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2013 Fiscal Year Final Research Report

Synkinetic movement of the vocal fold in unilaterally paralyzed larynx

Research Project

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Project/Area Number 23659798
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Otorhinolaryngology
Research InstitutionKumamoto University

Principal Investigator

YUMOTO Eiji  熊本大学, 大学院生命科学研究部, 教授 (40116992)

Co-Investigator(Renkei-kenkyūsha) SANUKI Tetsuji  熊本大学, 医学部附属病院, 講師 (10335896)
KUMAI Yoshihiko  熊本大学, 大学院生命科学研究部, 助教 (00555774)
Project Period (FY) 2011 – 2013
Keywords反回神経 / 過誤神経支配 / 共同運動 / 喉頭麻痺
Research Abstract

Two animal groups were made: denervation (DNV) and reinnervation (Suture) groups. DNV animals did not show vocal fold movement. Some of Suture group animals showed synkinesis and others in the group showed weak physiological movement during respiration. Greater electromyographic recruitment of TA than PCA was seen during inhalation in the former, while recruitment of PCA was greater than TA during inhalation in majority of the latter subgroup.
Aberrant regeneration of nerve fibers in Suture group may have occurred, resulting in synkinesis of the VF depending on the degree of misdirection. Appearance of myosin heavy chain type IIA was not associated with the presence of synkinesis. Administration of Ca channel inhibitor, which facilitates axonal extension during regeneration, in Suture group did not result in decrease of synkinesis.

  • Research Products

    (27 results)

All 2014 2013 2012 2011

All Journal Article (11 results) (of which Peer Reviewed: 11 results) Presentation (16 results)

  • [Journal Article] Over-adduction of the unaffected vocal fold during phonation in the unilaterally paralyzed larynx2014

    • Author(s)
      Yumoto E, Sanuki T, Minoda R, Kumai Y, Nishimoto K, Kodama N
    • Journal Title

      Acta Otolaryngol

      Volume: (in press)

    • DOI

      10.3109/00016489.2014.886020

    • Peer Reviewed
  • [Journal Article] Laryngeal Muscle Activity in Unilateral Vocal Fold Paralysis Patients Using Electromyography and Coronal Reconstructed Images2014

    • Author(s)
      Sanuki T, Yumoto E, Nishimoto K, Minoda R
    • Journal Title

      Otolaryngol Head Neck Surg

      Volume: 150;4 Pages: 625-630

    • DOI

      10.1177/0194599814520999

    • Peer Reviewed
  • [Journal Article] The impact of nimodipine administration combined with nerve-muscle pedicle implantation on long-term denervated rat thyroarytenoid muscle2013

    • Author(s)
      Nishimoto K, Kumai Y, Sanuki T, Minoda R, Yumoto E
    • Journal Title

      Laryngoscope 2013

      Volume: 123;4 Pages: 952-959

    • DOI

      10.1002/lary.23698

    • Peer Reviewed
  • [Journal Article] 一側喉頭麻痺に対する音声外科-披裂軟骨内転術と神経筋弁移植術-2013

    • Author(s)
      湯本英二
    • Journal Title

      頭頸部外科

      Volume: 23 Pages: 27-31

    • Peer Reviewed
  • [Journal Article] 神経再支配を目指した音声外科2013

    • Author(s)
      湯本英二
    • Journal Title

      耳鼻咽喉科・頭頸部外科

      Volume: 85 Pages: 98-106

    • Peer Reviewed
  • [Journal Article] 陳旧性一側喉頭麻痺に対する披裂軟骨内転術と神経移行術の併用術の経時的効果2013

    • Author(s)
      兒玉成博、讃岐徹治、湯本英二
    • Journal Title

      音声言語医学

      Volume: 54 Pages: 8-13

    • Peer Reviewed
  • [Journal Article] Glottal configuration in unilaterally paralyzed larynx and vocal unction2013

    • Author(s)
      Yumoto E, Sanuki T, Minoda R, Kumai Y, Nishimoto K
    • Journal Title

      Acta Otolaryngol

      Volume: 133;2 Pages: 187-193

    • DOI

      10.3109/00016489.2012.726741

    • Peer Reviewed
  • [Journal Article] Recurrent laryngeal nerve regeneration through a silicone tube produces reinnervation without vocal fold mobility in rats2013

    • Author(s)
      Kumai Y, Aoyama T, Nishimoto K, Sanuki T, Minoda R, Yumoto E
    • Journal Title

      Ann Otol Rhinol Laryngol

      Volume: 122(1) Pages: 49-53

    • Peer Reviewed
  • [Journal Article] Modulation of nerve fibers in the rat thyroarytenoid muscle following recurrent laryngeal nerve injury2012

    • Author(s)
      Toya Y, Kumai Y, Minoda R, Yumoto E
    • Journal Title

      Acta Otolaryngol

      Volume: 132 Pages: 305-313

    • DOI

      10.3109/00016489.2011.637176

    • Peer Reviewed
  • [Journal Article] Nimodipine accelerates reinnervation of denervated rat thyroarytenoid muscle following nerve-muscle pedicle implantation2012

    • Author(s)
      Nishimoto K, Kumai Y, Minoda R, Yumoto E
    • Journal Title

      Laryngoscope

      Volume: 122;3 Pages: 606-613

    • DOI

      10.1002/lary.22487.

    • Peer Reviewed
  • [Journal Article] Vocal outcome after arytenoid adduction and ansa cervicalis transfer2012

    • Author(s)
      Hassan MM, Yumoto E, Kumai Y, Sanuki T, Kodama N
    • Journal Title

      Arch Otolaryngol Head Neck Surg

      Volume: 138;1 Pages: 60-65

    • DOI

      10.1001/archoto.2011.228.

    • Peer Reviewed
  • [Presentation] Effect of Immediate Reconstruction of the Recurrent Laryngeal Nerve on Three-Dimensional Configuration of the Vocal folds during Phonation2013

    • Author(s)
      Yumoto E, et al.
    • Organizer
      29th World Congress of the International Association of Logopedics and Phoniatrics
    • Place of Presentation
      Turin, Italy, Lingotto Convention Centre
    • Year and Date
      20130825-29
  • [Presentation] Long-term Vocal Outcomes of Nerve-Muscle Pedicle Flap Implantation Combined with Arytenoid Adduction for Unilateral Vocal Fold Paralysis2013

    • Author(s)
      Kodama N, Yumoto E, et al.
    • Organizer
      29th World Congress of the International Association of Logopedics and Phoniatrics
    • Place of Presentation
      Turin, Italy, Lingotto Convention Centre
    • Year and Date
      20130825-29
  • [Presentation] Laryngeal Reinnervation in the Treatment of Unilateral Vocal Fold Paralysis2013

    • Author(s)
      Yumoto E
    • Organizer
      20th World Congress of the International Federation of Oto-Rhino-Laryngological Societies
    • Place of Presentation
      Seoul, Korea, COEX Convention Center
    • Year and Date
      20130601-05
  • [Presentation] Three-Dimensional Endoscopic Images of Vocal Fold Paralysis by Computed Tomography2013

    • Author(s)
      Yumoto E
    • Organizer
      20th World Congress of the International Federation of Oto-Rhino-Laryngological Societies
    • Place of Presentation
      Seoul, Korea, COEX Convention Center
    • Year and Date
      20130601-05
  • [Presentation] Paradoxical movement of rat vocal fold following recurrent laryngeal nerve injury2013

    • Author(s)
      Nisimoto K, Yumoto E, et al.
    • Organizer
      The American Broncho-Esophagological Association
    • Place of Presentation
      Orlando, USA, JW Marriott Grande Lakes
    • Year and Date
      20130410-11
  • [Presentation] Electromyography findings in nerve-muscle pedicle implantation with arytenoid adduction for unilateral vocal fold paralysis2013

    • Author(s)
      Sanuki T, Yumoto E, et al.
    • Organizer
      The American Broncho-Esophagological Association
    • Place of Presentation
      Orlando, USA, JW Marriott Grande Lakes
    • Year and Date
      20130410-11
  • [Presentation] Does Over-Adduction of the Healthy Vocal Fold Really Compensate Vocal Function in Patients with Unilateral Vocal Fold Paralysis?2013

    • Author(s)
      Yumoto E, et al.
    • Organizer
      The American Broncho-Esophagological Association
    • Place of Presentation
      Orlando, USA, JW Marriott Grande Lakes
    • Year and Date
      20130410-11
  • [Presentation] Novel strategy for treatment of severely breathy Dysphonia due to unilateral vocal fold paralysis2012

    • Author(s)
      Yumoto E, et al.
    • Organizer
      The 8th East Asian Conference on Phonosurgery
    • Place of Presentation
      Cheju, Korea, Ramada Plaza Hotel
    • Year and Date
      20121130-1201
  • [Presentation] Paradoxical movement of rat vocal fold following recurrent laryngeal nerve injury2012

    • Author(s)
      Nishimoto K, Yumoto E, et al.
    • Organizer
      The 8th East Asian Conference on Phonosurgery
    • Place of Presentation
      Cheju, Korea, Ramada Plaza Hotel
    • Year and Date
      20121130-1201
  • [Presentation] The modulation of satellite cells in rat thyroarytenoid muscle after the transection and immediate anastomosis of recurrent laryngeal nerve2012

    • Author(s)
      Kodama H, Yumoto E, et al.
    • Organizer
      The 8th East Asian Conference on Phonosurgery
    • Place of Presentation
      Cheju, Korea, Ramada Plaza Hotel
    • Year and Date
      20121130-1201
  • [Presentation] Reinnervation surgeries for treatment of severely breathy dysphonia due to unilateral vocal fold paralysis2012

    • Author(s)
      Yumoto E, et al.
    • Organizer
      Collegium Oto-Rhinolaryngologicum Amicitiae Sacrum
    • Place of Presentation
      Rome, Italy, Hotel Parco dei Principi
    • Year and Date
      20120826-29
  • [Presentation] Alignment and Thickness of the Vocal Fold After Immediate Reconstruction of the Recurrent Laryngeal Nerve2012

    • Author(s)
      Yumoto E, et al.
    • Organizer
      American Broncho-Esophagological Association
    • Place of Presentation
      SanDiego, USA,Manchester Grand Hyatt
    • Year and Date
      20120418-22
  • [Presentation] Animal Model for Recurrent Laryngeal Nerve Synkinetic Reinnervation with Immobile Vocal Fold Using Silicon Tube2012

    • Author(s)
      Kumai Y, Yumoto E, et al.
    • Organizer
      American Broncho-Esophagological Association
    • Place of Presentation
      SanDiego, USA, Manchester Grand Hyatt
    • Year and Date
      20120418-22
  • [Presentation] The Impact of Nimodipine Administration Combined with Nerve-Muscle Pedicle Implantation on Long-Term Denervated Rat Thyroarytenoid Muscle2012

    • Author(s)
      Nishimoto K, Yumoto E, et al.
    • Organizer
      American Laryngological Association
    • Place of Presentation
      SanDiego, USA, Manchester Grand Hyatt
    • Year and Date
      20120418-22
  • [Presentation] A New Classification of Laryngeal Synkinesis2011

    • Author(s)
      Yumoto E, et al.
    • Organizer
      American Academy of Otolaryngology-Head and Neck Surgery Foundation
    • Place of Presentation
      San Francisco, USA, Moscone Center
    • Year and Date
      20110911-14
  • [Presentation] Nerve Fibers in Laryngeal Muscle Following Injury on Nerve2011

    • Author(s)
      Toya Y, Yumoto E, et al.
    • Organizer
      American Academy of Otolaryngology-Head and Neck Surgery Foundation
    • Place of Presentation
      San Francisco, USA, Moscone Center
    • Year and Date
      20110911-14

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Published: 2015-06-25  

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