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transcutaneous laryngeal ultrasonography versus electromyography in assessing the vocal cords’ function in thyroid surgery: a comparative study on perioperative outcomes
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نویسنده
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mohammed zeinab abdo ibrahim ,ezzelarab mohammed ,saad mohammed gaber ibrahim ,khalifa ahmed maher abouelnasr ,elshamy mahmoud mostafa ,ali hazem abdallah ,rashed zaky f. ,alzahrani rajab a. ,nady mohammed ,ibrahim mostafa ali m. ,soltan hassan a. ,seleem abdelhafez ,abbas mohammed ,elias abd al-kareem ,elsagheer khaled ahmed ,gaballa nahla k.
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منبع
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journal of medicinal and pharmaceutical chemistry research - 2025 - دوره : 7 - شماره : 3 - صفحه:480 -495
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چکیده
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Vocal cord palsy (vcp) is the most serious complication as aspiration, and dysphagia after neck surgeries. therefore, various methods are available to assess the immobilization of the vocal cord. intraoperative neuromonitoring has been the usual method to check the efficient integrity of the recurrent laryngeal nerve. in recent years, transcutaneous laryngeal ultrasonography (tlus) has appeared as an alternative method. sixty-four patients underwent thyroid surgery, group i (32 patients) ionm examined by electromyography to evaluate the vc functions, and group ii tlus (32 patients) using a superficial liner ultrasound probe. complications, patient satisfaction, enhanced recovery, extubation time, and long stay in hospitals and icu were recorded. statistically highly significant enhanced recovery time in ionm group was 29.58±9.86 and tlus group was 2.75±0.81, p<0.001. no significant difference in patients’ satisfaction, (p>0.05). in the ionm group, 5 patients (15.6%) had decay signals, 2 patients (6.3%) had hematoma formation, 8 patients (25.0%) had unilateral vocal cord palsy, and 2 patients (6.3%) had delayed extubation and long stay time in the icu. tlus group, 2 patients (6.3%) had decay signals, 2 patients (6.3%) had hematoma formation, 5 patients (15.6%) had unilateral vocal cord palsy, and 1 patient (3.1%) had delayed extubation and long time in the icu. given the risk of injury rln during thyroid and neck surgeries, the lateral approach of tlus had a significantly better overall vc visualization rate than the classic midline approach in peri-operative patients, and ionm can be useful in difficult cases.
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کلیدواژه
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laryngeal electromyography ,ultrasonography ,thyroid cancer ,thyroid surgery ,recurrent laryngeal nerve
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آدرس
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al-azhar university, faculty of medicine for girls, department of anesthesiology, egypt, al-azhar university, faculty of medicine, department of anesthesiology, egypt, al-azhar university, faculty of medicine, department of anesthesiology, egypt, al-azhar university, faculty of medicine, department of anesthesiology, egypt, al-azhar university, faculty of medicine, department of anesthesiology, egypt, al-azhar university, faculty of medicine, department of anesthesiology, egypt, al-azhar university, faculty of medicine, department of anesthesiology, egypt, al-baha university, college of medicine, otolaryngology division, surgery department, saudi arabia, al-azhar university, faculty of medicine, department of otolaryngology, egypt, al-azhar university, faculty of medicine, department of otolaryngology, egypt, aswan university, faculty of medicine, department of radiology, egypt, al-azhar university, faculty of medicine, department of general surgery, egypt, al-azhar university, faculty of medicine, department of general surgery, egypt, al-azhar university, assiut branch, faculty of medicine, department of general surgery, egypt, al-azhar university, assiut branch, faculty of medicine, department of general surgery, egypt, menoufia university, national liver institute, department of anesthesiology and intensive care, egypt
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پست الکترونیکی
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nahlagaballa@menoufia.edu.eg
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Authors
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