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OverviewAll laryngologists, especially general ENT doctors who see patients with paralytic dysphonia, as well as speech pathologists, will benefit from this book’s coverage of many basic and clinical aspects of reinnervation in retrieving patients’ normal voices. Phonosurgical treatment for paralytic dysphonia was first established in the late 1970s in the form of arytenoid adduction and medialization laryngoplasty. It made possible the improvement of patients’ post-op voices, but it was difficult to regain patients’ own pre-paralysis voices. It has recently been established that immediate reconstruction of the recurrent laryngeal nerve during tumor extirpation is effective in recovery of their original voices in patients with unilateral vocal fold paralysis (VFP). The activity of the thyroarytenoid muscle is needed to recover normal voices. Nerve–muscle pedicle (NMP) flap implantation with a refined technique to the thyroarytenoid muscle is a novel method for that purpose. NMP flap implantation combined with arytenoid adduction was applied by the author to patients suffering from dysphonia and most patients did recover their nearly normal voices after surgery. This book provides readers with (1) what the currently prevalent surgical procedures are, (2) unsatisfactory results of these conventional procedures, (3) results of immediate recurrent laryngeal nerve reconstruction during tumor extirpation, (4) the outcome of delayed reinnervation combined with arytenoid adduction in patients with VFP and further, (5) the scientific basis that explains the reasons why the author’s method is effective in the recovery of patients’ own pre-paralysis, normal voices. Full Product DetailsAuthor: Eiji YumotoPublisher: Springer Verlag, Japan Imprint: Springer Verlag, Japan Edition: 2015 ed. Dimensions: Width: 15.50cm , Height: 1.10cm , Length: 23.50cm Weight: 4.227kg ISBN: 9784431553533ISBN 10: 4431553533 Pages: 161 Publication Date: 12 May 2015 Audience: Professional and scholarly , Professional & Vocational Format: Hardback Publisher's Status: Active Availability: Manufactured on demand  We will order this item for you from a manufactured on demand supplier. Table of ContentsPreface.- Acknowledgement.- Foreword.- Basic Knowledge of Vocal Fold Paralysis.- Etiologies of Vocal Fold Paralysis and Conventional Surgical Procedures Used to Treat Paralytic Dysphonia.- Denervation and Reinnervation of the Thyroarytenoid Muscle.- Diagnosis of Paralytic Dysphonia and its Clinical Characteristics.- Surgical Treatment of Unilateral Vocal Fold Paralysis; Reinnervation of the Thyroarytenoid Muscle.- Summary and Future Perspectives.ReviewsAuthor InformationEiji Yumoto, MD Professor and Chairman Department of Otolaryngology – Head and Neck Surgery Graduate School of Medical Sciences, Kumamoto University 1-1-1 Honjo, Chuo-ku, Kumamoto-shi, 860-8556, Japan Phone +81-96-373-5255, Fax +81-96-373-5256 e-mail: yu6167@gpo.kumamoto-u.ac.jp Tab Content 6Author Website:Countries AvailableAll regions |
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