Total or partial thyroidectomy for low-risk differentiated thyroid cancer: that is the question!

Rugiu, Maria Gabriella; Miani, C; Locatello, Luca Giovanni

doi:10.14639/0392-100x-n2247

Cited by 6 publications

(9 citation statements)

References 11 publications

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“…The VFSS is considered the “gold standard” for evaluating swallowing function. It is widely used for the comprehensive evaluation of the patients’ oral, pharyngeal, and esophageal swallowing conditions [14] . The sEMG allows evaluation of the physiological process of swallowing.…”

Section: Discussionmentioning

confidence: 99%

“…It is widely used for the comprehensive evaluation of the patients' oral, pharyngeal, and esophageal swallowing conditions. [14] The sEMG allows evaluation of the physiological process of swallowing. It is a simple and reliable screening that allows preliminary identification of dysphagia and has advantages of accuracy, rapidity, and non-invasiveness.…”

Section: Discussionmentioning

confidence: 99%

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Study on optimization and evaluation system of traditional Chinese medicine rehabilitation program for swallowing disorder after stroke

Tang

Liang

et al. 2021

Medicine

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Background: Acupuncture has a long history in China and is currently widely used in clinical practice. However, there is no large sample data confirming the effectiveness of acupuncture in treating stroke and its sequelae. This article presents a study protocol for a multicenter, randomized, controlled trial for evaluating the efficacy of acupuncture in treating post-stroke dysphagia. Methods/design: A randomized controlled trial will be conducted in three hospitals in Heilongjiang, Changchun, and Beijing. A total of 252 patients with post-stroke swallowing ability will be randomly divided into two groups; specifically, the experimental group, which will receive acupuncture treatment, and the control group, which will undergo rehabilitation training for 2 weeks. The main results will be evaluated using the standard swallowing function scale, videofluoroscopic swallowing examination, and functional magnetic resonance imaging. The secondary observation indexes will include surface electromyography signal analysis and the modified Barthel index. Measurements will be obtained before treatment, as well as 1 week, 2 weeks, and 1 month after treatment. Discussion: This trial could clarify the effectiveness of acupuncture in stroke; moreover, it will determine whether acupuncture can improve swallowing function. Trial registration: Chinese Clinical Trial Registry (ChiCTR), ChiCTR2000030994.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Study on optimization and evaluation system of traditional Chinese medicine rehabilitation program for swallowing disorder after stroke

Tang

Liang

et al. 2021

Medicine

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“…► Videofluoroscopy (VFS) involves a modified barium swallow. 124 Penetration-aspiration is often measured using the 8-point scale introduced by Rosenbek, 125 with aspiration defined as barium visible beneath the true vocal cords. If no throat clearing or coughing is visible, the aspiration is considered 'silent'.…”

Section: Swallowing Difficulties Assessmentmentioning

confidence: 99%

BTS clinical statement on aspiration pneumonia

Simpson

Allen

Chatwin

et al. 2023

Thorax

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“…Videofluoroscopic swallow studies (VFSS) allow realtime observation of swallowing physiology and kinematics. 4 From VFSS images, clinicians can use the 8-point penetration-aspiration scale (PAS) to evaluate the presence and depth of swallowed material in the airway. 5 In addition, they can perform temporal and spatial kinematics analyses to determine significant deviations from the norms of swallowing.…”

Section: Introductionmentioning

confidence: 99%

“…Videofluoroscopic swallow studies (VFSS) allow real‐time observation of swallowing physiology and kinematics 4 . From VFSS images, clinicians can use the 8‐point penetration‐aspiration scale (PAS) to evaluate the presence and depth of swallowed material in the airway 5 .…”

Section: Introductionmentioning

confidence: 99%

Temporal Sequence of Laryngeal Vestibule Closure and Reopening is Associated With Airway Protection

et al. 2022

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Background Upper esophageal sphincter opening (UESO), and laryngeal vestibule closure (LVC) are two essential kinematic events whose timings are crucial for adequate bolus clearance and airway protection during swallowing. Their temporal characteristics can be quantified through time‐consuming analysis of videofluoroscopic swallow studies (VFSS). Objectives We sought to establish a model to predict the odds of penetration or aspiration during swallowing based on 15 temporal factors of UES and laryngeal vestibule kinematics. Methods Manual temporal measurements and ratings of penetration and aspiration were conducted on a videofluoroscopic dataset of 408 swallows from 99 patients. A generalized estimating equation model was deployed to analyze association between individual factors and the risk of penetration or aspiration. Results The results indicated that the latencies of laryngeal vestibular events and the time lapse between UESO onset and LVC were highly related to penetration or aspiration. The predictive model incorporating patient demographics and bolus presentation showed that delayed LVC by 0.1 s or delayed LVO by 1% of the swallow duration (average 0.018 s) was associated with a 17.19% and 2.68% increase in odds of airway invasion, respectively. Conclusion This predictive model provides insight into kinematic factors that underscore the interaction between the intricate timing of laryngeal kinematics and airway protection. Recent investigation in automatic noninvasive or videofluoroscopic detection of laryngeal kinematics would provide clinicians access to objective measurements not commonly quantified in VFSS. Consequently, the temporal and sequential understanding of these kinematics may interpret such measurements to an estimation of the risk of aspiration or penetration which would give rise to rapid computer‐assisted dysphagia diagnosis. Level of Evidence 2 Laryngoscope, 133:521–527, 2023

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Total or partial thyroidectomy for low-risk differentiated thyroid cancer: that is the question!

Cited by 6 publications

References 11 publications

Study on optimization and evaluation system of traditional Chinese medicine rehabilitation program for swallowing disorder after stroke

Study on optimization and evaluation system of traditional Chinese medicine rehabilitation program for swallowing disorder after stroke

BTS clinical statement on aspiration pneumonia

Temporal Sequence of Laryngeal Vestibule Closure and Reopening is Associated With Airway Protection

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