Ultrasound assessment of vocal cords function after thyroid surgery

Shulutko, A M; Semikov, Vasiliy I.; Горбачева, А. В.; Patalova, A R; Boblak, Yu A; Kulikov, I O; Osmanov, E. G.; Mansurova, Gaukhar T.

doi:10.17116/hirurgia201907124

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Therefore, it seems to be underutilized for this purpose. [ 10 48 50 51 52 53 54 ] Recently, two studies have compared VL with TCUSG for this indication; the vocal cord mobility was reported to be comparable. [ 39 40 ] However, better hemodynamics was reported with TCUSG.…”

Section: Methodsmentioning

confidence: 99%

Techniques of detecting recurrent laryngeal nerve palsy in patients undergoing thyroid surgery: Pearls and pitfalls

Chilkoti,

Gupta,

Bhandari

et al. 2024

Journal of Anaesthesiology Clinical Pharmacology

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Though permanent vocal cord palsy consequent to recurrent laryngeal nerve (RLN) injury is rare following thyroidectomies, its consequences are grave enough for it to be the most feared complication postoperatively. Anesthesiologists and surgeons take various precautions to prevent its occurrence and employ various methods for its early detection. They include direct visualization of the nerve intraoperatively, use of intraoperative nerve monitoring, and post-extubation visualization of vocal cord mobility by use of direct or indirect methods. In the present narrative review, we aim to discuss the clinical evidence pertaining to the various methods adopted for the prevention and early detection of RLN palsy during thyroidectomy.

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Section: Methodsmentioning

confidence: 99%

Techniques of detecting recurrent laryngeal nerve palsy in patients undergoing thyroid surgery: Pearls and pitfalls

Chilkoti,

Gupta,

Bhandari

et al. 2024

Journal of Anaesthesiology Clinical Pharmacology

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“…Some of the data used in this manuscript have been previously published in another article (10). This study did not include identi able patient images.…”

Section: Patientsmentioning

confidence: 99%

“…The GRBAS questionnaire has long been used to assess voice quality (10)(11)(12)(13). The abbreviation of the questionnaire corresponds well to the following criteria for assessing the voice (components of voice alterations): G (grade), alternative designation -dysphonia or quality; R (roughness) -hoarseness, rudeness or sharpness; В (breathiness) -breathing disorder or aspiration; A (asthenia) -fatigue or weakness; S (strain) -loudness, tension or tone.…”

Section: Inclusion Criteria and Grbas Scalementioning

confidence: 99%

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

Shulutko

Semikov

Moiseev

et al. 2020

Preprint

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Background Voice alterations after thyroidectomy with mobile vocal folds are common. Ultrasonography has been used to assess the mobility of the vocal folds after thyroidectomy. Methods 54 patients underwent thyroidectomy. Indirect laryngoscopy, ultrasonography and GRBAS scoring were performed preoperatively,3 days, 2 and 6 months postoperatively. Results On the third postoperative day, the mobility of the vocal folds was preserved in 52 patients and paresis were recorded in 2 patients. All patients after total thyroidectomy noted the presence of voice alteration in the absence of the postoperative paresis of the vocal folds. On the third postoperative day, the voice was impaired by all criteria of the GRBAS scale, but mainly due to roughness (85%). Sixth month postoperatively 62% of the subjects considered the voice to be altered. Asthenia was observed in 39%. On the third postoperative day indirect laryngoscopy revealed the unchanged vocal folds, the symmetrical edema and the shortening of one of the vocal folds in 56%,42% and 1.9%. Six months postoperatively, the vocal folds returned to their original form. Ultrasonography was well correlated to the results of indirect laryngoscopy. Patients with edema of the vocal folds had a significantly higher mean GRBAS grade than patients without edema. The mean GRBAS score decreased from 3.36 to 0.90, 3 days and 6 months postoperatively. Conclusion Voice alteration after total thyroidectomy is always present. Postoperative edema represents a likely main cause of voice alteration and resolves within 6 months. Ultrasonography is recommended as alternative to indirect laryngoscopy in assessing of the vocal folds in thyroid surgery patients.

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“…Indirect or direct laryngoscopy represents traditional methods for assessing the state of the vocal folds. Ultrasonography has recently been applied as an alternative, non-invasive method for evaluation of the vocal folds, but only few reports were published in this issue [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Voice Disorders after Total Thyroidectomy: Prospective Evaluation by Patient Self-Assessment, Indirect Laryngoscopy and Ultrasonography

et al. 2022

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Voice alterations after thyroidectomy with mobile vocal folds are common. Ultrasonography has been used to assess the mobility of the vocal folds after thyroidectomy. Fifty-four patients underwent thyroidectomy. Indirect laryngoscopy, ultrasonography, and GRBAS (grade, roughness, breathiness, asthenia, strain) scoring were performed preoperatively, 3 days, 2 and 6 months, postoperatively. On the third postoperative day, the mobility of the vocal folds was preserved in 52 patients and pareses were recorded in 2 patients. All patients after thyroidectomy noted the presence of voice alteration in the absence of the postoperative paresis of the vocal folds. On the third postoperative day, the voice was impaired by all criteria of the GRBAS scale, but mainly due to roughness (85%). Sixth month postoperatively, 62% of the subjects considered the voice to be altered. Asthenia was observed in 39%. On the third postoperative day indirect laryngoscopy revealed the unchanged vocal folds, the edema and the shortening of one of the vocal folds in 56%, 42%, and 1.9%. Six months postoperatively, the vocal folds returned to their original form. Indirect laryngoscopy and ultrasonography had 100% concordance in assessing the mobility of the vocal folds. Patients with edema of the vocal folds had a significantly higher mean GRBAS grade than patients without edema. The mean GRBAS score decreased from 3.36 to 0.90, 3 days and 6 months, postoperatively. Voice alteration after thyroidectomy is always present. Postoperative edema represents a likely main cause of voice alteration and resolves within 6 months. Ultrasonography is recommended as alternative to indirect laryngoscopy in assessing of the vocal folds after thyroidectomy.

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Ultrasound assessment of vocal cords function after thyroid surgery

Cited by 4 publications

References 10 publications

Techniques of detecting recurrent laryngeal nerve palsy in patients undergoing thyroid surgery: Pearls and pitfalls

Techniques of detecting recurrent laryngeal nerve palsy in patients undergoing thyroid surgery: Pearls and pitfalls

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

Voice Disorders after Total Thyroidectomy: Prospective Evaluation by Patient Self-Assessment, Indirect Laryngoscopy and Ultrasonography

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