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Laryngeal Transplantation

  • David G. LottEmail author
  • Robert R. Lorenz
Chapter
  • 535 Downloads

Abstract

Laryngeal transplantation has the potential to restore voice, breathing, and swallowing in patients with severe laryngeal dysfunction. Following the first successful human laryngeal transplant in 1998, significant research has been performed and advancements have been made in an effort to expand the applicability of laryngeal transplantation to a larger cohort of patients. The main areas of focus have included efforts to reduce or bypass the need for immunosuppression and to establish volitional control of the laryngeal musculature through reinnervation or pacing techniques. This chapter details the world’s first human total laryngeal transplantation and describes the lessons learned until its explantation almost 15 years later. We also summarize many of the major studies and findings that have furthered the science and have contributed to the goal of one day transplanting a fully functional larynx in any patient in need.

Keywords

Laryngeal transplantation Transplantation Immunosuppression Everolimus Immunomodulation Dendritic cells Regeneration Tissue-engineering Reinnervation Larynx 

Supplementary material

Video 16.1

Explanted Larynx. In March of 2013, the first successful total laryngeal transplant patient describes his thoughts on the experience with the senior author (WMV 4065 kb)

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Otolaryngology Head and Neck SurgeryMayo Clinic ArizonaPhoenixUSA
  2. 2.Head and Neck InstituteCleveland ClinicClevelandUSA

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