Thyroid surgery and ultrasound (US)-guided ablation procedures, the most common interventions in endocrinology, may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine-needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression.
Post-thyroid procedures dysphonia (PTD) is an important issue in the quality-of-life era for both patients and any clinician involved in managing such patients, which includes surgeons, otolaryngologists, endocrinologists, radiologists, internists, speech-language pathologists, family physicians, other primary care providers, anesthesiologists, nurses, and others. Possible causes of PTD include intraprocedural injury to the recurrent laryngeal nerve (RLN) or the external branch of the superior laryngeal nerve (EBSLN); vascular congestion; laryngeal edema; surgical trauma to the cricothyroid muscle or the cricoarytenoid joint; endotracheal intubation-related trauma; surgical adhesions; strap muscle injury; and pain or psychological distress.
Given the worldwide diffusion of the thyroid procedures and the worldwide growing interest concerning the medico-legal implications of PTD and vocal fold paralysis, we propose an edition of Frontiers focusing on the experience and recommendations of different authors with the management of the patient's voice when undergoing thyroid surgery or US-guided ablation procedures during the preoperative, intraoperative, and postoperative period.
This Research Topic will include, but is not limited to:
• Up-to-date technologies, Perioperative considerations, and Practice recommendations for minimizing PTD after thyroid surgery, including Open, Endoscopic, and Robotic thyroidectomy.
• Up-to-date technologies, Peri-procedural considerations, Practice recommendations for minimizing PTD after US-guided thyroid ablation, including ethanol ablation (EA), radiofrequency ablation (RFA), microwave ablation (MWA), laser ablation (LA), and high-intensity focused ultrasound (HIFU).
• Correlation between Intraoperative Electrophysiological Change of RLN/EBSLN and Voice Impairment in Thyroid Surgery
• Mechanism and management of RLN injury during thyroid surgery and thermal ablation
• Voice and Laryngeal Assessment before and after thyroid surgery and US-guided ablation procedures
• Speech therapy and Injection Laryngoplasty for Post-thyroid procedures dysphonia (PTD)
Thyroid surgery and ultrasound (US)-guided ablation procedures, the most common interventions in endocrinology, may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine-needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression.
Post-thyroid procedures dysphonia (PTD) is an important issue in the quality-of-life era for both patients and any clinician involved in managing such patients, which includes surgeons, otolaryngologists, endocrinologists, radiologists, internists, speech-language pathologists, family physicians, other primary care providers, anesthesiologists, nurses, and others. Possible causes of PTD include intraprocedural injury to the recurrent laryngeal nerve (RLN) or the external branch of the superior laryngeal nerve (EBSLN); vascular congestion; laryngeal edema; surgical trauma to the cricothyroid muscle or the cricoarytenoid joint; endotracheal intubation-related trauma; surgical adhesions; strap muscle injury; and pain or psychological distress.
Given the worldwide diffusion of the thyroid procedures and the worldwide growing interest concerning the medico-legal implications of PTD and vocal fold paralysis, we propose an edition of Frontiers focusing on the experience and recommendations of different authors with the management of the patient's voice when undergoing thyroid surgery or US-guided ablation procedures during the preoperative, intraoperative, and postoperative period.
This Research Topic will include, but is not limited to:
• Up-to-date technologies, Perioperative considerations, and Practice recommendations for minimizing PTD after thyroid surgery, including Open, Endoscopic, and Robotic thyroidectomy.
• Up-to-date technologies, Peri-procedural considerations, Practice recommendations for minimizing PTD after US-guided thyroid ablation, including ethanol ablation (EA), radiofrequency ablation (RFA), microwave ablation (MWA), laser ablation (LA), and high-intensity focused ultrasound (HIFU).
• Correlation between Intraoperative Electrophysiological Change of RLN/EBSLN and Voice Impairment in Thyroid Surgery
• Mechanism and management of RLN injury during thyroid surgery and thermal ablation
• Voice and Laryngeal Assessment before and after thyroid surgery and US-guided ablation procedures
• Speech therapy and Injection Laryngoplasty for Post-thyroid procedures dysphonia (PTD)