Transcutaneous electrical stimulation of the recurrent laryngeal nerve in monkeys

Ira Sanders, Jonathan Aviv, Michael M. Racenstein, Warren M. Kraus, Hugh F. Biller

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

The recurrent laryngeal nerve RLN of four anesthetized adult Macaca fascicularis monkeys was stimulated by applying current with blunt electrodes placed unilaterally and bilaterally on the intact neck skin along the tracheoesophageal groove. The stimulus consisted of 2.5- to 4.0-mA cathodal pulses, each of 1-ms duration, beginning at a frequency of 10 Hz and increasing by 10-Hz increments to 100 Hz. Unilateral stimulation from 10 to 30 Hz resulted in a graded vocal cord abduction, with the maximal glottic aperture occurring at 30 Hz. Stimulation above 30 Hz produced a graded cord adduction, with nearly complete glottic closure at 100 Hz; bilateral stimulation yielded similar results, with total glottic closure at 100 Hz. Confirmation of the RLN as mediator of this frequency-dependent cord motion was achieved by surgically isolating it and attaining identical results with direct stimulation. No cardiopulmonary alterations were observed in any trial. Transcutaneous electrical stimulation of the RLN seems to be a relatively safe, reliable, and noninvasive method of controlling vocal cord position and thereby the glottic airway in monkeys.

Original languageEnglish
Pages (from-to)38-42
Number of pages5
JournalAnnals of Otology, Rhinology and Laryngology
Volume96
Issue number1
DOIs
StatePublished - Jan 1987

Keywords

  • larynx
  • recurrent laryngeal nerve
  • stimulation

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