{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:54:06Z","timestamp":1747184046467,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T00:00:00Z","timestamp":1626825600000},"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":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Unilateral vocal cord paralysis (UVCP) is a known complication of thyroid surgery, due to iatrogenic recurrent laryngeal nerve injury, with reported rates of 2%\u20135% in children. The gold standard for assessing vocal cord function in flexible nasendoscopy (FNE) examination, which is considered high\u2010risk for contraction of the COVID\u201019 virus. Intraoperative ultrasonographic assessment (IUA) of vocal cord function is a non\u2010invasive and relatively simple procedure performed in a supine position, performed during spontaneous breathing, following reversed anaesthesia, while the patient is still sedated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the validity of IUA modality in children undergoing thyroidectomy and to compare it to the standard FNE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective double\u2010blind study covering 24\u00a0months (March 2019\u2013March 2021). Twenty thyroid lobectomies were performed, during 15 surgeries. Vocal cord function was assessed three times: Pre\u2010operatively by FNE, intraoperative (IUA) following extubation, and a second FNE on the first post\u2010operative day.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings<\/jats:title><jats:p>A tertiary paediatric hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall accuracy of IUA results in our study was 92%. IUA sensitivity, specificity, positive and negative predictive values were 100%, 89%, 33% and 100%, respectively. Patient's age demonstrated borderline significance (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.08). The resident's experience was associated with a better correlation between IUA and FNE results (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>IUA of vocal cord motion has a high accuracy rate for detection of iatrogenic vocal cord paralysis, similar to FNE. It is easily learned by residents, well\u2010tolerated by children, and it provides a safe and valid alternative modality while ensuring the safety of the medical staff in treating patients, especially in times of COVID\u201019 pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13835","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T19:00:20Z","timestamp":1626202820000},"page":"1304-1309","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Intraoperative Ultrasonographic Assessment of Vocal Cord motion under sedation, following paediatric thyroidectomy in the Era of COVID\u201019: A double\u2010blinded preliminary study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4381-216X","authenticated-orcid":false,"given":"Ofir","family":"Zavdy","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Rabin Medical Center and Schneider Children's Medical Center of Israel Petach Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"},{"name":"Diagnostic ultrasound devision, Imaging department Schneider Children's Medical Center of Israel Petach Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dror","family":"Gilony","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Rabin Medical Center and Schneider Children's Medical Center of Israel Petach Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gideon","family":"Bachar","sequence":"additional","affiliation":[{"name":"Department of 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