Applying Translaryngeal Ultrasonography in Unilateral Vocal Cord Paralysis before Thyroid Cancer Reoperation: A Single Center Study
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Abstract
Background: One of the most dangerous complications of thyroid surgery is recurrent laryngeal nerve (RLN)
paralysis. The gold standard method to assess this damage is Videolaryngoscopy. However, we aimed to modify
this approach by using Translaryngeal Ultrasonography (TLUS). We performed TLUS with a highly trained
thyroid sonographer and an endocrine surgeon in 47 patients with recurrent thyroid cancer and unilateral RLN
paralysis preoperatively, and compared the results with Videolaryngoscopy. The experienced sonographer
identified 45 injuries in 47 patients, and the endocrine surgeon found 39 vocal cord injuries. It appears that
TLUS, when performed by experienced practitioners, is a more accurate and safe modality for assessing vocal
cord function in the preoperative setting of thyroid cancer reoperation
| Files | ||
| Issue | Vol 7 No 2 (2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ajs.v7i2.16361 | |
| Keywords | ||
| Thyroid Surgery, Thyroid Cancer, Recurrent Laryngeal Nerve, Translaryngeal Ultrasound, Vocal Cords, Videolaryngoscopy | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
