Cergan Romica, Dumitru Mihai, Vrinceanu Daniela, Neagos Adriana, Jeican Ionut Isaia, Ciuluvica Radu Constantin
Department of Anatomy, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.
ENT Department, Bucharest Emergency University Hospital, 010271 Bucharest, Romania.
Exp Ther Med. 2021 Mar;21(3):273. doi: 10.3892/etm.2021.9704. Epub 2021 Jan 25.
Few articles have been published on the subject of laryngeal ultrasonography. However, considering the increased power and accuracy of ultrasound technology, this imaging modality should be reevaluated. The present review aimed to increase the awareness of fellow specialists regarding the use of this imaging tool in healthcare units that do not benefit from onsite ear, nose and throat (ENT) service. We illustrate the ultrasonographic examination protocol for the larynx along with the relevant anatomic landmarks. We review cases with laryngeal tumoral pathology that underwent ultrasonographic examination for improved management. All findings were confirmed through computerized tomography (CT) and endoscopy performed by the ENT specialist. The ultrasound of the larynx has potential utility in diagnosis (e.g., laryngeal abnormalities, speech and swallowing abnormalities, identification of endotracheal tube placement), treatment (e.g., guidance of percutaneous tracheostomy and cricothyrotomy) and prognosis (e.g., prediction of postextubation stridor and difficult intubation). This imaging modality could be useful in the current SARS-CoV-2 pandemics in reducing the exposure to invasive maneuvers producing aerosol, such as endoscopy.
关于喉超声检查这一主题发表的文章较少。然而，考虑到超声技术的功率和准确性不断提高，这种成像方式应重新评估。本综述旨在提高其他专科医生对在没有现场耳鼻喉（ENT）服务的医疗机构中使用这种成像工具的认识。我们阐述了喉部超声检查方案以及相关的解剖标志。我们回顾了接受超声检查以改善管理的喉肿瘤病理病例。所有结果均通过ENT专科医生进行的计算机断层扫描（CT）和内镜检查得以证实。喉部超声在诊断（如喉部异常、言语和吞咽异常、气管内插管位置的识别）、治疗（如经皮气管切开术和环甲膜切开术的引导）和预后（如拔管后喘鸣和困难插管的预测）方面具有潜在用途。这种成像方式在当前的SARS-CoV-2大流行中可能有助于减少接触产生气溶胶的侵入性操作，如内镜检查。
