A Prospective Observational Study on the Accuracy of Transcutaneous Laryngeal Ultrasonography in Assessing Vocal Cord Mobility before and after Thyroid Surgery
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View abstract on PubMed
Summary
This summary is machine-generated.Transcutaneous laryngeal ultrasonography (TLUS) accurately assesses vocal cord function after thyroid surgery. This non-invasive method offers a reliable alternative to laryngoscopy for evaluating vocal cord mobility.
Area Of Science
- Otolaryngology
- Endocrinology
- Diagnostic Imaging
Background
- Recurrent laryngeal nerve (RLN) injury is a significant complication of thyroidectomy, impacting vocal cord (VC) function.
- Traditional laryngoscopy is used for VC assessment, but non-invasive alternatives are sought.
Purpose Of The Study
- To compare the diagnostic accuracy of Transcutaneous Laryngeal Ultrasonography (TLUS) with laryngoscopy for assessing VC function in thyroid surgery patients.
Main Methods
- A prospective observational study included 105 patients undergoing thyroidectomy.
- TLUS was performed by endocrine surgeons to evaluate VC mobility, categorizing it as usual or paralyzed.
Main Results
- Preoperatively, TLUS demonstrated 100% sensitivity, PPV, and diagnostic accuracy.
- Postoperatively, TLUS showed 99.02% sensitivity, 100% specificity, and 99.05% diagnostic accuracy, with a 100% PPV.
Conclusions
- TLUS is a highly accurate, non-invasive, economical, and patient-friendly tool for assessing VC mobility.
- TLUS can supplement laryngoscopy in routine preoperative and postoperative care for thyroid surgery patients.
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