Prediction of Postoperative Vocal Fold Function After Intraoperative Recovery of Loss of Signal

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dc.authoridWu, Che-Wei/0000-0003-1052-5348
dc.authoridözdemir, Murat/0000-0002-4717-4337
dc.authoridMusholt, Thomas/0000-0002-4498-7439
dc.authoridTEKSOZ, Serkan/0000-0002-6733-5644
dc.authoridWeber, Theresia/0000-0001-8994-1285
dc.authorwosidWu, Che-Wei/J-2015-2019
dc.authorwosidözdemir, Murat/AHA-1645-2022
dc.authorwosidDralle, Henning/ABD-4454-2020
dc.authorwosidWeber, Theresia/H-2436-2013
dc.authorwosidMusholt, Thomas/A-1663-2009
dc.authorwosidteksoz, serkan/AAA-2898-2020
dc.authorwosidTEKSOZ, Serkan/AAC-3959-2019
dc.contributor.authorSchneider, Rick
dc.contributor.authorRandolph, Gregory
dc.contributor.authorDionigi, Gianlorenzo
dc.contributor.authorBarczynski, Marcin
dc.contributor.authorChiang, Feng-Yu
dc.contributor.authorWu, Che-Wei
dc.contributor.authorMusholt, Thomas
dc.date.accessioned2024-06-12T11:03:58Z
dc.date.available2024-06-12T11:03:58Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives/Hypothesis This multicenter study aimed to 1) evaluate early postoperative vocal fold function in relation to intraoperative amplitude recovery, and 2) determine optimal absolute and relative thresholds of intraoperative amplitude recovery heralding normal early postoperative vocal fold function, both after segmental type 1 and after global type 2 loss of signal (LOS). Study Design Prospective outcome study. Methods This study, encompassing nine surgical centers from four countries, correlated intraoperative amplitude recovery with early postoperative vocal fold function using receiver operating characteristic analysis. Results Included in this study were 68 patients, 48 women and 20 men, who sustained transient recurrent laryngeal nerve injury during thyroid surgery under continuous intraoperative nerve monitoring. Early transient vocal fold palsy was seen in 18 (64%) of 28 patients with ipsilateral segmental LOS type 1, and in 10 (25%) of 40 patients with ipsilateral global LOS type 2. On receiver operating characteristic analysis, relative amplitude thresholds were superior to absolute amplitude thresholds in predicting vocal fold function after LOS type 2 (area under the curve [AUC]: 0.83 vs. 0.65; P = .01 vs. P = .15; Youden index 44% and 253 mu V) and LOS type 1 (AUC: 0.96 vs. 0.97; P < .001 each; Youden index 49% and 455 mu V). Amplitude recovery >= 50% of baseline after LOS always indicated intact vocal fold function. Conclusions When the nerve amplitude recovers >= 50% of baseline after segmental LOS type 1 or global LOS type 2, it is appropriate to extend completion thyroidectomy to the other side during the same session.en_US
dc.identifier.doi10.1002/lary.27327
dc.identifier.endpage531en_US
dc.identifier.issn0023-852X
dc.identifier.issn1531-4995
dc.identifier.issue2en_US
dc.identifier.pmid30247760en_US
dc.identifier.scopus2-s2.0-85054013555en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage525en_US
dc.identifier.urihttps://doi.org/10.1002/lary.27327
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21863
dc.identifier.volume129en_US
dc.identifier.wosWOS:000456677200049en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofLaryngoscopeen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIntraoperative Neuromonitoringen_US
dc.subjectContinuous Vagal Stimulationen_US
dc.subjectVocal Cord Palsyen_US
dc.subjectLoss Of Signalen_US
dc.subjectRecurrent Laryngeal Nerve Injuryen_US
dc.subjectRecurrent Laryngeal Nerveen_US
dc.subjectThyroid-Surgeryen_US
dc.subjectEmg Changesen_US
dc.subjectPalsyen_US
dc.subjectRisken_US
dc.subjectIdentificationen_US
dc.subjectIntermittenten_US
dc.subjectInjuryen_US
dc.titlePrediction of Postoperative Vocal Fold Function After Intraoperative Recovery of Loss of Signalen_US
dc.typeArticleen_US

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