M. Broniatowski et al., ELECTRONIC CONTROL OF LARYNGEAL SPASM .2. SELECTIVE BLOCKAGE OF GLOTTIC ADDUCTION BY A CLOSED-LOOP CIRCUIT IN THE CANINE, The Laryngoscope, 103(7), 1993, pp. 734-740
This work is the continuation of an earlier pilot study in which speci
ally designed electrodes were used to block their own induced action p
otentials to restrain spasticity. In the current series of experiments
, strap muscle and thyroarytenoid contraction (glottic closure) elicit
ed by supramaximal ansa hypoglossi (N = 6) and recurrent laryngeal ner
ve (N = 4) stimulation (30 to 50 Hz, 0.1 to 6 mA, 0.1 to 1 msec), resp
ectively, allowed afferent information via intramuscular sonomicromete
r crystals to trigger a circuit that, in turn, stimulated blocking ele
ctrodes passed around the nerves downstream. Simultaneous videorecordi
ng of strap and vocal cord motion during direct laryngoscopy with thei
r corresponding excursion tracings demonstrated near-total suppression
of contractions within given stimulation ''windows.'' These encouragi
ng results may eventually permit selective restraint of erratic contra
ctions involving laryngeal and other cervical musculatures in the huma
n.