Ultrasonography-guided electromagnetic needle tracking in laryngeal electromyography.
Electromagnetic needle tracking
Laryngeal electromyography
Laryngeal ultrasonography
Laryngeal ultrasound
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
03
12
2018
accepted:
22
02
2019
pubmed:
6
3
2019
medline:
21
5
2019
entrez:
6
3
2019
Statut:
ppublish
Résumé
The clinical evaluation of vocal fold movement disorders should contain the electromyography of the laryngeal muscles (LEMG). The most challenging point in LEMG is the right positioning of the EMG needle in the small target muscles. As the results of the EMG have great influence in the decision of treatment it is important to confirm the results of this examination. Anatomical structures of the larynx should be identified with laryngeal ultrasonography and the ultrasonography (US)-guided electromagnetic needle tracking should guide the LEMG needle to the target muscle. The thyroarytenoid (TA) and cricothyroid (CT) muscles had been evaluated in 19 patients (20 examinations). The US-guided transcutaneous LEMG using electromagnetic needle tracking was performed by one ENT doctor and all examinations had been video monitored. The videos were analyzed for the accuracy rate and the visibility of the important laryngeal structures. The laryngeal structures were identified in all the cases using laryngeal ultrasonography. The examination times of the US-guided LEMG were acceptable (8 min, 32 s). The US-guided LEMG was feasible in 56 (36 TA, 20 CT) examinations. The TA and CT could be visualized successfully but in 17 examinations (30%) the signal was not stable. We could still reach the target muscles in more than 50% of these cases. US-guided electromagnetic needle tracking in LEMG helps to determine the exact position of the laryngeal structures. With further technical improvement of the stability of the electromagnetic needle tracking signal the US-guided electromagnetic needle tracking of the target muscles in the larynx could help to improve the accuracy of the transcutaneous LEMG.
Identifiants
pubmed: 30834974
doi: 10.1007/s00405-019-05360-5
pii: 10.1007/s00405-019-05360-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1109-1115Subventions
Organisme : eZono AG Jena (Spitzweidenweg 30, D-07743 Jena, Germany)
ID : no number, U/S machine
Références
Mueller AH (2011) Laryngeal pacing for bilateral vocal fold immobility. Curr Opin Otolaryngol Head Neck Surg 19:439–443
doi: 10.1097/MOO.0b013e32834cb7ba
pubmed: 22001660
Marina MB, Marie JP, Birchall MA (2011) Laryngeal reinnervation for bilateral vocal fold paralysis. Curr Opin Otolaryngol Head Neck Surg 19:434–438
doi: 10.1097/MOO.0b013e32834c7d30
pubmed: 22001659
Kim HT (2003) Lagryngeal electromyography. Korean J Otolaryngol-Head Neck Surg 46:453–456
Sataloff RT, Praneetcatakul P, Heuer RJ, Hawksshaw MJ, Heman-Ackah YD, Schneider SM, Mandel S (2010) Laryngeal electromyography: clinical application. J Voice 24:228–234
doi: 10.1016/j.jvoice.2008.08.005
pubmed: 19111439
Park HS, Jung SY, Yoo JH, Park HJ, Lee CH, Kim HS, Chung SM (2016) Clinical Usefulness of ultrasonography-guided laryngeal electromyography. J Voice 30(1):100–103
doi: 10.1016/j.jvoice.2015.03.009
pubmed: 26602419
Gadsden J et al (2015) Evaluation of the eZono 4000 with eZGuide for ultrasound-guided procedures. Expert Rev Med Devices 12(3):251–261
doi: 10.1586/17434440.2015.995095
pubmed: 25543816
Volk GF, Hagen R, Pototschnig C, Friedrich G, Nawka T, Arens C, Mueller A, Foerster G, Finkensieper M, Lang-Roth R, Sittel C, Storck C, Grosheva M, Kotby MN, Klingner CM, Guntinas-Lichius O (2012) Laryngeal electromyography: a proposal for guidelines of the European Laryngological Society. Eur Arch Otorhinolaryngol 269(10):2227–2245
doi: 10.1007/s00405-012-2036-1
pubmed: 22576246
Cheng SP, Lee JJ, Liu TP, Lee KS, Liu CL (2012) Preoperative ultrasonography assessment of vocal cord movement during thyroid and parathyroid surgery. World J Surg 36:2509–2515
doi: 10.1007/s00268-012-1674-1
pubmed: 22689020
Seo HG, Jang HJ, Oh BM, Kim W, Han TR (2014) Use of ultrasonography to locate laryngeal structures for laryngeal electromyography. PM R 6:522–527
doi: 10.1016/j.pmrj.2013.11.008
pubmed: 24262276
Garel C, Legrand I, Elmaleh M, Contenvin PH, Hassan M (1990) Laryngeal ultrasonography in infants and children: anatomical correlation with fetal preparations. Pediatr Radiol 20:241–244
doi: 10.1007/BF02019656
pubmed: 2186344
Wong KP, Woo JW, Youn YK, Chow FC, Lee KE, Lang BH (2014) The importance of sonographic landmarks by transcutaneous laryngeal ultrasonography in post-thyroidecomtomy vocal cord assessment. Surgery 156(6):1590–1596
doi: 10.1016/j.surg.2014.08.061
pubmed: 25456958
Woo JW, Suh H, Song RY, Lee JH, Yu HW, Kim SJ, Chai YJ, Chou JY, Lee KE (2016) A noval lateral-approach laryngeal ultrasonography for vocal cord evaluation. Surgery 159(1):52–56
doi: 10.1016/j.surg.2015.07.043
pubmed: 26422765