Transcutaneous laryngeal ultrasound for long-term voice function and vocal fold evaluation after thyroidectomy: a prospective study.

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2025-04-16 DOI:10.1080/00016489.2025.2484792

Dan Gao, Li Yang, Yuling Duan, Yongyi Li, Chen Chen

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引用次数: 0

Abstract

Background: Transcutaneous laryngeal ultrasound (TLUSG) has come up as a practical alternative to laryngoscopy for the diagnosis of vocal fold palsy (VFP), as it's non-invasive and capable for dynamic real-time evaluation.

Aims/objectives: To assess the features of the vocal cord (VF) recovery process and the diagnostic significance of TLUSG for VFP during long-term follow-up on patients with voice disorders post-thyroidectomy.

Material and methods: Fifty-seven patients with voice impairment following thyroidectomy were enrolled. The image features of VFs and the voice handicap index (VHI) scores were recorded at various intervals after surgery. Laryngoscopy was performed for comparison.

Results: 75.4%(43/57) patients recovered voice function as assessed by VHI, 41 (71.9%) patients demonstrated recovery by TLUSG. Eighteen patients underwent laryngoscopy, and 14 were identified as VFP. The ultrasonic images of VFP presented with different manifestations at different periods after thyroidectomy. The diagnostic accuracy of TLUSG increased from 77.8% to 88.9% over time, whereas that of VHI exhibited a decrease. TLUSG and Laryngoscope were highly consistent (κ = 0.679), as were the evaluations of two physicians.

Conclusions and significance: The TLUSG is an effective alternative to laryngoscopy in patients with vocal dysfunction following thyroidectomy.

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经皮喉超声对甲状腺切除术后长期语音功能和声带评价的前瞻性研究。

背景：经皮喉部超声（TLUSG）已成为一种实用的替代喉镜检查诊断声带麻痹（VFP），因为它是无创的，能够动态实时评估。目的：探讨甲状腺切除术后嗓音障碍患者声带恢复过程的特点及TLUSG对VFP的诊断意义。材料与方法：入选57例甲状腺切除术后嗓音障碍患者。术后不同时间间隔记录VFs图像特征及语音障碍指数（VHI）评分。进行喉镜检查比较。结果：VHI评分75.4%（43/57）患者语音功能恢复，TLUSG评分41（71.9%）患者语音功能恢复。18例患者接受喉镜检查，其中14例确诊为VFP。甲状腺切除术后不同时期VFP的超声表现不同。随着时间的推移，TLUSG的诊断准确率从77.8%上升到88.9%，而VHI的诊断准确率则有所下降。TLUSG和喉镜高度一致（κ = 0.679），两位医生的评价也是如此。结论及意义：TLUSG是甲状腺切除术后声带功能障碍患者喉镜检查的有效替代方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

3-6 weeks

期刊介绍： Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.