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Voice Changes And Thyroid Surgery: Is Pre-operative Indirect Laryngoscopy Necessary? by Philip Yeung; Catherine Erskine; Philip Mathews; PHILIP J. Crowe is a Medicine article available to read on EtoBox.

What is Voice Changes And Thyroid Surgery: Is Pre-operative Indirect Laryngoscopy Necessary? about?

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.

Who reads Voice Changes And Thyroid Surgery: Is Pre-operative Indirect Laryngoscopy Necessary??

Author

Philip Yeung; Catherine Erskine; Philip Mathews; PHILIP J. Crowe

Publisher

John Wiley and Sons; Blackwell Publishing; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 1445-1433)

Published

1999

Language

EN

Field

Medicine (Health Sciences)