{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T09:18:26Z","timestamp":1793092706771,"version":"4.5.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[1999,3,1]],"date-time":"1999-03-01T00:00:00Z","timestamp":920246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[1999,3]]},"abstract":"<jats:p>During the past decade, botulinum toxin (Botox) has emerged as the accepted treatment for adductor spasmodic dysphonia (ASD). This therapy, which produces bilateral weakness of the thyroarytenoid muscle, undoubtedly produces physiologic effects that are beneficial to patients with ASD. However, it also has important limitations, including the need for repeated injections, the unpredictable relationship between dosage and response, and the possibility of short-term swallowing and voice problems. In this study, we will report our preliminary experience with a new surgical treatment for ASD. In this new procedure, the adductor branch of the recurrent laryngeal nerve is selectively denervated bilaterally, and its distal nerve stumps are reinnervated with branches of the ansa cervicalis nerve. Each of the patients was followed for at least 12 months; the median follow-up is 36 months. The outcome of the operation in 21 consecutive patients is reported. Nineteen of the 21 patients were judged to have an overall severity of dysphonia that was \u201cabsent to mild\u201d following the procedure. Only 1 patient underwent further treatment with Botox postoperatively. The implications of this new procedure for ASD are discussed.<\/jats:p>","DOI":"10.1177\/000348949910800302","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:38:05Z","timestamp":1412347085000},"page":"227-231","source":"Crossref","is-referenced-by-count":122,"title":["Selective Laryngeal Adductor Denervationreinnervation: A New Surgical Treatment for Adductor Spasmodic Dysphonia"],"prefix":"10.1177","volume":"108","author":[{"given":"Gerald S.","family":"Berke","sequence":"first","affiliation":[{"name":"Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Verneil","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith E.","family":"Blackwell","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine S.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce R.","family":"Gerratt","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel A.","family":"Sercarz","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,3,1]]},"reference":[{"key":"bibr1-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1177\/000348947608500405"},{"key":"bibr2-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198303000-00002"},{"key":"bibr3-000348949910800302","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1288\/00005537-198301000-00001","volume":"93","author":"Aronson AE","year":"1983","journal-title":"Laryngoscope"},{"key":"bibr4-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1159\/000265645"},{"key":"bibr5-000348949910800302","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1002\/lary.1986.96.11.1300","volume":"96","author":"Blitzer A","year":"1986","journal-title":"Laryngoscope"},{"key":"bibr6-000348949910800302","first-page":"119","volume-title":"Motor disturbances: a selection of papers delivered at the 1st Congress of the International Medical Society of Motor Disturbances held at Lausanne, Switzerland, 19\u201321 June, 1986","author":"Ludlow C","year":"1987"},{"key":"bibr7-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870040401"},{"key":"bibr8-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199204000-00006"},{"key":"bibr9-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199603000-00010"},{"key":"bibr10-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.38.8.1220"},{"key":"bibr11-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5001.54"},{"key":"bibr12-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199604000-00017"},{"key":"bibr13-000348949910800302","first-page":"271","volume-title":"Vocal fold physiology","author":"Fujimura O","year":"1981"},{"key":"bibr14-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(05)80341-8"},{"key":"bibr15-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1177\/019459989210700508"},{"key":"bibr16-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199606000-00016"},{"key":"bibr17-000348949910800302","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199612000-00015"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348949910800302","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348949910800302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:17:40Z","timestamp":1777375060000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348949910800302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,3]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1999,3]]}},"alternative-id":["10.1177\/000348949910800302"],"URL":"https:\/\/doi.org\/10.1177\/000348949910800302","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,3]]}}}