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Related Concept Videos

Larynx01:21

Larynx

The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...

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Related Experiment Video

Updated: May 10, 2026

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
07:45

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

Clinical practice guideline: improving voice outcomes after thyroid surgery.

Sujana S Chandrasekhar1, Gregory W Randolph, Michael D Seidman

  • 1New York Otology, New York, New York 10028, USA. newyorkotology@gmail.com

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|June 5, 2013
PubMed
Summary

This guideline offers evidence-based recommendations for managing patient voice outcomes before, during, and after thyroid surgery. Key advice includes identifying laryngeal nerves and assessing vocal fold mobility to minimize voice problems post-thyroidectomy.

Keywords:
clinical practice guidelineevidence-based medicineintraoperative nerve monitoringlaryngoscopyrecurrent laryngeal nervethyroid surgeryvoice outcomes

More Related Videos

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
05:25

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

Related Experiment Videos

Last Updated: May 10, 2026

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
07:45

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
05:25

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

Area of Science:

  • Otolaryngology
  • Endocrinology
  • Surgical Oncology

Background:

  • Thyroidectomy is performed for various conditions, including malignancy and compressive symptoms.
  • Laryngeal nerve injury affects up to 10% of patients, leading to voice problems in 4%.
  • Post-thyroid surgery quality of life can be impacted by voice changes, medication needs, and parathyroid issues.

Purpose of the Study:

  • To provide evidence-based recommendations for optimizing voice outcomes in adult patients undergoing thyroid surgery.
  • To guide clinicians in managing voice-related issues during the preoperative, intraoperative, and postoperative periods.
  • To improve the quality of life for patients experiencing voice alterations after thyroidectomy.

Main Methods:

  • Development of a clinical practice guideline based on evidence.
  • Formulation of recommendations for preoperative, intraoperative, and postoperative voice management.
  • Inclusion of specific actions for surgeons, clinicians, and other healthcare providers.

Main Results:

  • Strong recommendation to identify recurrent laryngeal nerves during thyroid surgery.
  • Recommendations include preoperative voice assessment, vocal fold mobility examination when indicated, and patient education.
  • Postoperative care involves documenting voice changes, assessing vocal fold mobility, and referring for voice rehabilitation if needed.

Conclusions:

  • Proactive management of laryngeal nerves and vocal function is crucial for optimal voice outcomes after thyroid surgery.
  • Systematic assessment and intervention throughout the patient journey can mitigate postoperative voice complications.
  • Adherence to these guidelines aims to reduce the incidence and severity of voice impairment following thyroidectomy.