Yamamoto Natsuhiro, Yamaguchi Yoshikazu, Nomura Takeshi, Yamaguchi Osamu, Goto Takahisa
A A Case Rep. 2017 Dec 1;9(11):308-310. doi: 10.1213/XAA.0000000000000601.
Laryngeal ultrasonography has mainly been performed after tracheal extubation. However, improvements in ultrasound technology now allow assessment of vocal cord function even under conditions of endotracheal intubation. We report herein the use of laryngeal ultrasonography in an endotracheally intubated patient after esophagectomy, which allowed us to make the presumptive diagnosis of bilateral recurrent nerve palsy before tracheal extubation. Our experience suggests that laryngeal ultrasonography may be useful in assessing vocal cord function even in endotracheally intubated patients, although the indications and efficacy remain to be determined.
喉超声检查主要在气管插管拔管后进行。然而，超声技术的进步现在使得即使在气管插管的情况下也能够评估声带功能。我们在此报告在一名食管癌切除术后气管插管患者中使用喉超声检查的情况，这使我们能够在气管插管拔管前作出双侧喉返神经麻痹的初步诊断。我们的经验表明，喉超声检查可能对评估气管插管患者的声带功能有用，尽管其适应证和疗效仍有待确定。
