Analysis of Temporal Change in Voice Quality After Thyroidectomy: Single-institution Prospective Study

Lee, Doh Young; Lee, Ki Jeong; Hwang, Soo Min; Oh, Kyoung Ho; Cho, Jae-Gu; Baek, Seung Kuk; Kwon, Soon Young; Woo, Jeong Soo; Jung, Kwang Yoon

doi:10.1016/j.jvoice.2016.04.017

Cited by 17 publications

(20 citation statements)

References 27 publications

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“…However, the cases with postoperative paresis of the vocal folds were present in two cases only, so outcomes of this study cannot be generalized for patients with postoperative paresis of the vocal folds. Nevertheless, investigation of voice alteration after total thyroidectomy complicated with paresis of the vocal folds is an important topic of thyroid surgery (18). Such study with application of ultrasonography of vocal folds, laryngoscopy and GRBAS scale will require multicenter design to provide su cient statistical pool for research analysis.…”

Section: Discussionmentioning

confidence: 99%

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

Shulutko

Semikov

Moiseev

et al. 2020

Preprint

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Background Voice alterations after thyroidectomy with mobile vocal folds are common. Ultrasonography has been used to assess the mobility of the vocal folds after thyroidectomy. Methods 54 patients underwent thyroidectomy. Indirect laryngoscopy, ultrasonography and GRBAS scoring were performed preoperatively,3 days, 2 and 6 months postoperatively. Results On the third postoperative day, the mobility of the vocal folds was preserved in 52 patients and paresis were recorded in 2 patients. All patients after total thyroidectomy noted the presence of voice alteration in the absence of the postoperative paresis of the vocal folds. On the third postoperative day, the voice was impaired by all criteria of the GRBAS scale, but mainly due to roughness (85%). Sixth month postoperatively 62% of the subjects considered the voice to be altered. Asthenia was observed in 39%. On the third postoperative day indirect laryngoscopy revealed the unchanged vocal folds, the symmetrical edema and the shortening of one of the vocal folds in 56%,42% and 1.9%. Six months postoperatively, the vocal folds returned to their original form. Ultrasonography was well correlated to the results of indirect laryngoscopy. Patients with edema of the vocal folds had a significantly higher mean GRBAS grade than patients without edema. The mean GRBAS score decreased from 3.36 to 0.90, 3 days and 6 months postoperatively. Conclusion Voice alteration after total thyroidectomy is always present. Postoperative edema represents a likely main cause of voice alteration and resolves within 6 months. Ultrasonography is recommended as alternative to indirect laryngoscopy in assessing of the vocal folds in thyroid surgery patients.

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Section: Discussionmentioning

confidence: 99%

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

Shulutko

Semikov

Moiseev

et al. 2020

Preprint

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“…Nonetheless, most clinicians have used and preferred the indirect method to diagnose or define EBSLN injuries due to invasiveness, inconvenience, and a high barrier to entry in the technique and interpretation of EMG. Most studies related to EBSLN have used patient self‐reports on voice changes, subjective acoustic analysis of the investigator the GRABS scale, patient‐reported questionnaires (Voice Handicap Index‐10 and SLN Impairment Index‐5), objective acoustic analysis (multidimensional voice profile, and voice range profiles), and laryngoscopic or stroboscopic evaluation of vocal folds . Although these postoperative non‐EMG methods might not yield constant, standardized and reliable findings, some researches used them as the reference methods for EBSLN integrity in the studies related to the identification methods for EBSLN .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, these injuries may be challenging to diagnose because of ambiguous clinical symptoms such as an inability to produce high‐pitched sounds, hoarseness, weakness, tightness of the voice, increased throat clearing, and no clinical finding . To evaluate injury to the EBSLN postoperatively, most studies have used patient histories or patient self‐reporting on voice changes, subjective acoustic analysis by the investigator, patient‐reported questionnaire, objective acoustics, or laryngoscopic or stroboscopic evaluation of vocal folds . However, these clinical and endoscopic evaluation methods do not show constant, standardized, and reliable findings .…”

Section: Introductionmentioning

confidence: 99%

Is cricothyroid muscle twitch predictive of the integrity of the EBSLN in Thyroid Surgery?

Sung¹,

Chang²,

Kim

et al. 2018

The Laryngoscope

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“…(thyroidectomy) 환자의 수술 전후 비교 (Lee et al, 2017;Radowsky, Helou, Howard, Solomon, & Stojadinovic, 2013;Solomon, Awan, Helou, & Stojadinovic, 2012;Vicente et al, 2014) (Awan, Roy, & Cohen, 2014;Kankare, Liu, Laukkanen, & Geneid, 2013), 상관관계가 있더라도 강하지는 않다 (Murry, Medrado, Hogikyan, Aviv, 2004…”

Section: 논의 및 결론mentioning

confidence: 99%

Responsiveness of the Korean Version of the Voice Activity and Participation Profile (K-VAPP) after Surgical Intervention

Lee¹,

Lim²,

Choi³

2017

Commun Sci Disord

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The purpose of this study was to confirm the responsiveness of the Korean version of the Voice Activity and Participation Profile (K-VAPP) after surgical intervention for various voice disorders and to explore the correlation between changes in the K-VAPP subscale scores and other measures, focusing on auditory-perceptual estimations. Methods: The K-VAPP was administered to 90 patients with various voice disorders who underwent surgical treatment. Along with the K-VAPP, pre-and post-operative vocal assessment results after 3 months were compared, including psychometric, acoustic (both spectral and cepstral), electroglottographic, and aerodynamic assessment. In addition, a correlation between the differences in the K-VAPP subscale scores and Grade changes of GRBAS (grade, roughness, breathiness, asthenia, strain) scale was explored. Results: After surgery, the total score, activity limitation score, and all the subscale scores except 'effect on social communication' decreased significantly. On the other hand, the participation restriction score and 'social communication' subscale score did not show significant changes. The responsiveness was supported by improvement in several psychometric, acoustic, and aerodynamic parameters, and correlation between K-VAPP subscale scores and those measures. 'Selfperceived severity' and 'effect on social communication' subscale scores showed significant correlation with perceived severity by clinician. Conclusion: In sum, the K-VAPP was confirmed to be sufficiently responsive after surgical intervention. It is clinically significant that the participation restriction and effect on social communication did not improve after surgery. Further studies pertaining to each etiological group are needed.

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Analysis of Temporal Change in Voice Quality After Thyroidectomy: Single-institution Prospective Study

Cited by 17 publications

References 27 publications

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

Is cricothyroid muscle twitch predictive of the integrity of the EBSLN in Thyroid Surgery?

Responsiveness of the Korean Version of the Voice Activity and Participation Profile (K-VAPP) after Surgical Intervention

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