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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | IWATA, Ayaka J. | |
dc.contributor.author | LIDDY, Whitney | |
dc.contributor.author | BARCZYNSKI, Marcin | |
dc.contributor.author | WU, Che-Wei | |
dc.contributor.author | HUANG, Tzu-Yen | |
dc.contributor.author | SLYCKE, Sam Van | |
dc.contributor.author | SCHNEIDER, Rick | |
dc.contributor.author | DIONIGI, Gianlorenzo | |
dc.contributor.author | DRALLE, Henning | |
dc.contributor.author | CERNEA, Claudio R. | |
dc.contributor.author | KAMANI, Dipti | |
dc.contributor.author | AHMED, Amr H. | |
dc.contributor.author | OKOSE, Okenwa C. | |
dc.contributor.author | WANG, Bo | |
dc.contributor.author | RANDOLPH, Gregory W. | |
dc.date.accessioned | 2021-06-17T13:49:37Z | - |
dc.date.available | 2021-06-17T13:49:37Z | - |
dc.date.issued | 2021 | |
dc.identifier.citation | LARYNGOSCOPE, v.131, n.6, p.1436-1442, 2021 | |
dc.identifier.issn | 0023-852X | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/40500 | - |
dc.description.abstract | Objectives/Hypothesis The objective was to identify whether injury of the external branch of the superior laryngeal nerve (EBSLN) or changes in EBSLN parameters after dissection during thyroidectomies correlate with changes in voice quality postoperatively. Study Design Prospective multicenter case series. Methods A prospective multicenter study was conducted on patients undergoing thyroidectomies with intraoperative nerve monitoring. Electromyography waveforms of EBSLN stimulation before (S1) and after superior pole dissection (S2) were evaluated using endotracheal tube (ETT) and cricothyroid intramuscular (CTM) electrodes. Voice outcomes were assessed using Voice-Related Quality of Life Surveys and Voice Handicap Index. Results A total of 131 at-risk EBSLNs were evaluated in 80 patients. Two nerves showed loss of CTM twitch coupled with an absent S2 signal response. Complete EBSLN loss of signal was more likely with: 1) Cernea EBSLN anatomic classification Type 2B; 2) with a longer distance from the sternothyroid muscle insertion site; and 3) with larger lobar volumes (P < .05). Patients who experienced a more than 50% decrement in CTM amplitudes of S2 (n = 7) by CTM electrodes had a statistically significant decline in their voice outcomes compared to those who did not (n = 69) (P < .05). Conclusions Patients experienced worse voice outcomes when at least one EBSLN response amplitude decreased by more than 50% after dissection when measured by CTM needle electrodes. CTM needle electrodes have an ability to measure finer amplitude changes compared to ETT electrodes, may represent a safe method to deduce subtle EBSLN injuries, and may serve to optimize voice outcomes during thyroidectomy. CTM needle electrodes are safe and tolerated well. Level of Evidence 4 Laryngoscope, 2021 | eng |
dc.language.iso | eng | |
dc.publisher | WILEY | eng |
dc.relation.ispartof | Laryngoscope | |
dc.rights | restrictedAccess | eng |
dc.subject | External branch of superior laryngeal nerve | eng |
dc.subject | voice outcomes | eng |
dc.subject | thyroid surgery | eng |
dc.subject | neural monitoring | eng |
dc.subject | cricothyroid muscle twitch | eng |
dc.title | Superior Laryngeal Nerve Signal Attenuation Influences Voice Outcomes in Thyroid Surgery | eng |
dc.type | article | eng |
dc.rights.holder | Copyright WILEY | eng |
dc.identifier.doi | 10.1002/lary.29413 | |
dc.identifier.pmid | 33521945 | |
dc.subject.wos | Medicine, Research & Experimental | eng |
dc.subject.wos | Otorhinolaryngology | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.author.external | IWATA, Ayaka J.:Massachusetts Eye & Ear Infirm, Dept Otolaryngol, 243 Charles St, Boston, MA 02114 USA | |
hcfmusp.author.external | LIDDY, Whitney:Northwestern Univ, Feinberg Sch Med, Dept Otolaryngol Head & Neck Surg, Chicago, IL 60611 USA | |
hcfmusp.author.external | BARCZYNSKI, Marcin:Jagiellonian Univ, Coll Med, Chair Gen Surg 3, Dept Endocrine Surg, Krakow, Poland | |
hcfmusp.author.external | WU, Che-Wei:Kaohsiung Med Univ, Dept Otolaryngol Head & Neck Surg, Kaohsiung, Taiwan | |
hcfmusp.author.external | HUANG, Tzu-Yen:Kaohsiung Med Univ, Dept Otolaryngol Head & Neck Surg, Kaohsiung, Taiwan | |
hcfmusp.author.external | SLYCKE, Sam Van:Onze Lieve Vrouw OLV Ziekenhuis Aalst, Dept Gen & Endocrine Surg, Aalst, Belgium | |
hcfmusp.author.external | SCHNEIDER, Rick:Martin Luther Univ Halle Wittenberg, Univ Hosp Halle, Dept Surg, Haller Wittenberg, Germany | |
hcfmusp.author.external | DIONIGI, Gianlorenzo:Univ Messina, Div Endocrine & Minimally Invas Surgery, Dept Human Pathol Adulthood & Childhood G Barresi, Univ Hosp G Martino, Messina, Italy | |
hcfmusp.author.external | DRALLE, Henning:Univ Duisburg Essen, Dept Gen Visceral & Transplantat Surg, Essen, Germany | |
hcfmusp.author.external | KAMANI, Dipti:Massachusetts Eye & Ear Infirm, Dept Otolaryngol, 243 Charles St, Boston, MA 02114 USA | |
hcfmusp.author.external | AHMED, Amr H.:Massachusetts Eye & Ear Infirm, Dept Otolaryngol, 243 Charles St, Boston, MA 02114 USA | |
hcfmusp.author.external | OKOSE, Okenwa C.:Massachusetts Eye & Ear Infirm, Dept Otolaryngol, 243 Charles St, Boston, MA 02114 USA | |
hcfmusp.author.external | WANG, Bo:Massachusetts Eye & Ear Infirm, Dept Otolaryngol, 243 Charles St, Boston, MA 02114 USA; Fujian Med Univ, Union Hosp, Dept Thyroid Surg, Fuzhou, Fujian, Peoples R China | |
hcfmusp.author.external | RANDOLPH, Gregory W.:Massachusetts Eye & Ear Infirm, Dept Otolaryngol, 243 Charles St, Boston, MA 02114 USA; Harvard Med Sch, Massachusetts Gen Hosp, Dept Surg, Boston, MA 02115 USA | |
hcfmusp.description.beginpage | 1436 | |
hcfmusp.description.endpage | 1442 | |
hcfmusp.description.issue | 6 | |
hcfmusp.description.volume | 131 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000613196200001 | |
hcfmusp.origem.id | 2-s2.0-85100027044 | |
hcfmusp.publisher.city | HOBOKEN | eng |
hcfmusp.publisher.country | USA | eng |
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dc.description.index | MEDLINE | eng |
dc.identifier.eissn | 1531-4995 | |
hcfmusp.citation.scopus | 14 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCG Artigos e Materiais de Revistas Científicas - LIM/28 |
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