• Vaninder K Dhillon, Gregory W Randolph, Brendan C Stack, Brenessa Lindeman, Gary Bloom, Catherine F Sinclair, Gayle Woodson, Jennifer A Brooks, Lesley F Childs, Nazanene H Esfandiari, Lisa Evangelista, Elizabeth Guardiani, Lourdes Quintanilla-Dieck, Matthew R Naunheim, Maisie Shindo, Michael Singer, Neil Tolley, Peter Angelos, Robbi Kupfer, Victoria Banuchi, Whitney Liddy, and Ralph P Tufano.
• Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University National Capital Region, Bethesda, Maryland, USA.
• Head Neck. 2020 Dec 1; 42 (12): 3779-3794.

BackgroundLaryngeal dysfunction after thyroid and parathyroid surgery requires early recognition and a standardized approach for patients that present with voice, swallowing, and breathing issues. The Endocrine Committee of the American Head and Neck Society (AHNS) convened a panel to define the terms "immediate vocal fold paralysis" and "partial neural dysfunction" and to provide clinical consensus statements based on review of the literature, integrated with expert opinion of the group.MethodsA multidisciplinary expert panel constructed the manuscript and recommendations for laryngeal dysfunction after thyroid and parathyroid surgery. A meta-analysis was performed using the literature and published guidelines. Consensus was achieved using polling and a modified Delphi approach.ResultsTwenty-two panelists achieved consensus on five statements regarding the role of early identification and standardization of evaluation for patients with "immediate vocal fold paralysis" and "partial neural dysfunction" after thyroid and parathyroid surgery.ConclusionAfter endorsement by the AHNS Endocrine Section and Quality of Care Committee, it received final approval from the AHNS Council.© 2020 Wiley Periodicals LLC.

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