PERCUTANEOUS ULTRASONOGRAPHIC VISUALIZATION OF THE VOCAL FOLDS

One of complications after thyroid and parathyroid surgery is laryngeal recurrent nerve injury and subsequent vocal cords palsy. It is a serious complication with a frequency varying from 1% to 18,6%, considerably deteriorating patient’s quality of life, sometimes causing loss of patient’s work-status. That’s why it is of great importance its early detection and start of appropriate treatment. Despite laryngoscopy is a gold standard for evaluation of vocal cords mobility after thyroid and parathyroid surgery, it has several problems in permanent surgical practice. This work is focused on the possibility of using noninvasive method of visualization of vocal cords. Our results indicate that ultrasound method of evaluation of vocal cords mobility can be successfully applied in 85,9% of patients in preoperative and postoperative examination of patients. The best visualization has been achieved in female patients - in 90,6% of patients, and in male patients - only in 27,9% of patients. We consider reasonable to replace laryngoscopy by ultrasound in most cases.

парез гортани, паралич гортани, голосовые складки, УЗИ гортани, УЗИ голосовых складок, larynx palsy, vocal cords, larynx ultrasound, vocal cords ultrasound

1. IONM Study Group: Intraoperative monitoring of the recurrent laryngeal nerve and thyroid surgery / H. Dralle, C. Sekulla, K. Lorenz et al. // German World J. Surg.- 2008.- Vol. 32.- P 1358-1366.

2. Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy: a systematic review/ J. P. Jeannon, A. A. Orabi, G. A. Bruch e al. // Int. J. Clin. Pract.- 2009.- Vol. 63.- P 624-629.

3. Total thyroidectomy for benign thyroid disease: is it really worthwhile? / M. Barczynski, A. Konturek, M. Stopa et al. // Ann Surg.- 2011.- Vol. 254.- P. 724-729.

4. Shaha A. R. Routine laryngoscopy in thyroid surgery: A valuable adjunct / A. R. Shaha // Surgery.- 2007.- Vol. 142, № 6.- P 865-866.

5. Randolph G. W. The importance of pre- and postoperative laryngeal examination for thyroid surgery / G. W Randolph // Thyroid.- 2010.- Vol. 2.- P. 453-458.

6. Heman-Ackah Y. D. Diagnostic tools in laryngology / Y. D. Heman-Ackah // Curr. Opin. Otolaryngol. Head Neck Surg.- 2004.- Vol. 12, № 6.- P 549-552.

7. Верещагина О. В. Диагностические возможности эндоскопии в ларингологии: автореф. дис. канд. мед. наук / О. В. Верещагина.- СПб., 2010.- С. 27.

8. Laryngeal ultrasonography in infants and children: anatomical correlation with fetal preparations / C. Garel, I. Legrand, M. Elmaleh et al. // Padiatr. Radiol.- 1990.- Vol. 20.- P241-244.

9. Шантуров А. Г. Роль ультразвуковой диагностики в детской ларингологии / А. Г. Шантуров, М. В. Кейко // Вестн. оториноларингологии.- 1991.- № 4.- С. 29-33.

10. A prospective, assessor-blind evaluation of surgeon-performed transcutaneous laryngeal ultrasonography in vocal cord examination before and after thyroidectomy / K. P. Wong, B. H. Lang, S. H. Ng et al. // Surgery.- 2013.- Vol. 154, № 6.- P. 1158-1164.

11. Feasibility of surgeon-performed transcutaneous vocal cord ultrasonography in identifying vocal cord mobility: A multi-institutional experience / D. Carneiro-Pla, B. S. Miller, S. M. Wilhelm et al. // Surgery.- 2014.- Vol. 156, № 6.- P. 1597-1602.