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Left phrenic nerve palsy (right image side) in fluoroscopy: forced inspiration with the closed mouth leads to paradox elevation of the paralytic left diaphragm while the healthy right side moves down. Pain arising from structures supplied by the phrenic nerve is often "referred" to other somatic
Vocal cord paresis, also known as recurrent laryngeal nerve paralysis or vocal fold paralysis, is an injury to one or both recurrent laryngeal nerves (RLNs), which control all intrinsic muscles of the larynx except for the cricothyroid muscle. The RLN is important for speaking, breathing and swallowing.
Ancient Greek physician Galen demonstrated the nerve course and the clinical syndrome of recurrent laryngeal nerve paralysis, noting that pigs with the nerve severed were unable to squeal. Galen named the nerve the recurrent nerve , and described the same effect in two human infants who had undergone surgery for goiter .
The subclavian nerve may issue a branch called the accessory phrenic nerve [3] [2] which innervates the diaphragm. [3] The accessory phrenic nerve may rather branch from the C4 or C6 segments or ansa cervicalis. [4] This nerve usually joins with the phrenic nerve before innervating the diaphragm, ventral to the subclavian vein. [5]
The diaphragm is primarily innervated by the phrenic nerve which is formed from the cervical nerves C3, C4 and C5. [7] While the central portion of the diaphragm sends sensory afferents via the phrenic nerve, the peripheral portions of the diaphragm send sensory afferents via the intercostal (T5–T11) [8] and subcostal nerves (T12). [citation ...
The phrenic nerve is then isolated under the scalenus anticus muscle. For the thoracic surgical technique, a small (~5 cm) incisions over the 2nd or 3rd intercostal space. The electrodes are placed around the phrenic nerves alongside the pericardium. The use of a thorascope allows for this technique to be performed in a minimally-invasive ...
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