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Journal of Speech and Hearing Disorders Vol.45 112-118 February 1980.
© American Speech-Language-Hearing Association
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Recurrent Laryngeal Nerve Dissection

A Case Report Involving Return of Spastic Dysphonia after Initial Surgery

Frank B. Wilson 1, D. J. Oldring 1, and Kathleen Mueller 1

1 University of Alberta, Edmonton

This case study describes successful management of spastic dysphonia using a procedure whereby the right recurrent laryngeal nerve was severed. Thirteen months following the surgical treatment, the subject reported a return of the preoperative vocal characteristics of spastic dysphonia. Tests and inspection revealed that the right recurrent nerve was again intact and the right vocal fold was functional. A second surgical procedure was performed, modified to prevent neural reconnection, with a return of the improved voice observed following the initial surgery. The results are discussed in terms of etiological considerations of spastic dysphonia.

Submitted on February 14, 1979
Accepted on April 3, 1979






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