Tags

Type your tag names separated by a space and hit enter

Ultrasound prediction for vocal cord dysfunction in patients scheduled for anterior cervical spine surgeries: a prospective cohort study.
J Clin Monit Comput. 2020 Jun 15 [Online ahead of print]JC

Abstract

Prediction of vocal cord dysfunction is essential after anterior cervical spine surgeries. This study aimed to detect the validity of transcutaneous laryngeal ultrasonography by both anterior and novel lateral approaches for prediction of vocal cord edema and paralysis after anterior cervical spine surgeries. A prospective cohort study conducted on 90 patients scheduled for anterior cervical spine surgeries underwent consecutive pre and postoperative vocal cord examination for edema and paralysis by both anterior and lateral approaches laryngeal ultrasonography. Rigid laryngoscopy was the standard confirmatory tool. For postoperative vocal cord edema, the anterior ultrasonography approach diagnostic sensitivity = 88.2%, specificity = 78.9% with PPV = 78.9% and NPV = 88.2% and the novel lateral ultrasonography approach diagnostic sensitivity = 88.2%, specificity = 94.7% with PPV = 93.75% and NPP = 90%. While for paralysis, the anterior ultrasonography approach diagnostic sensitivity = 86.7%, specificity = 85.7% with PPV = 81.25% and NPV = 90% and the novel lateral ultrasonography approach diagnostic (sensitivity, specificity with PPV and NPP) = 100%. The diagnostic accuracy of the novel lateral approach was more correlated to rigid laryngoscopy (91.7% and 100%) compared to anterior approach for vocal cord edema and paralysis (83.3% and 80.6%). Overall incidence of vocal cord paralysis was 16.6%. Risk of vocal cord paralysis was statistically significant more in female, multiple disc herniation, lower and mixed disc levels, Langenbeck retractor, cage and plate and duration of surgery ≥ 1.5 h. Transcutaneous Laryngeal ultrasound is a valid comfortable tool for prediction of vocal cord edema and paralysis after anterior cervical spine surgeries with superiority of the novel lateral over anterior approach.

Authors+Show Affiliations

Anesthesia and Surgical Intensive Care Department, Faculty of Medicine, Zagazig University, Alsharkia, Egypt. AlshaimaaKamel80@yahoo.com.Anesthesia and Surgical Intensive Care Department, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.Anesthesia and Surgical Intensive Care Department, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.Neurosurgery Department, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.Phoniatrics at Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32556843

Citation

Kamel, Alshaimaa Abdel Fattah, et al. "Ultrasound Prediction for Vocal Cord Dysfunction in Patients Scheduled for Anterior Cervical Spine Surgeries: a Prospective Cohort Study." Journal of Clinical Monitoring and Computing, 2020.
Kamel AAF, Amin OAI, Hassan MAMM, et al. Ultrasound prediction for vocal cord dysfunction in patients scheduled for anterior cervical spine surgeries: a prospective cohort study. J Clin Monit Comput. 2020.
Kamel, A. A. F., Amin, O. A. I., Hassan, M. A. M. M., Elmesallamy, W. A. E. A., & Hassan, E. M. (2020). Ultrasound prediction for vocal cord dysfunction in patients scheduled for anterior cervical spine surgeries: a prospective cohort study. Journal of Clinical Monitoring and Computing. https://doi.org/10.1007/s10877-020-00546-3
Kamel AAF, et al. Ultrasound Prediction for Vocal Cord Dysfunction in Patients Scheduled for Anterior Cervical Spine Surgeries: a Prospective Cohort Study. J Clin Monit Comput. 2020 Jun 15; PubMed PMID: 32556843.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ultrasound prediction for vocal cord dysfunction in patients scheduled for anterior cervical spine surgeries: a prospective cohort study. AU - Kamel,Alshaimaa Abdel Fattah, AU - Amin,Olfat Abdelmoniem Ibrahem, AU - Hassan,Mohyieldin Abdou Mohyieldin Moustafa, AU - Elmesallamy,Wael Abd Elrahman Ali, AU - Hassan,Elham Magdy, Y1 - 2020/06/15/ PY - 2020/04/08/received PY - 2020/06/08/accepted PY - 2020/6/20/entrez KW - Anterior cervical surgeries KW - Laryngeal ultrasonography KW - Laryngoscopy and vocal cord JF - Journal of clinical monitoring and computing JO - J Clin Monit Comput N2 - Prediction of vocal cord dysfunction is essential after anterior cervical spine surgeries. This study aimed to detect the validity of transcutaneous laryngeal ultrasonography by both anterior and novel lateral approaches for prediction of vocal cord edema and paralysis after anterior cervical spine surgeries. A prospective cohort study conducted on 90 patients scheduled for anterior cervical spine surgeries underwent consecutive pre and postoperative vocal cord examination for edema and paralysis by both anterior and lateral approaches laryngeal ultrasonography. Rigid laryngoscopy was the standard confirmatory tool. For postoperative vocal cord edema, the anterior ultrasonography approach diagnostic sensitivity = 88.2%, specificity = 78.9% with PPV = 78.9% and NPV = 88.2% and the novel lateral ultrasonography approach diagnostic sensitivity = 88.2%, specificity = 94.7% with PPV = 93.75% and NPP = 90%. While for paralysis, the anterior ultrasonography approach diagnostic sensitivity = 86.7%, specificity = 85.7% with PPV = 81.25% and NPV = 90% and the novel lateral ultrasonography approach diagnostic (sensitivity, specificity with PPV and NPP) = 100%. The diagnostic accuracy of the novel lateral approach was more correlated to rigid laryngoscopy (91.7% and 100%) compared to anterior approach for vocal cord edema and paralysis (83.3% and 80.6%). Overall incidence of vocal cord paralysis was 16.6%. Risk of vocal cord paralysis was statistically significant more in female, multiple disc herniation, lower and mixed disc levels, Langenbeck retractor, cage and plate and duration of surgery ≥ 1.5 h. Transcutaneous Laryngeal ultrasound is a valid comfortable tool for prediction of vocal cord edema and paralysis after anterior cervical spine surgeries with superiority of the novel lateral over anterior approach. SN - 1573-2614 UR - https://www.unboundmedicine.com/medline/citation/32556843/Ultrasound_prediction_for_vocal_cord_dysfunction_in_patients_scheduled_for_anterior_cervical_spine_surgeries:_a_prospective_cohort_study L2 - https://doi.org/10.1007/s10877-020-00546-3 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.