Int J Thyroidol.  2023 May;16(1):96-100. 10.11106/ijt.2023.16.1.96.

Application of Nerve Guided Conduits for Recurrent Laryngeal Nerve Regeneration

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine, Incheon, Korea

Abstract

Recurrent laryngeal nerve injury is a common complication of thyroid surgery that can cause communication disorders, aspiration, and swallowing difficulties. Despite extensive knowledge of the pathology and regeneration mechanisms of recurrent laryngeal nerve injury, reliable treatments that guarantee complete functional recovery are insufficient. Currently, nerve auto-grafting is the gold standard for the treatment of recurrent laryngeal nerve damage. However, due to the limitations of nerve auto-grafting, such as donor site morbidity and limited supply, alternative treatment methods are necessary in this field. Nerve guide conduits are being increasingly considered as potential alternatives to nerve auto-grafts in the treatment of recurrent laryngeal nerve damage. In recent years, researchers have attempted to develop structurally stable and biocompatible nerve guide conduits using tissue engineering technology, including internal and external structural changes, the development of biocompatible materials, and drug release. This article reviews research papers on the development of functionally developed nerve-guided conduits for recurrent laryngeal nerve regeneration.

Keyword

Recurrent laryngeal nerve injury; Nerve guided conduit; Nerve regeneration

Reference

References

1. Ling XY, Smoll NR. 2016; A systematic review of variations of the recurrent laryngeal nerve. Clin Anat. 29(1):104–10. DOI: 10.1002/ca.22613. PMID: 26297484.
Article
2. Joliat GR, Guarnero V, Demartines N, Schweizer V, Matter M. 2017; Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: incidence and postoperative evolution assessment. Medicine (Baltimore). 96(17):e6674. DOI: 10.1097/MD.0000000000006674. PMID: 28445266. PMCID: PMC5413231.
3. Zimmermann TM, Orbelo DM, Pittelko RL, Youssef SJ, Lohse CM, Ekbom DC. 2019; Voice outcomes following medialization laryngoplasty with and without arytenoid adduction. Laryngoscope. 129(8):1876–81. DOI: 10.1002/lary.27684. PMID: 30582612.
4. Randolph GW. 2010; The importance of pre- and postoperative laryngeal examination for thyroid surgery. Thyroid. 20(5):453–8. DOI: 10.1089/thy.2010.1632. PMID: 20450429.
5. Sanuki T, Yumoto E, Minoda R, Kodama N. 2010; The role of immediate recurrent laryngeal nerve reconstruction for thyroid cancer surgery. J Oncol. 2010:846235. DOI: 10.1155/2010/846235. PMID: 20628531. PMCID: PMC2902149.
Article
6. Fancello V, Nouraei SAR, Heathcote KJ. 2017; Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances. Curr Opin Otolaryngol Head Neck Surg. 25(6):480–5. DOI: 10.1097/MOO.0000000000000416. PMID: 29095795.
7. Lynch J, Parameswaran R. 2017; Management of unilateral recurrent laryngeal nerve injury after thyroid surgery: a review. Head Neck. 39(7):1470–8. DOI: 10.1002/hed.24772. PMID: 28370683.
8. Dzodic R, Markovic I, Santrac N, Buta M, Djurisic I, Lukic S. 2016; Recurrent laryngeal nerve liberations and reconstructions: a single institution experience. World J Surg. 40(3):644–51. DOI: 10.1007/s00268-015-3305-0. PMID: 26552911. PMCID: PMC4746230.
9. Wu R, Zhang C, Wang H, Li M, Lei S, Zeng J, et al. 2020; Clinical observation of end-to-end neuroanastomosis in the treatment of complete injury of the unilateral recurrent laryngeal nerve. Gland Surg. 9(6):2017–25. DOI: 10.21037/gs-20-633. PMID: 33447552. PMCID: PMC7804534.
10. Simó R, Nixon IJ, Rovira A, Vander Poorten V, Sanabria A, Zafereo M, et al. 2021; Immediate intraoperative repair of the recurrent laryngeal nerve in thyroid surgery. Laryngoscope. 131(6):1429–35. DOI: 10.1002/lary.29204.
Article
11. Gurrado A, Pasculli A, Pezzolla A, Di Meo G, Fiorella ML, Cortese R, et al. 2018; A method to repair the recurrent laryngeal nerve during thyroidectomy. Can J Surg. 61(4):278–82. DOI: 10.1503/cjs.010317. PMID: 30067187. PMCID: PMC6066384.
Article
12. Tian H, Pan J, Chen L, Wu Y. 2022; A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. Gland Surg. 11(1):270–8. DOI: 10.21037/gs-21-708. PMID: 35242688. PMCID: PMC8825521.
13. Vijayavenkataraman S. 2020; Nerve guide conduits for peripheral nerve injury repair: a review on design, materials and fabrication methods. Acta Biomater. 106:54–69. DOI: 10.1016/j.actbio.2020.02.003. PMID: 32044456.
Article
14. Houshyar S, Bhattacharyya A, Shanks R. 2019; Peripheral nerve conduit: materials and structures. ACS Chem Neurosci. 10(8):3349–65. DOI: 10.1021/acschemneuro.9b00203. PMID: 31273975.
Article
15. FF IJ, Van De Graaf RC, Meek MF. 2008; The early history of tubulation in nerve repair. J Hand Surg Eur Vol. 33(5):581–6. DOI: 10.1177/1753193408091349. PMID: 18694914.
Article
16. Widmer MS, Gupta PK, Lu L, Meszlenyi RK, Evans GR, Brandt K, et al. 1998; Manufacture of porous biodegradable polymer conduits by an extrusion process for guided tissue regeneration. Biomaterials. 19(21):1945–55. DOI: 10.1016/S0142-9612(98)00099-4. PMID: 9863528.
Article
17. Parker BJ, Rhodes DI, O'Brien CM, Rodda AE, Cameron NR. 2021; Nerve guidance conduit development for primary treatment of peripheral nerve transection injuries: a commercial perspective. Acta Biomater. 135:64–86. DOI: 10.1016/j.actbio.2021.08.052. PMID: 34492374.
Article
18. Yang X, Liu X, Xu F, Ji S, Sun Y, Song Z, et al. 2022; Fabrication of microgroove poly (lactic-co-glycolic acid) nerve guide conduit using dry-jet wet spinning for rat laryngeal recurrent nerve regeneration. Materials & Design. 223:111151. DOI: 10.1016/j.matdes.2022.111151.
19. Choi JS, Kim H, An HY, Shim BS, Lim JY. 2015; Regeneration of recurrent laryngeal nerve using polycaprolactone (PCL) nerve guide conduit coated with conductive materials. Clin Exp Thyroidol. 8(1):88–97. DOI: 10.11106/cet.2015.8.1.88.
20. Choi JS, Oh SH, An HY, Kim YM, Lee JH, Lim JY. 2014; Functional regeneration of recurrent laryngeal nerve injury during thyroid surgery using an asymmetrically porous nerve guide conduit in an animal model. Thyroid. 24(1):52–9. DOI: 10.1089/thy.2013.0338. PMID: 24015805. PMCID: PMC3887462.
21. Şentürk M, Çakır M, Tekin A, Küçükkartallar T, Yıldırım MA, Alkan S, et al. 2020; Comparison of primary repair and repair with polyglycolic acid coated tube in recurrent laryngeal nerve cuts (an experimental study). Am J Surg. 219(4):632–6. DOI: 10.1016/j.amjsurg.2019.06.015.
Article
22. Kim JW, Kim JM, Choi ME, Jeon EJ, Park JM, Kim YM, et al. 2022; Platelet-rich plasma loaded nerve guidance conduit as implantable biocompatible materials for recurrent laryngeal nerve regeneration. NPJ Regen Med. 7(1):49. DOI: 10.1038/s41536-022-00239-2. PMID: 36104458. PMCID: PMC9474804.
Article
23. Wang B, Yuan J, Chen X, Xu J, Li Y, Dong P. 2016; Functional regeneration of the transected recurrent laryngeal nerve using a collagen scaffold loaded with laminin and laminin-binding BDNF and GDNF. Sci Rep. 6:32292. DOI: 10.1038/srep32292. PMID: 27558932. PMCID: PMC4997630.
Article
24. Asai R, Ishii S, Mikoshiba I, Kazama T, Matsuzaki H, Oshima T, et al. 2020; Functional recurrent laryngeal nerve regeneration using a silicon tube containing a collagen gel in a rat model. PLoS One. 15(8):e0237231. DOI: 10.1371/journal.pone.0237231. PMID: 32853250. PMCID: PMC7451556.
Article
25. Li Y, Men Y, Wang B, Chen X, Yu Z. 2020; Co-transplantation of Schwann cells and neural stem cells in the laminin-chitosan- PLGA nerve conduit to repair the injured recurrent laryngeal nerve in SD rats. J Mater Sci Mater Med. 31(11):99. DOI: 10.1007/s10856-020-06436-z. PMID: 33130983.
26. Yoshimatsu M, Nakamura R, Kishimoto Y, Yurie H, Hayashi Y, Kaba S, et al. 2020; Recurrent laryngeal nerve regeneration using a self-assembling peptide hydrogel. Laryngoscope. 130(10):2420–7. DOI: 10.1002/lary.28434. PMID: 31804718.
Article
Full Text Links
  • IJT
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr