Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Recurrent nerve palsy is a complication of thyroidectomy. Most surgeons want to visualize the vocal cords after tyroidectomy. The aim is to compare the direct laringoscopy, videolaringoscopy, fiberoptic laringoscopy and ultrasonography methods in terms of efficacy, duration and hemodynamic responses during the procedure.
The vocal cord will be visualised after the extubation with one of the following methods:
direct laringoscopy videolaringoscopy fiberoptic laringoscopy ultrasonography The of efficacy of the method (0= not able to visualize the vocal cords, 1= the vocal cords were visualized) duration of the procedure and hemodynamic responses (heart rate, mean arterial pressure) during the procedure will be compared between the groups.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fiberoptic nasal laringoscopy | Experimental | the vocal cords ill be visualized with fiberoptic nasal laringoscopy |
|
| ultrasonography | Experimental | the vocal cords ill be visualized with ultrasonography |
|
| Direct laringoscopy | Active Comparator | the vocal cords ill be visualized with direct laringoscopy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| direct laringoscopy | Device | the vocal cords will be visualized after extubation with direct laringoscopy |
|
| Measure | Description | Time Frame |
|---|---|---|
| visualisation of the vocal cords | the vocal cords will be examined after extubation | 1 min after extubation |
| duration of the procedure | the duration of the vocal cord examination | 10 min after extubation |
| mean arterial pressure | the mean arterial pressure will be measured after extubation | 10 min after extubation |
| heart rate | the heart rate will be measured after extubation | 10 min after extubation |
| peripheal oxygen saturation | the peripheal oxygen saturation will be measured after extubation | 10 min after extubation |
| Measure | Description | Time Frame |
|---|---|---|
| hypertention | mean arterial pressure >20% from baseline value | 5 minutes after the extubation |
| tachycardia | heart rate >20% from baseline value |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Dilek yazicioglu, Dr | Diskapi Teaching and Research Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diskapi Yildirim Beyazit Teaching and Research Hospital | Ankara | 06110 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19335706 | Background | Jeannon JP, Orabi AA, Bruch GA, Abdalsalam HA, Simo R. Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy: a systematic review. Int J Clin Pract. 2009 Apr;63(4):624-9. doi: 10.1111/j.1742-1241.2008.01875.x. | |
| 21520117 | Result | Higgins TS, Gupta R, Ketcham AS, Sataloff RT, Wadsworth JT, Sinacori JT. Recurrent laryngeal nerve monitoring versus identification alone on post-thyroidectomy true vocal fold palsy: a meta-analysis. Laryngoscope. 2011 May;121(5):1009-17. doi: 10.1002/lary.21578. |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D016606 | Thyroid Nodule |
| ID | Term |
|---|---|
| D013964 | Thyroid Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| fiberoptic nasal laringoscopy | Device | the vocal cords will be visualized after extubation with fiberoptic nasal laringoscopy |
|
|
| ultrasonograph | Device | the vocal cords will be visualized after extubation with fiberoptic ultrasonography |
|
|
| 5 minutes after the extubation |
| laceration | blood detected on the blade/fiber optic scope, or macroscopic blood on the oral nasal mucosa | 5 minutes after the extubation |
| teeht damage | broken teeht | 5 minutes after the extubation |
| 22092121 | Result | Kristensen MS. Ultrasonography in the management of the airway. Acta Anaesthesiol Scand. 2011 Nov;55(10):1155-73. doi: 10.1111/j.1399-6576.2011.02518.x. Epub 2011 Sep 7. |
| D006258 |
| Head and Neck Neoplasms |
| D004700 | Endocrine System Diseases |
| D013959 | Thyroid Diseases |