'Transcutaneous laryngeal ultrasonography: a reliable, non-invasive and inexpensive preoperative method in the evaluation of vocal cords motility. A prospective multicentric analysis on a large series and an analysis of Literature'
| Autor: | Grasso, Marica |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| DOI: | 10.14273/unisa-2702 |
| Popis: | 2017 - 2018 INTRODUCTION Benign and malignant thyroid diseases affect a large population worldwide. Total Thyroidectomy is one of the most commonly performed intervention in general surgery. The most feared and dangerous complication of thyroidectomy is the paresis or paralysis of the recurrent laryngeal nerve (RLN). Therefore, endocrine surgeons have been prompted to include, among the preoperative examinations, the evaluation of vocal cords function through flexible fiberoptic laryngoscopy (FFL). RLN injuries have a low incidence in referral center with experienced surgeons and, a routine FFL could be uncomfortable for patients and leads to unjustifiable increase of health care costs. Transcutaneous laryngeal ultrasonography (TLUS) has been proposed as a noninvasive and painless indirect examination of vocal cords function as alternative to direct FFL. TLUS is an easy and feasible technique and is a non-invasive, inexpensive, rapid, painless, repeatable and well tolerated by the patient. The aim of this study is to assess TLUS reliability as an alternative method to direct FFL in the evaluation vocal folds function in patients candidate to thyroid surgery. MATHERIAL and METHOD We conducted a prospective observational multicentric cohort study on 396 consecutive patients diagnosed with benign and malignant thyroid disease referred to the Thyroid Surgery Division of the University of Campania "Luigi Vanvitelli" and to the General and Specialistic Surgery Division of the “A. Cardarelli” Hospital. Patients were stratified into 2 groups according to BMI in a non-overweight group (BMI |
| Databáze: | OpenAIRE |
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