| Abstract [eng] |
Introduction. Permanent recurrent laryngeal nerve damage is not very common. When injured, one or both vocal folds may be paralyzed. Unilateral vocal fold paralysis is most commonly a complication of neck and thyroid surgical operations and neck trauma. Various treatment methods, both temporary and permanent, may be chosen for the management of the pathology. The aim. To review the latest scientific literature on laryngeal reinnervation and other possible treatments for unilateral vocal fold paralysis. Methods. A literature review was carried out in the “PubMed” database using the keywords. 847 publications in English were found. Initially, the titles of the publications were reviewed, and 67 publications were selected. After reviewing the full-text publications, 32 publications were excluded due to irrelevance to the topic. Ultimately, 35 scientific sources from the years 2014-2024 were chosen for examination. Results and Conclusions. The literature review revealed that an ideal surgical treatment for unilateral vocal fold paralysis in children and adults has not been established. The goal of treatment for unilateral vocal fold paralysis is to restore the movement, volume, and tension of the vocal fold. Methods to improve the function of the paralyzed fold may include injection laryngoplasty, laryngoplasty using an implant, and reinnervation. Laryngeal reinnervation avoids the drawbacks of other surgical treatments for unilateral vocal fold paralysis. However, the results of the operation are felt much later. When choosing the most appropriate procedure, it is necessary to consider the treatment goals, the expected lifespan, and the age of the patient. |
