Selective laryngeal adductor denervation-reinnervation surgery for spasmodic dysphonia

Surgical treatment of adductor-type spasmodic dysphonia provides relief from the disabling voice breaks that require repeat botulinum toxin injections. The selective laryngeal adductor denervation-reinnervation surgery is described here. Key points discussed include patient selection, pertinent laryngeal and neural anatomy, and postoperative course.