Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston.
Department of Communication Sciences, Massachusetts General Hospital Institute of Health Professionals, Boston, USA.
J Laryngol Otol. 2021 Mar;135(3):264-268. doi: 10.1017/S0022215121000529. Epub 2021 Feb 26.
This study aimed to report the pre- and post-operative laryngeal endoscopic findings in patients referred by non-otolaryngologists who are undergoing thyroid and/or parathyroid surgery, and to determine the number and nature of referrals before and after the release of the clinical practice guideline for improving voice outcomes after thyroid surgery.
This retrospective cohort study, conducted at a tertiary care academic hospital, comprised adult patients referred by the endocrine surgery service for laryngoscopy from 2007 to 2018 (n = 166). Data regarding patient demographics, reason for referral and endoscopic findings were recorded.
The number of referrals increased significantly after the release of the practice guideline. The most common indication for referral pre- and post-operatively was voice change. The most common finding during laryngoscopy was normal examination findings (pre-operatively) and unilateral vocal fold immobility (post-operatively).
Peri-operative thyroid and/or parathyroid patients have laryngoscopic findings other than vocal fold immobility. Laryngoscopy to detect structural and functional pathology is warranted.
本研究旨在报告非耳鼻喉科医生转诊的甲状腺和/或甲状旁腺手术患者的术前和术后喉镜检查结果，并确定在发布改善甲状腺手术后嗓音结局的临床实践指南前后的转诊数量和性质。
这项回顾性队列研究在一家三级保健学术医院进行，纳入了 2007 年至 2018 年期间由内分泌外科服务转诊进行喉镜检查的成年患者（n=166）。记录了患者人口统计学数据、转诊原因和内镜检查结果。
在发布实践指南后，转诊数量显著增加。术前和术后最常见的转诊指征是声音改变。喉镜检查最常见的发现是正常检查结果（术前）和单侧声带活动受限（术后）。
围手术期甲状腺和/或甲状旁腺患者除声带活动受限外还有喉镜检查结果。需要进行喉镜检查以发现结构和功能病理。
