Head & neck · 2025
Vocal Fold Immobility After Radiofrequency Ablation of Thyroid Nodules: A Survey of Laryngologists and an Algorithm for Periprocedural Voice Assessment.
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Dhillon Vaninder Kaur, Sinclair Catherine Fiona
Аннотация
BACKGROUND: Rates of vocal fold motion impairment (VFMI) during and after thermal ablative treatments for thyroid nodules have not been well documented. This study surveys a large group of laryngologists to assess the rate of VFMI and dysphonia referral patterns after thermal ablation. A peri-procedural voice assessment algorithm for proceduralists performing thermal ablation for thyroid nodules is presented.
METHODS: Thirteen-question-survey related to VFMI postablation.
RESULTS: Sixty-one respondents completed the survey. One-third of total respondents affirmed a VFMI after thermal ablation, with 81% documenting evidence on laryngeal examination. Immediate dysphonia was the most common presenting symptom. Referral patterns varied, but a large portion of patients were referred more than one week postprocedure despite the proceduralist having knowledge of potential VFMI.
CONCLUSION: VFMI is a risk during thermal ablation of thyroid nodules. Greater attention to voice during ablation and use of a procedural voice assessment algorithm may mitigate the risk of injury and potentially improve outcomes.
METHODS: Thirteen-question-survey related to VFMI postablation.
RESULTS: Sixty-one respondents completed the survey. One-third of total respondents affirmed a VFMI after thermal ablation, with 81% documenting evidence on laryngeal examination. Immediate dysphonia was the most common presenting symptom. Referral patterns varied, but a large portion of patients were referred more than one week postprocedure despite the proceduralist having knowledge of potential VFMI.
CONCLUSION: VFMI is a risk during thermal ablation of thyroid nodules. Greater attention to voice during ablation and use of a procedural voice assessment algorithm may mitigate the risk of injury and potentially improve outcomes.