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Czasopismo

2014 | 73 | 1 |

Tytuł artykułu

Laryngeal nerve “anastomoses”

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Laryngeal nerves have been observed to communicate with each other and form a variety of patterns. These communications have been studied extensively and have been of particular interest as it may provide an additional form of innervation to the intrinsic laryngeal muscles. Variations noted in incidence may help explain the variable position of the vocal folds after vocal fold paralysis. This study aimed to examine the incidence of various neural communications and to determine their contribution to the innervation of the larynx. Fifty adult cadaveric en-bloc laryngeal specimens were studied. Three different types of communications were observed between internal and recurrent laryngeal nerves viz. (1) Galen’s anastomosis (81%): in 13%, it was observed to supply the posterior cricoarytenoid muscle; (2) thyroarytenoid communication (9%): this was observed to supply the thyroarytenoid muscle in 2% of specimens and (3) arytenoid plexus (28%): in 6%, it supplied a branch to the transverse arytenoid muscle. The only communication between the external and recurrent laryngeal nerves was the communicating nerve (25%). In one left hemi-larynx, the internal laryngeal nerve formed a communication with the external laryngeal nerve, via a thyroid foramen. The neural communications that exist in the larynx have been thought to play a role in laryngeal innervation. The results of this study have shown varying incidences in neural communications. Contributions from these communications have also been noted to various intrinsic laryngeal muscles which may be a possible factor responsible for the variable position of the vocal folds in certain cases of vocal fold paralysis. (Folia Morphol 2014; 73, 1: 30–36)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

73

Numer

1

Opis fizyczny

p.30-36,ref.

Twórcy

autor
  • Department of Clinical Anatomy, School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban, South Africa
autor
  • Department of Clinical Anatomy, School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban, South Africa
autor
  • Department of Clinical Anatomy, School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban, South Africa
  • Department of Clinical Anatomy, School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban, South Africa

Bibliografia

  • 1. Berlin DD, Lahey FH (1929) Dissections of the recurrent and superior laryngeal nerves. Surg Gyneccol Obstet, 49: 109–104.
  • 2. Dilworth TEM (1921) The nerves of the human larynx. J Anat, 50: 48–52.
  • 3. Furlan JC, Brandao L.G, Ferraz AR (2002) Prevalence of Galen’s anastomosis: an anatomical and comparative study. J Laryngol Otol, 136: 823–825.
  • 4. Kambic V, Zargi M, Radsel Z (1984) Topographic anatomy of the external branch of the superior laryngeal nerve. J Laryngol Otol, 98: 1121–1124.
  • 5. King BT, Gregg RL (1948) An anatomical reason for the various behaviours of paralyzed vocal cords. Ann Otol Rhinol Laryngol, 57: 925–944.
  • 6. Kreyer R, Pomaroli A (2000) Anastomosis between the external branch of the superior laryngeal nerve and the recurrent laryngeal nerve. Clin Anat, 13: 79–82.
  • 7. Lemere F (1932) Innervation of the larynx I: Innervation of laryngeal muscles. Am J Anat, 51: 417–438.
  • 8. Liebermann-Meffert DM, Walbrun B, Hiebert CA, Siewart JR(1999) Recurrent laryngeal nerve and superior laryngeal nerve: A new look with implication for esophageal surgeon. Ann Surg, 67: 217–223.
  • 9. Maranillo E, Leŏn X, Orus C, Orŭs M, Saňudo JR (2005) Variability in nerve patterns of the adductor muscle group supplied by the recurrent laryngeal nerve. Laryngoscope, 115: 358–362.
  • 10. Mayet A (1956) Zur innervation des M. Cricothyroideus. Anat Anz, 103: 17–20.
  • 11. Meng ZH, Li L (1976) Observations of the anatomy of the laryngeal nerves. Chin Med J (Chin), 56: 177–180.
  • 12. Migueis A, Ucclay I, Migueis J, Urtasun A, Traissac L (1989) Anse de Galien, ètude anatomique chez I’homme. Rev Laryngol, 110: 423–425.
  • 13. Naidu L, Ramsaroop L, Partab P, Satyapal KS (2012) Galen’s “anastomosis” revisited. Clin Anat, 25:722–728.
  • 14. Nordland M (1930) The larynx as related to surgery of thyroid. Surg Gynecol Obstet, 51: 449–459.
  • 15. Partab P, Hurrinarain K, Ramsaroop L, Satyapal KS (2006) Atypical anastomosis of laryngeal nerves. Clin Anat, 19: 651–656.
  • 16. Pichler H, Giesel A (1957) The clinical significance of the ramification of the recurrent laryngeal nerves. Laryngoscope, 67: 105–117.
  • 17. Reuger RS (1972) The superior laryngeal nerve and the interarytenoid muscle in humans: an anatomical study. Laryngoscope, 82: 2008–2031.
  • 18. Sakamoto Y (2013) Interrelationships between the innervations from the laryngeal nerves and the pharyngeal plexus to the inferior pharyngeal constrictor. Surg Radiol Anat, DOI 10.1007/s00276-013-1102-8.
  • 19. Sanders I, Li Y, Biller H (1995) Axons enter the human posterior cricoarytenoid muscle from the superior direction. Arch Otolaryngol Head Neck Surg, 121: 754–758.
  • 20. Saňudo JR, Maranillo E, Leon X, Mirapeix R.M, Orus C, Quer M (1999) An anatomical study of the anastomosis between the laryngeal nerves. Laryngoscope, 109: 983–987.
  • 21. Schweizer V, Dorfl J (1997) The anatomy of the inferior laryngeal nerve. Clin Otolaryngol, 22: 362–369.
  • 22. Scouza RR, Carvalho CAF, Chih CI, Andradc ACH (1981) Divisao precoce do nervo laringeo recorrente e ramo comunicante com o nervo laringeo superior, no homem: estudo ètnico e anátomo-patolŏgico. Rev Hosp Clin, 36: 258–260.
  • 23. Tanaka S, Tanebe M (1986) Glottal adjustment for regulating vocal intensity: an experimental study. Acta otolaryngol (Stolk), 102: 315–324.
  • 24. Vogel PH (1952) The innervation of the larynx of man and the dog. Am J Anat, 90: 427–447.
  • 25. Williams AF (1951) The nerve supply of the laryngeal muscles. J Laryng Otol, 65: 343–348.
  • 26. Wu BL, Sanders I, Mu L, Biller HF (1994) The human communicating nerve an extension of the external superior laryngeal nerve that innervates the vocal cord. Arch Otolaryngol Head Neck Surg, 120: 1321–1328.

Typ dokumentu

Bibliografia

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