USE OF ULTRASOUND TO DIAGNOSIS VOCAL CORD MOVEMENT IMPAIRMENT: A COMPARISON BETWEEN TRANS-THYROID AND SUPRA-THYROID VIEWS

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ALIMIAN MAHZAD; ZAMAN BEHROUZ; FEIZ HAMIDREZA; AHMADI SARA; MOHSENI MASOUD

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Journal: Journal of Anesthesiology and Pain Year:2017 | Volume:7 | Issue:2 Page(s): 32-39

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Title

USE OF ULTRASOUND TO DIAGNOSIS VOCAL CORD MOVEMENT IMPAIRMENT: A COMPARISON BETWEEN TRANS-THYROID AND SUPRA-THYROID VIEWS

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Keywords

VOCAL CORDQ1

SONOGRAPHYQ3

TRANS-THYROID VIEWQ3

SUPRA-THYROID VIEWQ1

AIRWAYQ1

Abstract

Aim and Background: Iatrogenic recurrent laryngeal nerve (RLN) injury is an uncommon but serious complication of Head and neck surgery and also thoracic procedures. Laryngoscopy is an invasive and uncomfortable procedure; therefore the use of SONOGRAPHY as a noninvasive method of screening patients for impaired vocal-cord mobility is more desirable. The aim of this study was to assess the efficiency of ultrasonography as a screening tool for detection of impaired vocal-cord movement and comparing two sonographic views (supra-thyroid and trans-thyroid) to find the preferred view to observe the movement of VOCAL CORD among different ages and sexes.Methods and Materials: In this clinical trial 144 patients were evaluated. All patients underwent VOCAL CORD SONOGRAPHY in two sonographic views, Trans-thyroid and supra-thyroid, before and after surgery. After high risk surgery for VOCAL CORD damage like thyroidectomy, parathyroidectomy, Carotid endartrectomy, anterior approach of cervical spine fixation and thoracic procedures, patients underwent direct laryngoscopy. To assess accuracy of ultrasound, transcutaneous SONOGRAPHY findings were correlated with direct laryngoscopy findings afterextubation. VOCAL CORD paresis or palsy was defined as abnormal VOCAL CORD movement during respiration.Findings: The quality of sonographic images in TRANS-THYROID VIEW was better than the SUPRA-THYROID VIEW. The quality of sonographic image was better in women compared with men. Moreover aging diminished the quality of the image.Conclusions: Ultra sonographic evaluation of VOCAL CORD movement after high risk surgery seems to be an ideal and painless method for RLN injury screening. Application of this method particularly in non elderly women, conveys to more favorable results.

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APA: Copy

ALIMIAN, MAHZAD, ZAMAN, BEHROUZ, FEIZ, HAMIDREZA, AHMADI, SARA, & MOHSENI, MASOUD. (2017). USE OF ULTRASOUND TO DIAGNOSIS VOCAL CORD MOVEMENT IMPAIRMENT: A COMPARISON BETWEEN TRANS-THYROID AND SUPRA-THYROID VIEWS. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 7(2), 32-39. SID. https://sid.ir/paper/216333/en

Vancouver: Copy

ALIMIAN MAHZAD, ZAMAN BEHROUZ, FEIZ HAMIDREZA, AHMADI SARA, MOHSENI MASOUD. USE OF ULTRASOUND TO DIAGNOSIS VOCAL CORD MOVEMENT IMPAIRMENT: A COMPARISON BETWEEN TRANS-THYROID AND SUPRA-THYROID VIEWS. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)[Internet]. 2017;7(2):32-39. Available from: https://sid.ir/paper/216333/en

IEEE: Copy

MAHZAD ALIMIAN, BEHROUZ ZAMAN, HAMIDREZA FEIZ, SARA AHMADI, and MASOUD MOHSENI, “USE OF ULTRASOUND TO DIAGNOSIS VOCAL CORD MOVEMENT IMPAIRMENT: A COMPARISON BETWEEN TRANS-THYROID AND SUPRA-THYROID VIEWS,” JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), vol. 7, no. 2, pp. 32–39, 2017, [Online]. Available: https://sid.ir/paper/216333/en

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