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Shaath GA, Jijeh A, Alkurdi A, et al. Ultrasonography assessment of vocal cords mobility in children after cardiac surgery. J Saudi Heart Assoc. 2012;24(3):187-90doi: 10.1016/j.jsha.2012.02.009.
Shaath, G. A., Jijeh, A., Alkurdi, A., Ismail, S., Elbarbary, M., & Kabbani, M. S. (2012). Ultrasonography assessment of vocal cords mobility in children after cardiac surgery. Journal of the Saudi Heart Association, 24(3), 187-90. https://doi.org/10.1016/j.jsha.2012.02.009
Shaath, Ghassan A, et al. "Ultrasonography assessment of vocal cords mobility in children after cardiac surgery." Journal of the Saudi Heart Association vol. 24,3 (2012): 187-90. doi: https://doi.org/10.1016/j.jsha.2012.02.009
Shaath GA, Jijeh A, Alkurdi A, Ismail S, Elbarbary M, Kabbani MS. Ultrasonography assessment of vocal cords mobility in children after cardiac surgery. J Saudi Heart Assoc. 2012 Jul;24(3):187-90. doi: 10.1016/j.jsha.2012.02.009. Epub 2012 Mar 15. PMID: 23960693; PMCID: PMC3727376.
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J Saudi Heart Assoc. 2012 Jul;24(3):187-90. doi: 10.1016/j.jsha.2012.02.009. Epub 2012 Mar 15.

Ultrasonography assessment of vocal cords mobility in children after cardiac surgery.

Journal of the Saudi Heart Association

Ghassan A Shaath, Abdulraouf Jijeh, Ahmad Alkurdi, Sameh Ismail, Mahmoud Elbarbary, Mohamed S Kabbani

Affiliations

  1. Cardiac Science Department, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Mail Code 1420, P.O. Box 22490, Riyadh 11426.

PMID: 23960693 PMCID: PMC3727376 DOI: 10.1016/j.jsha.2012.02.009

Abstract

OBJECTIVES: Upper airway obstruction after pediatric cardiac surgery is not uncommon. In the cardiac surgical population, an important etiology is vocal cord paresis or paralysis following extubation. In this study, we aimed to evaluate the feasibility and accuracy of ultrasonography (US) assessment of the vocal cords mobility and compare it to fiber-optic laryngoscope (FL).

MATERIAL AND METHODS: A prospective pilot study has been conducted in Pediatric Cardiac ICU (PCICU) at King Abdulaziz Cardiac Center (KACC) from the 1st of June 2009 till the end of July 2010. Patients who had cardiac surgery manifested with significant signs of upper airway obstruction were included. Each procedure was performed by different operators who were blinded to each other report. Results of invasive (FL) and non-invasive ultrasonography (US) investigations were compared.

RESULTS: Ten patients developed persistent significant upper airway obstruction after cardiac surgery were included in the study. Their mean ± SEM of weight and age were 4.6 ± 0.4 kg and 126.4 ± 51.4 days, respectively. All patients were referred to bedside US screening for vocal cord mobility. The results of US were compared subsequently with FL findings. Results were identical in nine (90%) patients and partially different in one (10%). Six patients showed abnormal glottal movement while the other four patients demonstrated normal vocal cords mobility by FL. Sensitivity of US was 100% and specificity of 80%.

CONCLUSION: US assessment of vocal cord is simple, non-invasive and reliable tool to assess vocal cords mobility in the critical care settings. This screening tool requires skills that can be easily obtained.

Keywords: Pediatric cardiac surgery; Ultrasonography; Vocal cord

References

  1. Acta Otolaryngol. 1970 Mar;69(3):223-30 - PubMed
  2. Anesth Analg. 2009 Feb;108(2):461-5 - PubMed
  3. Ann Otol Rhinol Laryngol. 1997 Mar;106(3):199-209 - PubMed
  4. Head Neck. 1995 Jan-Feb;17(1):20-3 - PubMed
  5. J Ultrasound Med. 2010 Jul;29(7):1023-30 - PubMed
  6. Ann Otol Rhinol Laryngol. 2007 Nov;116(11):827-31 - PubMed
  7. Eur Respir J. 2006 Feb;27(2):384-9 - PubMed
  8. Otolaryngol Clin North Am. 1989 Jun;22(3):569-97 - PubMed
  9. Circulation. 2010 Sep 14;122(11 Suppl):S81-4 - PubMed
  10. Anesthesiology. 2010 Oct;113(4):819-24 - PubMed
  11. Int J Pediatr Otorhinolaryngol. 2009 Aug;73(8):1160-2 - PubMed
  12. ANZ J Surg. 2001 Dec;71(12):737-9 - PubMed
  13. Dysphagia. 2006 Jan;21(1):75-81 - PubMed
  14. J Laryngol Otol. 2004 Jun;118(6):429-31 - PubMed
  15. Ann Thorac Surg. 2005 Oct;80(4):1453-9 - PubMed
  16. Ann Otol Rhinol Laryngol. 1976 Sep-Oct;85(5 Pt.1):640-5 - PubMed

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