doi.org/ 10.1007/s004550000026.

Kupfer RA, Meyer ТК. Curr Otorhinolaryngol Rep 2014; 2: 105-113. doi: http://doi.org/10.1007/s40136-014-0043-z.

Rubin AD, Sataloff RT. Otolaryngol Clin N Am 2007; 40: 1109-1131. doi: http://doi.org/10.1016/j.otc.2007.05.012.

Lisi C, Hawkshaw MJ, Sataloff RT. J Voice 2013; 27: 119-123. doi: http://doi.org/10.1016/j.otc.2007.05.012.

Havas TE, Priestley KJ. ANZ J Surg 2003; 73: 938-943.

Bhattacharyya N, Kotz T, Shapiro J. Ann Otol Rhinol Laryngol 2002; 111(8): 672-679. doi: http://doi.org/10.1177/0003489 40211100803.

Zur KB, Carroll LM. Int J Pediatr Otorhinolaryngol 2018; 104: 104-107. doi: http://doi.org/10.1002/lary.25538.

Belafsky PC, Mouadeb DA, Rees CJ, et al. Ann Otol Rhinol Laryngol 2008; 117(12): 919-924. doi: http://doi.org/10.1177/ 000348940811701210.

Jacobson BH, Johnson A, Grywalski С, et al. Am J Speech-Language Pathol 1997: 66-70. doi: http://doi.org/10.1044/1058- 0360.0603.66.

Palamarchuk VA. Klіn Hіrurgіja 2013; 8: 75-79.

Lapach SN, Chubenko AV,. Babich PN. Statistika v nauke i biznese, Kiev, 2002: 640 p.

Palamarchuk VO. Klin Endokrynol Endokryn Hirurgija 2012; 3(40): 18-22.

Smith ME, Nelson R, Houtz D. Arch Otolaryngol Head Neck Surg 2012; 138(12): 1161-1166. doi: http://doi.org/http://doi.org/10. 1001/jamaoto. 2013.803.

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Published

2019-11-11

How to Cite

Palamarchuk, V. O. ., Tovkai, O. A. ., Mazur, O. V. ., & Solomennikova, N. V. (2019). INFLUENCE OF INDEPENDENT RE-INNERVATION OF L ARYNX ON MANIFESTATIONS OF DYSFAGIC SYNDROME IN THE PATIENTS WITH ONE-DIMENSIONS PARASITES. Problems of Endocrine Pathology, 70(4), 90-95. https://doi.org/10.21856/j-PEP.2019.4.12

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Section

CLINICAL ENDOCRINOLOGY