TY - JOUR
T1 - Immediate and partial neural dysfunction after thyroid and parathyroid surgery
T2 - Need for recognition, laryngeal exam, and early treatment
AU - Dhillon, Vaninder K.
AU - Randolph, Gregory W.
AU - Stack, Brendan C.
AU - Lindeman, Brenessa
AU - Bloom, Gary
AU - Sinclair, Catherine F.
AU - Woodson, Gayle
AU - Brooks, Jennifer A.
AU - Childs, Lesley F.
AU - Esfandiari, Nazanene H.
AU - Evangelista, Lisa
AU - Guardiani, Elizabeth
AU - Quintanilla-Dieck, Lourdes
AU - Naunheim, Matthew R.
AU - Shindo, Maisie
AU - Singer, Michael
AU - Tolley, Neil
AU - Angelos, Peter
AU - Kupfer, Robbi
AU - Banuchi, Victoria
AU - Liddy, Whitney
AU - Tufano, Ralph P.
N1 - Publisher Copyright:
© 2020 Wiley Periodicals LLC
PY - 2020/12
Y1 - 2020/12
N2 - Background: Laryngeal dysfunction after thyroid and parathyroid surgery requires early recognition and a standardized approach for patients that present with voice, swallowing, and breathing issues. The Endocrine Committee of the American Head and Neck Society (AHNS) convened a panel to define the terms “immediate vocal fold paralysis” and “partial neural dysfunction” and to provide clinical consensus statements based on review of the literature, integrated with expert opinion of the group. Methods: A multidisciplinary expert panel constructed the manuscript and recommendations for laryngeal dysfunction after thyroid and parathyroid surgery. A meta-analysis was performed using the literature and published guidelines. Consensus was achieved using polling and a modified Delphi approach. Results: Twenty-two panelists achieved consensus on five statements regarding the role of early identification and standardization of evaluation for patients with “immediate vocal fold paralysis” and “partial neural dysfunction” after thyroid and parathyroid surgery. Conclusion: After endorsement by the AHNS Endocrine Section and Quality of Care Committee, it received final approval from the AHNS Council.
AB - Background: Laryngeal dysfunction after thyroid and parathyroid surgery requires early recognition and a standardized approach for patients that present with voice, swallowing, and breathing issues. The Endocrine Committee of the American Head and Neck Society (AHNS) convened a panel to define the terms “immediate vocal fold paralysis” and “partial neural dysfunction” and to provide clinical consensus statements based on review of the literature, integrated with expert opinion of the group. Methods: A multidisciplinary expert panel constructed the manuscript and recommendations for laryngeal dysfunction after thyroid and parathyroid surgery. A meta-analysis was performed using the literature and published guidelines. Consensus was achieved using polling and a modified Delphi approach. Results: Twenty-two panelists achieved consensus on five statements regarding the role of early identification and standardization of evaluation for patients with “immediate vocal fold paralysis” and “partial neural dysfunction” after thyroid and parathyroid surgery. Conclusion: After endorsement by the AHNS Endocrine Section and Quality of Care Committee, it received final approval from the AHNS Council.
KW - immediate vocal fold paralysis
KW - laryngeal exam
KW - partial neural dysfunction
KW - recurrent laryngeal nerve
KW - superior laryngeal nerve
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U2 - 10.1002/hed.26472
DO - 10.1002/hed.26472
M3 - Article
C2 - 32954575
AN - SCOPUS:85091239642
SN - 1043-3074
VL - 42
SP - 3779
EP - 3794
JO - Head and Neck
JF - Head and Neck
IS - 12
ER -