Objectives:This study was designed to assess the efficiency of ultra(sound as a screening tool for the detection of impaired vocal-cord movement and compare two sonographic view , supra thyroid and trans thyroid, to find which view is preferred to observation of movement of vocal cord in different ages and sexes.
Design :
In this clinical trial 144 (18- 80 years old) patient were evaluated. All patients underwent vocal cord sonography in tow sonographic view, Trans thyroid and supra thyroid, before and after surgery. After high risk surgery for vocal cord damage alike thyroidectomy, parathyroidectomy ,Carotid endartrectomy, anterior approach of cervical spine fixation and thoracic procedure ,s Patient underwent direct laryngoscopy. To assess accuracy of ultrasound, Trans cutaneous sonography findings were correlated with direct laryngoscopy findings after extubating. Vocal cord Paresis or palsy defined as abnormal vocal cord movement during respiration.
Key words: vocal cord, ultrasonography, Trans thyroid view, supra thyroid view , airway.