Järhult J, Lindestad P A, Nordenström J, Perbeck L
Department of Surgery, Eksjö Hospital, Sweden.
Br J Surg. 1991 Sep;78(9):1116-7. doi: 10.1002/bjs.1800780927.
A prospective study of the value of routine examination of the vocal cords in 239 patients before and after thyroid or parathyroid surgery is presented. From the patient's history and voice the surgeon assessed before and after operation whether vocal cord examination was necessary or not. The surgeon's judgement was compared with the phoniatrician's report. All except one of the documented recurrent laryngeal nerve palsies were suspected by the surgeon. No additional important clinical information was gained by the laryngologist's examinations. Routine vocal cord examination in connection with thyroid and parathyroid surgery is probably not necessary.
本文介绍了一项针对239例甲状腺或甲状旁腺手术患者术前术后声带常规检查价值的前瞻性研究。外科医生根据患者病史和嗓音情况评估手术前后是否有必要进行声带检查。将外科医生的判断与耳鼻喉科医生的报告进行了比较。除1例有记录的喉返神经麻痹外，所有病例均被外科医生怀疑。耳鼻喉科医生的检查未获得额外的重要临床信息。甲状腺和甲状旁腺手术相关的常规声带检查可能没有必要。
