Non-invasive assessment of benign vocal folds lesions in children by means of ultrasonography

Bisetti, Massimo Spadola; Segala, Francesco Vladimiro; Zappia, F; Albera, Roberto; Ottaviani, F.; Schindler, Antonio

doi:10.1016/j.ijporl.2009.05.004

Cited by 44 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The proper risk definition of the tumor results in appropriate selective approach to patient treatment and postoperative follow-up. Second, if recurrent laryngeal nerve palsy is identified before surgery, the surgeon can be prepared in case that an accidental injury of the contralateral healthy side occurs, and early detection of need for tracheostomy will prevent the patients from suffocation [2][3][4][5] . At last, since recurrent laryngeal nerve palsy is frequent complication occurring in thyroid surgery, absence of postoperative recurrent laryngeal nerve palsy can be one of the criteria for proper surgical quality [6,7] .…”

Section: Introductionmentioning

confidence: 99%

“…At last, since recurrent laryngeal nerve palsy is frequent complication occurring in thyroid surgery, absence of postoperative recurrent laryngeal nerve palsy can be one of the criteria for proper surgical quality [6,7] . Laryngeal fiberscope, now electroendoscope is in popular use in Japan, is the most common and reliable instrument for directly checking vocal fold (VF) mobility, but is a little invasive and uncomfortable for patients [2,8] . In addition, a surgeon who undergoes thyroid surgery is not always proficient in handling a laryngeal fiberscope.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Indication and validity of ultrasonographic evaluation for assessment of vocal fold mobility before and after thyroid surgery

Ebina

Sugitani

Orita

et al. 2015

IJDI

View full text Add to dashboard Cite

Background: Evaluating recurrent laryngeal nerve function before and after thyroid surgery is important. Although laryngeal electroendoscope is the most reliable tool for evaluating vocal fold (VF) mobility, ultrasonography (US) may offer a non-invasive alternative. The aim of this study is to evaluate the validity and limitation of US evaluation for the assessment of VF mobility.Methods: This was a study for diagnostic testing of US in a single center. One hundred and one patients who underwent thyroid surgery between February 2011 and August 2011 were enrolled to this study. Observation of the VF mobility using a B-mode US scanner was performed before and after thyroid surgery, through the thyrohyoid membrane, thyroid notch, and cricothyroid membrane. The results of US were compared with those of electroendoscopic examination which was performed on the same day but after the US.Results: First we excluded one case that could not be observed by electroendoscopic examination before surgery. After excluding the cases which the VF mobility was invisible by US, we analyzed 89 out of the 100 patients before thyroid surgery and 89 out of the 101 patients after surgery. The sensitivity and specificity of US were 87.5%, 100% for before and 94.4%, 100% for after surgery, respectively. It was significantly more difficult to assess the VF mobility by US among patients who were men (odds ratio [OR] 24.7, 95% confidence interval [CI] 4.9-124.2), 65 years old or more (OR 3.5, 95% CI 1.0-11.9), and have past history of thyroid surgery (OR 7.9, 95% CI 2.1-29.2). Being obese was also a significant factor (OR 10.5, 95% CI 1.7-64.8) among younger patients (less than 65 years).Conclusion: US evaluation can be used for the assessment of recurrent laryngeal nerve function before and after thyroid surgery. This is a safe and non-invasive diagnostic tool which may be performed as a first-line method.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Indication and validity of ultrasonographic evaluation for assessment of vocal fold mobility before and after thyroid surgery

Ebina

Sugitani

Orita

et al. 2015

IJDI

View full text Add to dashboard Cite

show abstract

“…Laryngeal ultrasound has many advantages, including its simplicity, safety, noninvasiveness, and non-expensiveness [8]. Due to air soft tissue interference between the tissues of the vocal fold edge and glottic air, the free margin of the vocal folds could not be clearly defined [9].…”

Section: Discussionmentioning

confidence: 99%

The Role of Ultrasonography in the Evaluation of Vocal Fold Lesions

Youssef

Noor

2023

Fayoum University Medical Journal

View full text Add to dashboard Cite

Introduction:Since it was first suggested as a practical method of studying the larynx in 1960, ultrasonography has developed into a crucial and widely used diagnostic tool for conditions affecting the head and neck. Aim of the study:To evaluate the value of high-resolution ultrasonography as an easy, non-invasive method for diagnosing various vocal fold lesions as well as mobility disorders and correlate its findings with those of a laryngoscope examination. Subjects and Methods:We conducted this study at the Radiology Department in Fayoum University Hospital on thirty patients presenting with different vocal fold lesions for ultrasonographic examination of the head and neck between 2019 and 2021, which was approved by the local research ethical committee at the Faculty of Medicine at Fayoum University. Results:Vocal cord (VC) lesions without mobility affection were the most common sonographic finding (50%), especially VC polyp (20%), followed by (13.3%) for VC lesions with mobility affection, freely mobile both VC without any lesions during preoperative assessment, and freely mobile VC with mass lesion can't be assessed by ultrasound. Conclusion:Laryngeal ultrasonography is considered of great value in diagnosing different laryngeal lesions and can be used as a complementary procedure to laryngoscopy or an alternative in some cases. The limitation of laryngeal ultrasound is the calcification of thyroid cartilage with obscuration of distal structures, especially in elderly individuals.

show abstract

“…Ultrasound has been evaluated in identifying laryngeal abnormalities[2122] and laryngeal traumas. [23] Ultrasound has been used for an identification of endotracheal tube placement[2425] and Ryle's tube[26] placement.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound: A novel tool for airway imaging

Parmar

Mehta

Shah

et al. 2014

J Emerg Trauma Shock

View full text Add to dashboard Cite

Context:The scope of ultrasound is emerging in medical science, particularly outside traditional areas of radiology practice.Aims:We designed this study to evaluate feasibility of bedside sonography as a tool for airway assessment and to describe sonographic anatomy of airway.Settings and Design:A prospective, clinical study.Materials and Methods:We included 100 adult, healthy volunteers of either sex to undergo airway imaging systemically starting from floor of the mouth to the sternal notch in anterior aspect of neck by sonography.Results:We could visualize mandible and hyoid bone as a bright hyperechoic structure with hypoechoic acoustic shadow underneath. Epiglottis, thyroid cartilage, cricoid cartilage, and tracheal rings appeared hypoechoic. Vocal cords were visualized through thyroid cartilage. Interface between air and mucosa lining the airway produced a bright hyperechoic linear appearance. Artifacts created by intraluminal air prevented visualization of posterior pharynx, posterior commissure, and posterior wall of trachea.Conclusions:Ultrasound is safe, quick, noninvasive, repeatable, and bedside tool to assess the airway and can provide real-time dynamic images relevant for several aspects of airway management.

show abstract

Non-invasive assessment of benign vocal folds lesions in children by means of ultrasonography

Cited by 44 publications

References 19 publications

Indication and validity of ultrasonographic evaluation for assessment of vocal fold mobility before and after thyroid surgery

Indication and validity of ultrasonographic evaluation for assessment of vocal fold mobility before and after thyroid surgery

The Role of Ultrasonography in the Evaluation of Vocal Fold Lesions

Ultrasound: A novel tool for airway imaging

Contact Info

Product

Resources

About