Transcutaneous Laryngeal Ultrasonography for Laryngeal Immobility Diagnosis in Patients with Voice Disorders After Thyroid/Parathyroid Surgery

Transcutaneous Laryngeal Ultrasonography for Laryngeal Immobility Diagnosis in Patients with... Background Transcutaneous laryngeal ultrasonography (TLUS) was recently developed to assess recurrent nerve palsy after thyroid/parathyroid surgery, with variable rates of efficiency. The aim of the current study was to evaluate this technique using subjective estimation and post-processing quantitative data. Methods Fifty subjects presenting with a recurrent nerve palsy and 50 ‘‘controls’’ presenting with voice, swallowing, or breathing disorders following thyroid/parathyroid surgery were prospectively included. All of them underwent a flexible laryngoscopy, considered the gold standard, and a ten-second TLUS clip within the 10 days following surgery. In addition to the subjective interpretation of vocal fold motion, two quantitative criteria taking into account motion symmetry (symmetry index, SI) and amplitude (mobility index) of the two hemi-larynges were defined on TLUS acquisitions in adduction and abduction. Results The subjective interpretation provided a sensitivity of 100% and a specificity of 96%, compared to the gold standard. The quantitative criteria provided a sensitivity and specificity of both 82%, when based on SI solely. When combining SI and mobility index, the sensitivity reached 94%, but the specificity fell to 66%. Conclusions Visual assessment of recurrent nerve palsy using TLUS after thyroid/parathyroid surgery appeared a high sensitive and specific test compared to flexible laryngoscopy. Quantitative http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png World Journal of Surgery Springer Journals

Transcutaneous Laryngeal Ultrasonography for Laryngeal Immobility Diagnosis in Patients with Voice Disorders After Thyroid/Parathyroid Surgery

7 pages
Read Article

Loading next page...
 
/lp/springer_journal/transcutaneous-laryngeal-ultrasonography-for-laryngeal-immobility-Oj0lEBI4g0
Publisher
Springer Journals
Copyright
Copyright © 2018 by Société Internationale de Chirurgie
Subject
Medicine & Public Health; Surgery; Abdominal Surgery; Cardiac Surgery; General Surgery; Thoracic Surgery; Vascular Surgery
ISSN
0364-2313
eISSN
1432-2323
DOI
10.1007/s00268-017-4428-2
Publisher site
See Article on Publisher Site

Abstract

Background Transcutaneous laryngeal ultrasonography (TLUS) was recently developed to assess recurrent nerve palsy after thyroid/parathyroid surgery, with variable rates of efficiency. The aim of the current study was to evaluate this technique using subjective estimation and post-processing quantitative data. Methods Fifty subjects presenting with a recurrent nerve palsy and 50 ‘‘controls’’ presenting with voice, swallowing, or breathing disorders following thyroid/parathyroid surgery were prospectively included. All of them underwent a flexible laryngoscopy, considered the gold standard, and a ten-second TLUS clip within the 10 days following surgery. In addition to the subjective interpretation of vocal fold motion, two quantitative criteria taking into account motion symmetry (symmetry index, SI) and amplitude (mobility index) of the two hemi-larynges were defined on TLUS acquisitions in adduction and abduction. Results The subjective interpretation provided a sensitivity of 100% and a specificity of 96%, compared to the gold standard. The quantitative criteria provided a sensitivity and specificity of both 82%, when based on SI solely. When combining SI and mobility index, the sensitivity reached 94%, but the specificity fell to 66%. Conclusions Visual assessment of recurrent nerve palsy using TLUS after thyroid/parathyroid surgery appeared a high sensitive and specific test compared to flexible laryngoscopy. Quantitative

Journal

World Journal of Surgery – Springer Journals

Published: Jan 3, 2018

References

  • Use of sonography for airway assessment. An observational study
    Singh, M; Chin, KJ; Chan, VWS
  • Real-time, high-resolution ultrasonography of the vocal folds-a prospective pilot study in patients before and after thyroidectomy
    Dedecjus, M; Adamczewski, Z; Brzeziński, J
  • Comparison of sonography and computed tomography as imaging
    Prasad, A; Yu, E; Wong, DT
  • Lessons learned after 1000 cases of transcutaneous laryngeal ultrasound (TLUSG) with laryngoscopic validation: Is there a role of TLUSG in patients indicated for laryngoscopic examination before thyroidectomy?
    Wong, K-P; Au, K-P; Lam, S
  • Ultrasonography in the management of the airway
    Kristensen, MS
  • Ultrasound: a novel tool for airway imaging
    Parmar, SB; Mehta, HK; Shah, NK
  • Using transcutaneous laryngeal ultrasonography (TLUSG) to assess post-thyroidectomy patients’ vocal cords: Which maneuver best optimizes visualization and assessment accuracy?
    Wong, KP; Woo, JW; Li, JYY
  • Laryngeal ultrasound and vocal fold movement in the pediatric cardiovascular intensive care unit
    Ongkasuwan, J; Ocampo, E; Tran, B
  • Ultrasound: a promising tool for contemporary airway management
    Garg, R; Gupta, A
  • Laryngeal ultrasonography versus cuff leak test in predicting postextubation stridor
    Mikaeili, H; Yazdchi, M; Tarzamni, M
  • Ultrasonography in the preoperative difficult airway assessment
    Fulkerson, JS; Moore, HM; Anderson, TS
  • Determining the learning curve of transcutaneous laryngeal ultrasound in vocal cord assessment by CUSUM analysis of eight surgical residents: when to abandon laryngoscopy
    Wong, KP; Lang, BHH; Lam, S
  • A prospective, assessor-blind evaluation of surgeon-performed transcutaneous laryngeal ultrasonography in vocal cord examination before and after thyroidectomy
    Wong, KP; Lang, BHH; Ng, SH
  • Impact of vocal cord ultrasonography on endocrine surgery practices
    Carneiro-Pla, D; Solorzano, CC; Wilhelm, SM
  • Assessment of vocal fold function using transcutaneous laryngeal ultrasonography and flexible laryngoscopy
    Kandil, E; Deniwar, A; Noureldine, SI
  • Transcutaneous ultrasonography in early postoperative diagnosis of vocal cord palsy after total thyroidectomy
    Borel, F; Delemazure, AS; Espitalier, F
  • Sonographic anatomy of the larynx, with particular reference to the vocal cords
    Raghavendra, BN; Horii, SC; Reede, DL
  • The importance of sonographic landmarks by transcutaneous laryngeal ultrasonography in post-thyroidectomy vocal cord assessment
    Wong, KP; Woo, JW; Youn, YK
  • A novel lateral-approach laryngeal ultrasonography for vocal cord evaluation
    Woo, JW; Suh, H; Song, RY
  • Sonographic dynamic description of the laryngeal tract: definition of quantitative measures to characterize vocal fold motion and estimation of their normal values
    Bergeret-Cassagne, H; Lazard, DS; Lefort, M
  • Detection of recurrent nerve paralysis: development of a computer aided diagnosis system
    Cohen, ME; Lefort, M; Bergeret-Cassagne, H
  • Laryngeal examination in thyroid and parathyroid surgery: an American Head and Neck Society consensus statement
    Sinclair, CF; Bumpous, JM; Haugen, BR
  • Transcutaneous ultrasound for evaluation of vocal fold movement in patients with thyroid disease
    Wang, CP; Chen, TC; Yang, TL
  • The progression of thyroid cartilage calcification as it relates to the utilization of laryngeal ultrasound
    Wenaas, AE; Tran, B; Ongkasuwan, J
  • Voice changes after thyroidectomy without recurrent laryngeal nerve injury
    Sinagra, DL; Montesinos, MR; Tacchi, VA
  • Patient perspectives on dysphonia after thyroidectomy for thyroid cancer
    Kuhn, MA; Bloom, G; Myssiorek, D
  • Thyroidectomy and the recurrent laryngeal nerves
    Roy, AD; Gardiner, RH; Niblock, WM
  • Identification of the external branch of the superior laryngeal nerve during thyroidectomy
    Cernea, CR; Ferraz, AR; Furlani, J
  • Post-thyroidectomy dysphonia in patients with bilateral resection of the superior laryngeal nerve: a comparative spectrographic study
    Neri, G; Castiello, F; Vitullo, F
  • External branch of the superior laryngeal nerve monitoring during thyroid and parathyroid surgery: International neural monitoring study Group standards guideline statement
    Barczynski, M; Randolph, GW; Cernea, CR
  • Post-thyroidectomy superior laryngeal nerve injury
    Aluffi, P; Policarpo, M; Cherovac, C
  • Objective voice measures in nonsinging patients with unilateral superior laryngeal nerve paresis
    Robinson, JL; Mandel, S; Sataloff, RT
  • A comparison of direct, indirect, and fiberoptic laryngoscopy to evaluate vocal cord paralysis after thyroid surgery
    Lacoste, L; Karayan, J; Lehuedé, MS
  • Morbidity and patient perception of flexible laryngoscopy
    Paul, BC; Rafii, B; Achlatis, S
  • Assessing the validity of transcutaneous laryngeal ultrasonography (TLUSG) after thyroidectomy: What factors matter?
    Wong, KP; Lang, BHH; Chang, YK
  • Head and neck anatomy and ultrasound correlation
    Klem, C

You’re reading a free preview. Subscribe to read the entire article.

Try 2 weeks free now

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

or browse the journals available

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off

Sign up
for free
Start 14 day
Free Trial