甲状腺和甲状旁腺手术后立即出现的部分神经功能障碍：需要识别、进行喉镜检查及早期治疗。
Immediate and partial neural dysfunction after thyroid and parathyroid surgery: Need for recognition, laryngeal exam, and early treatment.
作者信息
Dhillon Vaninder K, Randolph Gregory W, Stack Brendan C, Lindeman Brenessa, Bloom Gary, Sinclair Catherine F, Woodson Gayle, Brooks Jennifer A, Childs Lesley F, Esfandiari Nazanene H, Evangelista Lisa, Guardiani Elizabeth, Quintanilla-Dieck Lourdes, Naunheim Matthew R, Shindo Maisie, Singer Michael, Tolley Neil, Angelos Peter, Kupfer Robbi, Banuchi Victoria, Liddy Whitney, Tufano Ralph P
机构信息
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University National Capital Region, Bethesda, Maryland, USA.
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
出版信息
Head Neck. 2020 Dec;42(12):3779-3794. doi: 10.1002/hed.26472. Epub 2020 Sep 21.
BACKGROUND
Laryngeal dysfunction after thyroid and parathyroid surgery requires early recognition and a standardized approach for patients that present with voice, swallowing, and breathing issues. The Endocrine Committee of the American Head and Neck Society (AHNS) convened a panel to define the terms "immediate vocal fold paralysis" and "partial neural dysfunction" and to provide clinical consensus statements based on review of the literature, integrated with expert opinion of the group.
METHODS
A multidisciplinary expert panel constructed the manuscript and recommendations for laryngeal dysfunction after thyroid and parathyroid surgery. A meta-analysis was performed using the literature and published guidelines. Consensus was achieved using polling and a modified Delphi approach.
RESULTS
Twenty-two panelists achieved consensus on five statements regarding the role of early identification and standardization of evaluation for patients with "immediate vocal fold paralysis" and "partial neural dysfunction" after thyroid and parathyroid surgery.
CONCLUSION
After endorsement by the AHNS Endocrine Section and Quality of Care Committee, it received final approval from the AHNS Council.
背景
甲状腺和甲状旁腺手术后的喉功能障碍需要对出现声音、吞咽和呼吸问题的患者进行早期识别并采用标准化方法。美国头颈协会（AHNS）内分泌委员会召集了一个小组，以定义“即刻声带麻痹”和“部分神经功能障碍”这两个术语，并在文献综述的基础上，结合该小组的专家意见，提供临床共识声明。
方法
一个多学科专家小组撰写了关于甲状腺和甲状旁腺手术后喉功能障碍的手稿及建议。利用文献和已发表的指南进行了荟萃分析。通过投票和改良的德尔菲法达成共识。
结果
22名小组成员就关于甲状腺和甲状旁腺手术后“即刻声带麻痹”和“部分神经功能障碍”患者的早期识别及评估标准化作用的五项声明达成了共识。
结论
在获得AHNS内分泌科和医疗质量委员会的认可后，该声明获得了AHNS理事会的最终批准。
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