Abstract
Postoperative voice changes are one of the most common and feared complications of thyroid surgery. In most cases, postoperative hoarseness is due to recurrent laryngeal nerve (RLN) injury, although injury to the external branch of the superior laryngeal nerve (EBSLN) can also result in significant vocal issues, including diminished vocal projection and inability to attain higher vocal registers. Voice complaints can also occur in the absence of neural dysfunction and may be present prior to any surgery being performed. Thus, timely and accurate evaluation of laryngeal function optimizes ongoing management efforts and provides important prognostic and outcome information. Only recently has increased awareness of the importance of voice outcomes in thyroid surgery led to the publication of a number of important papers on this topic, with several professional organizations starting to make reference to voice and laryngeal function in their guidelines for best practice. However, recommendations in these guidelines vary, especially with regard to laryngeal examination for patients without voice impairments, with many surgeons using voice symptoms alone to guide the need for laryngeal examination. True laryngeal function may be inaccurately predicted by voice symptoms, and thus controversy remains regarding need for routine laryngeal examination, timing of any such examination, and optimal examination technique(s). This chapter will discuss indications for laryngeal examination in thyroid surgery and current techniques available for voice and laryngeal examination.
| Original language | English (US) |
|---|---|
| Title of host publication | The Recurrent and Superior Laryngeal Nerves |
| Publisher | Springer International Publishing |
| Pages | 17-29 |
| Number of pages | 13 |
| ISBN (Electronic) | 9783319277271 |
| ISBN (Print) | 9783319277257 |
| DOIs | |
| State | Published - May 27 2016 |
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Keywords
- Dysphonia
- Laryngeal examination
- Laryngoscopy
- Larynx
- Recurrent laryngeal nerve
- Superior laryngeal nerve
- Thyroidectomy
- Vocal cord paralysis
- Vocal fold paralysis
ASJC Scopus subject areas
- Medicine(all)
Cite this
Laryngeal exam indications and techniques. / Sinclair, Catherine F.; Duke, William S.; Barbu, Anca M.; Randolph, Gregory W.
The Recurrent and Superior Laryngeal Nerves. Springer International Publishing, 2016. p. 17-29.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Laryngeal exam indications and techniques
AU - Sinclair, Catherine F.
AU - Duke, William S.
AU - Barbu, Anca M.
AU - Randolph, Gregory W.
PY - 2016/5/27
Y1 - 2016/5/27
N2 - Postoperative voice changes are one of the most common and feared complications of thyroid surgery. In most cases, postoperative hoarseness is due to recurrent laryngeal nerve (RLN) injury, although injury to the external branch of the superior laryngeal nerve (EBSLN) can also result in significant vocal issues, including diminished vocal projection and inability to attain higher vocal registers. Voice complaints can also occur in the absence of neural dysfunction and may be present prior to any surgery being performed. Thus, timely and accurate evaluation of laryngeal function optimizes ongoing management efforts and provides important prognostic and outcome information. Only recently has increased awareness of the importance of voice outcomes in thyroid surgery led to the publication of a number of important papers on this topic, with several professional organizations starting to make reference to voice and laryngeal function in their guidelines for best practice. However, recommendations in these guidelines vary, especially with regard to laryngeal examination for patients without voice impairments, with many surgeons using voice symptoms alone to guide the need for laryngeal examination. True laryngeal function may be inaccurately predicted by voice symptoms, and thus controversy remains regarding need for routine laryngeal examination, timing of any such examination, and optimal examination technique(s). This chapter will discuss indications for laryngeal examination in thyroid surgery and current techniques available for voice and laryngeal examination.
AB - Postoperative voice changes are one of the most common and feared complications of thyroid surgery. In most cases, postoperative hoarseness is due to recurrent laryngeal nerve (RLN) injury, although injury to the external branch of the superior laryngeal nerve (EBSLN) can also result in significant vocal issues, including diminished vocal projection and inability to attain higher vocal registers. Voice complaints can also occur in the absence of neural dysfunction and may be present prior to any surgery being performed. Thus, timely and accurate evaluation of laryngeal function optimizes ongoing management efforts and provides important prognostic and outcome information. Only recently has increased awareness of the importance of voice outcomes in thyroid surgery led to the publication of a number of important papers on this topic, with several professional organizations starting to make reference to voice and laryngeal function in their guidelines for best practice. However, recommendations in these guidelines vary, especially with regard to laryngeal examination for patients without voice impairments, with many surgeons using voice symptoms alone to guide the need for laryngeal examination. True laryngeal function may be inaccurately predicted by voice symptoms, and thus controversy remains regarding need for routine laryngeal examination, timing of any such examination, and optimal examination technique(s). This chapter will discuss indications for laryngeal examination in thyroid surgery and current techniques available for voice and laryngeal examination.
KW - Dysphonia
KW - Laryngeal examination
KW - Laryngoscopy
KW - Larynx
KW - Recurrent laryngeal nerve
KW - Superior laryngeal nerve
KW - Thyroidectomy
KW - Vocal cord paralysis
KW - Vocal fold paralysis
UR - http://www.scopus.com/inward/record.url?scp=85026288022&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85026288022&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-27727-1_2
DO - 10.1007/978-3-319-27727-1_2
M3 - Chapter
SN - 9783319277257
SP - 17
EP - 29
BT - The Recurrent and Superior Laryngeal Nerves
PB - Springer International Publishing
ER -