{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T23:40:48Z","timestamp":1788824448324,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T00:00:00Z","timestamp":1644278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Clinical voice assessment prior to thyroid and parathyroid surgery is essential, but the paradigm of indirect laryngoscopy (IDL), when indicated, has been challenged by the risk of aerosolised SARS\u2010Cov\u20102 during endoscopy of the aerodigestive tract. Translaryngeal ultrasound (TLUS) to assess the vocal cords has been proposed as a safe, non\u2010invasive and sensitive alternative. The aim of this review was to verify TLUS as a viable tool for perioperative laryngeal assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A literature review was performed using Medline, Embase, Cochrane Database of Systematic Reviews, Cochrane Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials and Scopus with the following search strategy: (vocal cord OR vocal fold OR glottic OR glottis OR vocal ligaments OR rima glottidis) AND (ultras* OR sonograph* OR echography OR echotomography).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen studies were included in this review. All studies compared TLUS to IDL in visualizing the vocal cords in adults. Ten studies compared pre\u2010operative TLUS to IDL where 50.6\u2013100% of vocal cords were successfully visualized. Nine studies compared post\u2010operative TLUS to IDL and reported visualization between 39.6% and 100%. Pre\u2010 and post\u2010operative negative predictive values ranged from 60% to 100%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Whilst promising, successful visualization of the cords is limited by inter\u2010user variability, older age and male gender. Thus, we see the role of TLUS as an alternative to IDL in the post\u2010operative setting in the young patient following uncomplicated surgery with a normal voice on clinical examination, to confirm recurrent laryngeal nerve integrity while minimizing the risk of aerosolization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.17530","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T08:18:05Z","timestamp":1644308285000},"page":"385-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Translaryngeal ultrasound in thyroid surgery: state of the art review"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8487-9371","authenticated-orcid":false,"given":"Daniel","family":"Phung","sequence":"first","affiliation":[{"name":"Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Head and Neck Surgery Sydney Head and Neck Cancer Institute  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Fradet","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Head and Neck Surgery Sydney Head and Neck Cancer Institute  Sydney New South Wales Australia"},{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine Universit\u00e9 de Sherbrooke, CIUSSS de l'Estrie\u2013CHUS  Sherbrooke Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-4979","authenticated-orcid":false,"given":"Faruque","family":"Riffat","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Head and Neck Surgery Sydney Head and Neck Cancer Institute  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Novakovic","sequence":"additional","affiliation":[{"name":"Sydney Medical School University of Sydney  Sydney New South Wales Australia"},{"name":"Dr Liang Voice Program, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Otolaryngology, Head and Neck Surgery Canterbury Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Sowden","family":"Elliott","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Head and Neck Surgery Sydney Head and Neck Cancer Institute  Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Head and Neck Surgery Sydney Head and Neck Cancer Institute  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Makeham","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten Erich","family":"Palme","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Head and Neck Surgery Sydney Head and Neck Cancer Institute  Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10276"},{"key":"e_1_2_8_3_1","first-page":"223","article-title":"Meta\u2010analysis of recurrent laryngeal nerve injury in thyroid surgery with or without intraoperative nerve monitoring","volume":"34","author":"Rulli F","year":"2014","journal-title":"Acta Otorhinolaryngol. 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