الفهرس 
ANATOMY OF THYROID GLAND & LARYNXOnly 14 pages are availabe for public view
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Abstract
T
ranscutaneous laryngeal ultrasonography (TLUS) has emerged as a promising non-invasive method for assessing vocal cord mobility, offering advantages over traditional laryngoscopy, particularly in scenarios where patient discomfort or risks are a concern.
This study aimed to evaluate the role of transcutaneous ultrasonography in assessing vocal cord mobility before and after thyroidectomy, highlighting its utility in diagnosing vocal fold paralysis or paresis.
Vocal fold displacement from the midline was analyzed across various conditions in patients undergoing thyroidectomy. Vocal fold displacement velocity (VFDV) was measured to assess vocal fold functionality. TLUS diagnostic accuracy was evaluated for identifying vocal fold paralysis.
TLUS demonstrated high sensitivity and specificity for detecting vocal fold paralysis, with significant reductions in VFDV post-thyroidectomy. The correlation between VFDV and dysphonia scores suggested potential associations between vocal fold mobility and voice quality, warranting further investigation.
TLUS emerges as a reliable, non-invasive alternative to laryngoscopy for evaluating vocal cord mobility in thyroidectomy patients. Its capacity for quantitative assessments and diagnostic precision enhances clinical decision-making and patient management.
Transcutaneous laryngeal ultrasonography, vocal cord mobility, thyroidectomy, vocal fold paralysis, vocal fold displacement velocity.
CONCLUSION
I
n conclusion, this study elucidated the growing recognition of transcutaneous laryngeal ultrasonography (TLUS) as a valuable, non-invasive technique for evaluating vocal cord mobility pre- and post-thyroidectomy. TLUS facilitated the precise measurement of vocal fold displacement from the midline during breathing, revealing significant variances between normal functioning vocal folds and those affected by paralysis. This highlights its critical role in the quantitative detection of mobility impairments.
RECOMMENDATIONS
1. Integrate TLUS into Practice: Incorporate TLUS into pre- and post-thyroidectomy assessments for its non-invasive and reliable vocal cord evaluation.
2. Standardize TLUS Protocols: Develop standardized TLUS protocols to ensure consistent and accurate vocal cord assessments.
3. Provide Training: Offer training for healthcare professionals to enhance proficiency in TLUS techniques and interpretation.
4. Explore VFDV and Dysphonia: Investigate the relationship between VFDV and dysphonia post-thyroidectomy for better understanding and prediction of vocal outcomes.
5. Long-term Monitoring: Conduct longitudinal studies to monitor vocal cord function post-thyroidectomy over time.
6. Validate TLUS Accuracy: Continuously validate TLUS diagnostic accuracy against gold standard methods like laryngoscopy.
7. Educate Patients: Educate thyroidectomy patients about TLUS benefits and its role in vocal cord assessment.
8. Encourage Collaboration: Foster collaborative research efforts to drive innovation and improve patient care in TLUS and vocal cord evaluation.