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Ultrasound prediction for vocal cord dysfunction in patients scheduled for anterior cervical spine surgeries: a prospective cohort study
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Olfat Abdelmoniem
Staff Zu Site
Abstract In Staff Site
Journal:
Journal of Clinical Monitoring and Computing Springer
Volume:
Keywords :
Ultrasound prediction , vocal cord dysfunction , patients
Abstract:
Purpose: Prediction of vocal cord dysfunction is essential after anterior cervical spine surgeries. This study aimed to detect the validity of transcutaneous laryngeal ultrasonography by both anterior and novel lateral approaches for prediction of vocal cord edema and paralysis after anterior cervical spine surgeries. Methods: A prospective cohort study conducted on 90 patients scheduled for anterior cervical spine surgeries underwent consecutive pre and postoperative vocal cord examination for edema and paralysis by both anterior and lateral approaches laryngeal ultrasonography. Rigid laryngoscopy was the standard confirmatory tool. Result(s): For postoperative vocal cord edema, the anterior ultrasonography approach diagnostic sensitivity=88.2%, specificity=78.9% with PPV=78.9% and NPV=88.2% and the novel lateral ultrasonography approach diagnostic sensitivity=88.2%, specificity=94.7% with PPV= 93.75% and NPP= 90%. While for paralysis, the anterior ultrasonography approach diagnostic sensitivity= 86.7%, specificity= 85.7% with PPV= 81.25% and NPV= 90% and the novel lateral ultrasonography approach diagnostic (sensitivity, specificity with PPV and NPP) = 100% . The diagnostic accuracy of the novel lateral approach was more correlated to rigid laryngoscopy (91.7% and 100%) compared to anterior approach for vocal cord edema and paralysis (83.3% and 80.6%). Overall incidence of vocal cord paralysis was 16.6%. Risk of vocal cord paralysis was statistically significant more in female, multiple disc herniation, lower and mixed disc levels, Langenbeck retractor, cage and plate and duration of surgery ≥1.5 hours. Conclusion(s): Transcutaneous Laryngeal ultrasound is a valid comfortable tool for prediction of vocal cord edema and paralysis after anterior cervical spine surgeries with superiority of the novel lateral over anterior approach.
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Olfat Abdelmoniem, "A Comparison of spinal anesthesia versus lateral approach of popliteal nerve block for diabetic foot surgeries", Med. J. Cairo Univ, 2015
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Olfat Abdelmoniem, "Nalbuphine versus Midazolam as an Adjuvant to Intrathecal Bupivacaine for Postoperative Analgesia in Patients Undergoing Cesarean Section", Dove Press Open Access Publisher, 2020
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Olfat Abdelmoniem, "Bilateral Ultrasound-Guided Erector Spinae Plane Block Versus Transversus Abdominis Plane Block on Postoperative Analgesia after Total Abdominal Hysterectomy", The official publication of the American Society of Interventional Pain Physicians, 2020
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Olfat Abdelmoniem, "The Effect of preoperative nebulized: Magnesium sulfate versus lidocaine on the prevention of post- intubation sore throat", Taylor & Francis, 2020
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Department Related Publications
Eslam Abdelrahman Soliman Elewa, "تخفيف الالم ودرجة الحصار الحركى ومسار المخاض فى النساء اللاتى تلدن للمرة الاولى وتتلقين اما تخدير فوق الام الجافية او تخديرا مشتركا تحت العنكبوتى وفوق الام الجافية او عقار المبريدين وريديا وذلك فى بداية المخاض الحقيقى", لايوجد, 1900
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Eslam Abdelrahman Soliman Elewa, "سلامة الاستعمال المتكرر للحلول الوريدى الغروى الجديد ه س 130/04,(فوليوفن) مقارنة باستعمال محلول روريدى لاغروى فى المرضى ذوى الاصابات الدماغية", لايوجد, 1900
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Ayman Abdelsalam Haasn, "تسكين ألام الولادة باستخدام عقلر الفتتانيل داخل الام الجافية يقلل الاستجابة الانفعالية للام", لايوجد, 1900
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