Selective vagus–recurrent laryngeal nerve anastomosis guided by intraoperative neuromonitoring: evidence of lateral motor fiber clustering in the vagus nerve - Takeaways - MDSpire

Selective vagus–recurrent laryngeal nerve anastomosis guided by intraoperative neuromonitoring: evidence of lateral motor fiber clustering in the vagus nerve

  • By

  • Jiedong Kou

  • Daqi Zhang

  • Le Zhou

  • Shijie Li

  • Tie Wang

  • Peiyao Wang

  • Zihan Zhao

  • Gianlorenzo Dionigi

  • Carla Colombo

  • Yishen Zhao

  • Hui Sun

  • June 17, 2026

  • 0 min

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  • 1

    The study evaluated a novel IONM-guided selective vagus-recurrent laryngeal nerve anastomosis technique in a porcine model.

  • 2

    Selective vagus-recurrent laryngeal nerve anastomosis achieved early EMG recovery comparable to direct anastomosis despite excessive tension.

  • 3

    Low-current IONM effectively mapped motor fibers in the vagus nerve, allowing targeted dissection for laryngeal muscle innervation.

  • 4

    The technique preserved vagus nerve trunk integrity while facilitating functional recovery in the context of RLN transection.

  • 5

    Findings suggest that IONM-guided selective anastomosis may be a viable alternative when direct repair is not feasible.

Original Source(s)

Selective vagus–recurrent laryngeal nerve anastomosis guided by intraoperative neuromonitoring: evidence of lateral motor fiber clustering in the vagus nerve

  • by Jiedong Kou, Daqi Zhang, Le Zhou, Shijie Li, Tie Wang, Peiyao Wang, Zihan Zhao, Gianlorenzo Dionigi, Carla Colombo, Yishen Zhao, Hui Sun

  • June 17, 2026

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