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Is it advisable to perform preoperativelaryngoscopy in all patients due to undergo the thyroid and parathyroid surgery?Analysis of 5172 preoperative laryngoscopies

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Abstract


Given the yearly growth of thyroid and parathyroid surgery, diagnosis of such serious complications as paresis of the larynx is still relevant today. Endoscopic laryngoscopy is the main method of controlling laryngeal function. The timely detection of violations of this function in the postoperative period allows for patients to be sent to specialists quickly for treatment. Nonetheless, the role of laryngoscopies in the preoperative period has not been precisely recognized. The main contentious issue has become the need to perform preoperative laryngoscopies on all patients due to undergo operations on the thyroid or parathyroid glands.For this paper, we analyzed 5172 consecutive endoscopic laryngoscopies. The role of preoperative laryngoscopy when planning surgery on the thyroid or parathyroid glands was determined.

Aim: to evaluate the feasibility of performing routine laryngoscopies on patients due to undergo surgery for diseases of the thyroid and parathyroid glands.

Materials and Methods

This paper presents an analysis of the results of preoperative laryngoscopy on 5172 patients who underwent surgical procedures on the thyroid and parathyroid glands.

Results

Preoperative one-sided paresis of the larynx was detected in 12 (0.23%) of the 5172 patients. Patients did not exhibit bilateral paresis of the larynx.

Conclusions

Preoperative paresis of the larynx is rare, and performing routine endoscopic laryngoscopies on all patients due to undergo thyroid or parathyroid gland operations is not appropriate.


V. A. Makarin

University hospital of Saint-Petersburg State University

Author for correspondence.
Email: info@vmakarin.ru

Russian Federation MD, PhD

A. A. Uspenskaya

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

N. I. Timofeeva

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

I. V. Sleptсov

University hospital of Saint-Petersburg State University; Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

A. A. Semenov

University hospital of Saint-Petersburg State University; Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

R. A. Chernikov

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

I. K. Chinchuk

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

U. V. Karelina

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

K. U. Novokshonov

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

E. A. Fedorov

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

Y. N. Malugov

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

V. F. Rusakov

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

P. S. Kniazeva

Saint-Petersburg State Pediatriс Medical University

Email: info@vmakarin.ru

Russian Federation MD, PhD

V. A. Malkov

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

T. S. Pridvigkina

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

E. A. Valdina

University hospital of Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

Y. N. Fedotov

University hospital of Saint-Petersburg State University; Northern-Western State Mechnicov Medical University

Email: info@vmakarin.ru

Russian Federation MD, PhD

A. N. Bubnov

University hospital of Saint-Petersburg State University; Northern-Western State Mechnicov Medical University; Saint-Petersburg State University

Email: info@vmakarin.ru

Russian Federation MD, PhD

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  • Vetshev PS, Yankin PL, Zhivotov VA, Poddubnyi EI, Drozzin AY, Bondarev NS, et al. Ultrasonography of the larynx for diagnosis of the vocal folds mobility impairment. Endocrine Surgery. 2017;10(3):5. doi: 10.14341/serg201635-14

Copyright (c) 2016 Макарьин В.А., Успенская А.А., Тимофеева Н.И., Слепцов И.В., Семенов А.А., Черников Р.А., Чинчук И.К., Карелина Ю.В., Новокшонов К.Ю., Федоров Е.А., Малюгов Ю.Н., Русаков В.Ф., Князева П.С., Мальков В.А., Придвижкина Т.С., Валдина Е.А., Федотов Ю.Н., Бубнов А.Н.

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