Does Tonsillectomy Affect Voice in Early or Late Postoperative Periods in Adults?

Atan, Doğan; Apaydın, Emre; Özcan, Kürşat Murat; İkincioğulları, Aykut; Çetin, Mehmet Ali; Dere, Hüseyin

doi:10.1016/j.jvoice.2015.11.023

Cited by 19 publications

(17 citation statements)

References 11 publications

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“…Nevertheless, there are contrasting findings: to date the largest published study analyzed 98 pediatric patients undergoing a tonsillectomy revealing no significant changes in F0, jitter, shimmer, and HNR 1 month after surgery. 8 This is in contrast with the results of Atan et al, 9 whonoted significant changes in F0, jitter, and shimmer 1 month after surgery in their study in 26 adults undergoing a tonsillectomy. However, all four values returned to normal levels 3 months after surgery.…”

Section: Discussionmentioning

confidence: 58%

“…This hypothesis would be supported by results of two study groups noted above, which reported changes in all four acoustic voice parameters after 30 days with all values returning to normal after 3 months. 2,9 In a recent study, Hairston et al 11 reported on parental concerns regarding tonsillectomy and about importance of proper counseling of parents and further engaging them in making the proper decision on tonsillectomy for their child. Our study can certainly contribute in this regard as our objective measurements showed a normalization of the fundamental frequency as the most important acoustic voice parameter and can sooth concerns in regard of postoperative voice changes.…”

Section: Hnrmentioning

confidence: 99%

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Changes in Acoustic Aspects of Vocal Function in Children After Adenotonsillectomy

et al. 2022

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Background. Adenotonsillectomy is one of the most common pediatric surgical procedures. Postoperative voice changes are a very common concern among patient's parents. Therefore, the aim of this study is to analyze acoustic voice parameters after adenotonsillectomy, tonsillectomy, and adenoidectomy in pediatric patients in a tertiary referral academic center. Patients and Methods. All pediatric patients undergoing an adenotonsillectomy, tonsillectomy or adenoidectomy in a single center from 2002 to 2018 were included in the study. Change of fundamental frequency, jitter, shimmer, and harmonic-noise ratio at first, seventh and 30th postoperative day compared to preoperative values were the primary outcome parameters. Statistical analysis was performed using repeated measures analysis of variance model. Results. A total of 1258 patients were included in the study. The mean age of patients at the time of surgery was 8.3 years (range 3.0−18.0 years). Around 698 were male (55.5%) and 560 female (44.5%). The values of fundamental frequency increased significantly after the first and seventh postoperative day (P = 0.001 both) but normalized 1 month after surgery (P = 0.962). At the first postoperative month, values of jitter and shimmer decreased significantly (P = 0.005 and P = 0.002, respectively). Measurements of harmonic-noise ratio revealed a significant increase 30 days after surgery (P = 0.004). Conclusion. Statistically significant differences in objective voice parameters within the first postoperative month after tonsillectomy, adenoidectomy, and adenotonsillectomy were observed. The fundamental frequency returned to normal 1 month after surgery. These findings can contribute in soothing the concerns of parents regarding postoperative voice changes.

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Section: Discussionmentioning

confidence: 58%

Section: Hnrmentioning

confidence: 99%

Changes in Acoustic Aspects of Vocal Function in Children After Adenotonsillectomy

et al. 2022

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“…Voice is mainly produced in the larynx and it gains its acoustic characteristics inside the vocal tract. 15 Adenotonsillectomy does not directly affect the vocal folds, but it may alter the resonance of the vocal tract. Mora et al reported that adenotonsillectomy operation significantly improved the F0, jitter and shimmer values in children with adenotonsillar hypertrophy.…”

Section: Discussionmentioning

confidence: 99%

Is Adenotonsillar Size a Significant Factor on Voice in Children Undergoing Adenotonsillectomy?

Karakurt

Çetin

Yamur

et al. 2019

J Coll Physicians Surg Pak

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Methodology: A total of 57 patients, who have been diagnosed with chronic adenotonsillitis and operated for obstruction or infection, were included in the study. Patients were divided into two groups according to their palatine tonsil sizes. Each patient performed voice analysis preoperatively and one month postoperatively, recruiting both objective and subjective methods. F0, jitter % and shimmer % values were assessed with objective methods; while subjective methods evaluated pediatric voice handicap index (pVHI) scores. Pre-and post-operative F0, jitter % and shimmer % values and pVHI scores from each study group were compared. Results: In each study group, pre-and post-operative F0, jitter % and shimmer % values were found to be similar. In Group A, postoperative pVHI scores were found to be significantly reduced (p<0.001). In Group B, however, pre-and postoperatively assessed pVHI scores were similar. Conclusion: Adenotonsillar hypertrophy in children, who underwent adenotonsillectomy, seems to be an important and positively effecting factor on the subjective, but not the objective, parameters of voice.

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“…The structural and/or anatomical defects in the upper airway may affect the resonance of voice and articulation and may lead to a decline in voice performance [1]. In the literature, it has been reported that surgical procedures in the upper respiratory tract, acute and/or chronic infections, vocal cord paralysis, and vocal cord pathologies, as well as surgical interventions to this region, affect voice performance [2-5].…”

Section: Introductionmentioning

confidence: 99%

Objective and Subjective Evaluations of the Effects of Different Types of Intubation Tube Applications on Voice Performance in the Early Postoperative Period

Kayır¹,

Doğan²,

Atan³

2019

Cureus

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ObjectiveChanges in voice performance in the postoperative period due to trauma suffered during endotracheal intubation or edema occurring in the postoperative period are often observed. The present study aimed to evaluate the effects of different types of intubation tube applications on voice performance in the early postoperative period using objective and subjective voice analysis methods.Materials and MethodsA total of 88 patients who underwent endotracheal intubation either using a cuffed endotracheal (n = 44) or spiral-embedded cuffed endotracheal (n = 44) tube were included in this study. An endotracheal tube of 7.5 mm was used for female patients and that of 8 mm was used for male patients. Preoperative acoustic voice analysis was performed, and fundamental frequency (F0), jitter%, and shimmer% values were recorded. In addition, the voice handicap index-30 (VHI-30) questionnaire was completed by the patients for subjective evaluation. The same procedure was repeated in the first 48 hours postoperatively. The preoperative and postoperative data were statistically compared. In addition, the effect of the type of endotracheal intubation tube on acoustic voice analysis parameters and VHI-30 scores was statistically evaluated.ResultsIn the early postoperative period, a significant decrease in the F0 value and a significant increase in jitter% and shimmer% values were detected. The VHI-30 score was also found to be significantly higher in the early postoperative period than in the preoperative period. The effects of both the intubation tubes on voice performance were found to be similar.ConclusionObjective and subjective evaluations revealed that voice performance was declined in the early postoperative period after orotracheal intubation.

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Does Tonsillectomy Affect Voice in Early or Late Postoperative Periods in Adults?

Cited by 19 publications

References 11 publications

Changes in Acoustic Aspects of Vocal Function in Children After Adenotonsillectomy

Changes in Acoustic Aspects of Vocal Function in Children After Adenotonsillectomy

Is Adenotonsillar Size a Significant Factor on Voice in Children Undergoing Adenotonsillectomy?

Objective and Subjective Evaluations of the Effects of Different Types of Intubation Tube Applications on Voice Performance in the Early Postoperative Period

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