postoperative laryngoscopy
Endoscopic examination of vocal cord function and laryngeal anatomy following thyroid or parathyroid surgery to assess nerve integrity.
Full Definition
Postoperative laryngoscopy is the systematic endoscopic evaluation of vocal cord movement and laryngeal anatomy performed after thyroid, parathyroid, or other neck surgery to assess recurrent laryngeal nerve function. The examination evaluates vocal cord mobility, vocal cord position at rest, voice quality, and presence of laryngeal edema or hematoma. Timing of the examination varies but is typically performed within 24-48 hours postoperatively and again at follow-up visits. Findings guide management decisions including speech therapy referral, surgical intervention for vocal cord paralysis, or monitoring for spontaneous recovery. The procedure is particularly important in high-risk surgeries or when intraoperative nerve monitoring suggests potential injury.
Usage
Usage note: Document timing relative to surgery and specific findings regarding cord mobility.
In Context
- "Postoperative laryngoscopy revealed normal bilateral vocal cord movement with no evidence of recurrent laryngeal nerve injury." — postoperative note
- "The patient underwent postoperative laryngoscopy which demonstrated left vocal cord paralysis in the paramedian position." — otolaryngology consultation