We devised a new method of dynamic reconstruction which sutures the cricothyroid muscle with the paralyzed lateral cricoarytenoid muscle.
Since this method achieved remobilization of paralyzed vocal cords in dogs, we applied it to seven patients with unilateral recurrent laryngeal nerve paralysis (four, postsurgical paralysis; three, idiopathic paralysis).
The results were as follows: 1) in all cases, tension of the vocal cord was good and voice quality was improved, 2) in four patients, remobilization of the paralyzed vocal cord was obtained.
We conclude that the clinical application of this method can serve as a new dynamic reconstruction for the treatment of unilateral recurrent laryngeal nerve paralysis.
