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首页> 外文期刊>ANZ journal of surgery >Voice changes and thyroid surgery: is pre-operative indirect laryngoscopy necessary?
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Voice changes and thyroid surgery: is pre-operative indirect laryngoscopy necessary?

机译:声音变化和甲状腺手术:术前间接喉镜检查是否必要?

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BACKGROUND: Indirect laryngoscopy (IDL) is often performed prior to thyroid surgery to detect pre-existing vocal cord pathology. METHODS: A retrospective chart review of 201 patients undergoing thyroid surgery at the Prince of Wales Hospital was undertaken in order to study the patterns of pre-operative and postoperative voice changes and IDL findings. RESULTS: A total of 9% of patients had pre-operative voice symptoms, and 22% of this group had abnormalities detected on pre-operative IDL. Of 160 documented IDL, 4% revealed vocal cord pathology in asymptomatic patients, including an asymptomatic recurrent laryngeal nerve palsy. CONCLUSIONS: Indirect laryngoscopy remains a useful but flawed pre-operative screening tool for patients with voice symptoms, but the literature suggests that more advanced phoniatric tests will provide superior diagnostic sensitivity. The role of routine pre-operative laryngoscopy for asymptomatic patients is of debatable value.
机译:背景:间接喉镜检查(IDL)通常在甲状腺手术之前进行以检测先前存在的声带病理。方法:回顾性分析了威尔斯亲王医院201例接受甲状腺手术的患者的病历,以研究术前和术后声音变化的模式以及IDL的发现。结果:共有9%的患者出现术前语音症状,其中22%的患者在术前IDL上发现异常。在160例已记录的IDL中,有4%的患者表现出无症状患者的声带病理,包括无症状的喉返神经麻痹。结论:对于有声音症状的患者,间接喉镜检查仍是一种有用但有缺陷的术前筛查工具,但文献表明,更先进的语音检查将提供更高的诊断敏感性。无症状患者常规术前喉镜检查的作用值得商de。

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