Academic Journal
A Prospective Study Evaluating the Feasibility and Accuracy of Post‐operative Laryngeal Ultrasonography (LUSG) in Assessment of Vocal Cord Function After Esophagectomy
| العنوان: | A Prospective Study Evaluating the Feasibility and Accuracy of Post‐operative Laryngeal Ultrasonography (LUSG) in Assessment of Vocal Cord Function After Esophagectomy |
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| المؤلفون: | Fung, Matrix Man‐Him, Wong, Ian Yu‐hong, Chan, Fion Siu‐Yin, Law, Tsz‐Ting, Chan, Kwan‐Kit, Wong, Claudia Lai‐Yin, Law, Simon Ying‐Kit, Lang, Brian Hung‐Hin |
| المصدر: | World Journal of Surgery ; volume 47, issue 11, page 2792-2799 ; ISSN 0364-2313 1432-2323 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2023 |
| المجموعة: | Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: | Background Vocal cord paresis (VCP) is a serious complication after esophagectomy. Conventional diagnosis of VCP relies on flexible laryngoscopy (FL), which is invasive. Laryngeal ultrasonography (LUSG) is non‐invasive and convenient. It has provided accurate VC evaluation after thyroidectomy but it is unclear if it is just as accurate following esophagectomy. This prospective study evaluated the feasibility and accuracy of LUSG in VC assessment on day‐1 after esophagectomy. Methods Consecutive patients from a tertiary teaching hospital who underwent elective esophagectomy were prospectively recruited. All received pre‐operative FL, and post‐operative LUSG and FL on Day‐1, each performed by a blinded, independent assessor. The primary outcomes were feasibility and accuracy of LUSG in the diagnosis of VCP on Day‐1 post‐esophagectomy. The accuracy of voice assessment (VA) was analyzed. Results Twenty‐six patients were eligible for analysis. The median age was 70 years (66–73). Majority were male (84.6%). Twenty‐five (96.2%) received three‐phase esophagectomy. Twenty‐four (96%) had same‐stage anastomosis at the neck. Three (11.5%) developed temporary and one (3.8%) developed permanent unilateral VCP. Overall VC visualization rate by LUSG was 100%; sensitivity, specificity, positive predictive value, negative predictive value (NPV) and accuracy of LUSG were 75.0%, 100%, 100%, 98.0%, 98.1% respectively, and superior to VA. Combining LUSG with VA findings could pick up all VCPs i.e. improved sensitivity and NPV to 100%. Conclusion LUSG is a highly feasible, accurate and non‐invasive method to evaluate VC function early after esophagectomy. Post‐operative FL may be avoided in patients with both normal LUSG and voice. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1007/s00268-023-07128-9 |
| DOI: | 10.1007/s00268-023-07128-9.pdf |
| DOI: | 10.1007/s00268-023-07128-9/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1007/s00268-023-07128-9 https://link.springer.com/content/pdf/10.1007/s00268-023-07128-9.pdf https://link.springer.com/article/10.1007/s00268-023-07128-9/fulltext.html https://onlinelibrary.wiley.com/doi/pdf/10.1007/s00268-023-07128-9 |
| Rights: | http://onlinelibrary.wiley.com/termsAndConditions#vor ; https://www.springernature.com/gp/researchers/text-and-data-mining ; https://www.springernature.com/gp/researchers/text-and-data-mining |
| رقم الانضمام: | edsbas.CB9BDEAA |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00268-023-07128-9 |
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