Traditional measures of dysphonia vary in their reliability and in their correlations with perceptions of grade. Measurements of cepstral peak prominence (CPP) have been shown to correlate well with perceptions of breathiness. Because it is a measure of periodicity, CPP should also predict roughness. The ability of CPP and other acoustic measures to predict… (More)
Reinnervation offers great potential for the rehabilitation of the paralyzed larynx, a potential that has yet to be realized. The nerve-muscle pedicle (NMP) technique is one method of reinnervation that attempts to transfer a nerve with a portion of its muscle intact to a denervated muscle. The selection of the nerve to incorporate into a NMP is examined in… (More)
Extension of neuromuscular pedicles and direct nerve implants was investigated in ten rabbits. All rabbits underwent facial nerve resection bilaterally. In five rabbits a neuromuscular pedicle, based on the ansa cervicalis nerve, was implanted into the denervated mentalis muscle unilaterally. On the opposite side, reinnervation was attempted using a… (More)
A patient initially diagnosed with adductor-type spasmodic dysphonia was referred for botulinum toxin (Botox) injections, but found on subsequent evaluation to have amyotrophic lateral sclerosis, and therefore Botox was not administered. This unique case underscores the need to delay botulinum toxin treatments in any patient with recent onset symptoms, and… (More)
Hypoglossal nerve stimulation was investigated as a method to relieve an induced upper airway obstruction. Six dogs were implanted with a cuff electrode applied to each hypoglossal nerve and a pulse generator. After 4 weeks, the hypoglossal nerve was stimulated (50% duty cycle) for up to 8 weeks. At 12 weeks a double tracheotomy was placed, with a negative… (More)
Brain stem lesions frequently cause dysfunction of the lower cranial nerves. Even with successful treatment, dysfunction may remain. Various methods for rehabilitating the patient with persistent lower cranial nerve dysfunction are presented.