[Diagnostic efficiency of transcutaneous laryngeal ultrasound in assessing the mobility of vocal cord in patients with thyroid disease].

Autor: Sipachev NV; Regional Clinical Hospital No. 1, Tyumen, Russia.; Regional Hospital No. 12, Zavodoukovsk, Russia., Teslenko DL; Regional Clinical Hospital No. 1, Tyumen, Russia.; International Medical Center Medical On Group - Tyumen LLC, Tyumen, Russia., Teslenko KB; Perinatal Center, Tyumen, Russia., Matveev IA; Regional Clinical Hospital No. 1, Tyumen, Russia.; Tyumen State Medical University, Tyumen, Russia., Matveev AI; Regional Clinical Hospital No. 1, Tyumen, Russia., Gibert BK; Regional Clinical Hospital No. 1, Tyumen, Russia.; Tyumen State Medical University, Tyumen, Russia.
Jazyk: ruština
Zdroj: Vestnik otorinolaringologii [Vestn Otorinolaringol] 2022; Vol. 87 (1), pp. 27-32.
DOI: 10.17116/otorino20228701127
Abstrakt: Objective: To assess the diagnostic efficiency of transcutaneous laryngeal ultrasound.
Material and Methods: Ultrasound examination of the larynx and laryngoscopy was performed in 103 patients with thyroid disease. 26 (34.21%) patients who underwent surgery on the thyroid gland direct laryngoscopy and ultrasound of the vocal folds were performed twice, before and after the operation.
Results: Voice folds were visualized in 76 (73.8%) people. Of the 24 men, these anatomical structures were visualized in 8 (33.3%) and in 68 (86.1%) women out of 79 cases. Violations of the function of the vocal cords during laryngoscopy were detected in 5 people, sonographically in 6 people. The coincidence of the revealed pathology with ultrasound was in 4 patients, in 3 - with sonography the diagnosis was erroneous, in 1 patient it was falsely negative and in 2 cases it was falsely positive.
Conclusions: In connection with the diagnostic capabilities of the method, it is advisable to use it as a screening study in the perioperative period in patients with diseases of the thyroid gland. Laryngoscopy is indicated for patients with non-visualized vocal folds, with identified pathology with ultrasound, and with clinical signs of dysfunction of the vocal cords.
Databáze: MEDLINE