Centre of Phoniatry and Rehabilitation of Communication Disorders, ASL LE, Lecce, Italy.
Department of Otorhinolaryngology, Di Venere Hospital, ASL BA, Bari, Italy.
J Ultrasound. 2023 Mar;26(1):1-12. doi: 10.1007/s40477-022-00720-0. Epub 2022 Sep 12.
As a consequence of the outbreak of SARS-CoV-2, the clinical practice of otolaryngologists underwent profound transformations. Non-aerosol-generating procedures have been researched and implemented. Transcutaneous laryngeal ultrasonography (TLUSG) provides a rapid and noninvasive method to assess laryngeal function and can support the management of laryngeal disorders. With the aim of investigating the clinical usefulness of TLUSG in otolaryngology practice, a review of the literature published on PubMed, Cochrane Library and Ovid/ Medline databases was performed up to March 2022. 38 studies were eligible to be included in the review. The selected papers were divided into six topics of interest: evaluation of vocal cords function, diagnosis of laryngeal disorders in infants and children, evaluation of swallowing disorders, assessment of laryngeal cancer and other laryngeal lesions, ultrasound-guided cricothyroidotomy, ultrasound-guided laryngeal electromyography. The results of this review demonstrated that TLUSG, applied to ENT practice, can be a valid method for dynamic laryngeal assessment and airway management, since it is time-efficient, non invasive, well tolerated and easily performed.
由于 SARS-CoV-2 的爆发，耳鼻喉科医生的临床实践发生了深刻的变化。已经研究并实施了非气溶胶产生的程序。经皮喉超声检查（TLUSG）提供了一种快速、非侵入性的方法来评估喉部功能，并可以支持喉部疾病的管理。为了研究 TLUSG 在耳鼻喉科实践中的临床用途，对截至 2022 年 3 月在 PubMed、Cochrane 图书馆和 Ovid/Medline 数据库上发表的文献进行了综述。有 38 项研究符合纳入综述的条件。所选论文分为六个感兴趣的主题：声带功能评估、婴儿和儿童喉部疾病的诊断、吞咽障碍评估、喉癌和其他喉部病变的评估、超声引导环甲切开术、超声引导喉肌电图。该综述的结果表明，TLUSG 应用于耳鼻喉科实践，由于其耗时少、非侵入性、耐受性好且易于操作，因此可以成为动态喉部评估和气道管理的有效方法。
