A prospective study comparing the midline and lateral trans-laryngeal ultrasonography approaches in vocal cord assessment before and after thyroid and neck surgeries - 08/04/22
Abstract |
Introduction |
It is unclear if placing an ultrasound probe along each thyroid cartilage lamina (i.e. the lateral approach) can improve vocal cord (VC) visualization over in the midline (i.e. the midline approach) in trans-larygeal ultrasonography (TLUSG). This study compared VC visualization rates and diagnostic accuracy between the two approaches.
Methods |
Consecutive patients undergoing surgery had their VCs assessed by the two TLUSG approaches and flexible laryngoscopy within the same session. VC visualization rates and diagnostic accuracy of each approach were calculated and compared.
Results |
Ninety patients (or 180 VCs) were analyzed. The lateral approach had significantly better overall VC visualization rate than the midline approach (93.3% vs. 82.2%, p=<0.001), especially for males (75.0% vs. 33.3%, p = 0.002). Both approaches had comparable accuracy (100% vs. 99.4%).
Conclusions |
The lateral approach should be preferred because of the significantly better VC visualization rate and comparable accuracy to the midline approach.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The lateral approach of TLUSG had a higher successful rate of vocal cord visualization than the midline approach. |
• | Among male patients, the lateral approach visualized twice more vocal cords than the midline approach. |
• | Both the midline and lateral approaches of translaryngeal ultrasonography were highly accurate. |
Keywords : Recurrent laryngeal nerve, Ultrasonography, Vocal cord paresis, Thyroidectomy, Trans-laryngeal ultrasonography
Plan
Vol 223 - N° 4
P. 676-680 - avril 2022 Retour au numéro
Article précédent
- Impact of the COVID-19 pandemic on the practice of endocrine surgery
- Toni Beninato, Amanda M. Laird, Claire E. Graves, F. Thurston Drake, Amal Alhefdhi, James A. Lee, Jennifer H. Kuo, Elizabeth G. Grubbs, Tracy S. Wang, Janice L. Pasieka, Carrie C. Lubitz
- Mediastinal parathyroidectomy: Utilization of a multidisciplinary, robotic-assisted transthoracic approach in challenging cases
- Kimberly M. Ramonell, Courtney Rentas, Erin Buczek, John Porterfield, Brenessa Lindeman, Herbert Chen, Jessica Fazendin, Benjamin Wei
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