The Importance of Preoperative Laryngeal Examination Before Thyroidectomy and the Usefulness of a Voice Questionnaire in Screening

Nam, Inn‐Chul; Bae, Ja-Sung; Shim, Mi‐Ran; Hwang, You Mi; Kim, Min‐Sik; Sun, Dong‐Il

doi:10.1007/s00268-011-1347-5

Cited by 56 publications

(82 citation statements)

References 36 publications

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“…Thyroidectomy, the surgery to partially or total removing the thyroid, may cause voice deviations 1,2 with the manipulation of the larynx nerves close to thyroid, or other factors as the used technique in surgery and intubation 3 . But, in Speech-Language clinic practice, before the surgery procedure, is already observed the diseases associated to thyroid causing complaints of voice of endocrine etiology 1,4,5 .…”

Section: Introductionmentioning

confidence: 99%

Qualidade de vida em voz de pacientes no pré-operatório de tireoidectomia

2016

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Purpose: to evaluate the quality of life in voice individuals submitted to thyroidectomy prior to the procedure. Methods: the study included female patients of a reference hospital referred for thyroid or gallstone surgery. Subjects were divided into: Study Group -30 women (mean 44.26 years) referred for partial or total thyroidectomy surgery; Control Group -30 women (mean 45.3 years), forwarded to gallstone surgery. The participants answered a screening questionnaire and Voice-Related Quality of Life. Data were statistically analyzed by the Fisher Two Tailed Test, Student's T Test and Pearson correlation coefficient, adopting a significance level of 5%. Results: there was a higher incidence of vocal complaints (48,3%), and lower scores for quality of life in voice in all areas in the study group than in the control group. In the exclusive analysis to the study group, it was observed that the physical domain was the most affected, with difference to the social-emotional domain (p=0,002), there is still strong positive correlation between the scores of the two domains (r=0,047; p=<0,001). Conclusion: it is concluded that the group of women with thyroid diseases pre-thyroidectomy has a negative impact on quality of life in voice, especially when it comes to the physical domain, and as the physical affections related to voice happen, there are influences on the social-emotional domain. Keywords: Health Evaluation; Quality of Life; Thyroidectomy; Voice. RESUMO

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Section: Introductionmentioning

confidence: 99%

Qualidade de vida em voz de pacientes no pré-operatório de tireoidectomia

2016

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“…The location of thyroid gland in the region of neck and its straight communication with larynx may justify the presence of voice changes in this population. It is worth pointing out that changes in laryngeal mobility in patients with thyroid diseases may or may not be associated to nerve injury 17 . Such fact alerts to the need for a vocal assessment before the patients are submitted to a surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Such fact alerts to the need for a vocal assessment before the patients are submitted to a surgical procedure. It is underlined that laryngological examination is also pointed as a complementary assessment tool in preoperative 17,18 . The examination was not considered in this study due to logistical difficulties which would prevent the access of all the female patients to the procedure.…”

Section: Discussionmentioning

confidence: 99%

Autoavaliação vocal e avaliação perceptivo-auditiva da voz em mulheres com doença tireoidiana

Costa

Pernambuco

2014

Rev. CEFAC

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Objetivo comparar a autoavaliação vocal e a avaliação perceptivo-auditiva da voz em mulheres com doença tireoidiana. Métodos o estudo foi realizado com 40 pacientes do sexo feminino, idade média de 49,50±10,40 anos, utilizando a escala analógica-visual (EAV) para realizar a autoavaliação vocal e a análise perceptivo-auditiva pelo fonoaudiólogo. A paciente considerou a emissão habitual do dia a dia na sua autoavaliação e para a análise fonoaudiológica da voz foram gravadas amostras da contagem de 1 a 20. A análise considerou o tamanho total da amostra e também sua categorização grupos de acordo com a presença ou não de queixa e por faixa etária. A análise descritiva das variáveis considerou média, mediana e desvio-padrão. Foram aplicados os testes de Wilcoxon e Mann-Whitney para comparação de médias e o teste de Spearman para testar correlação entre as duas avaliações.O nível de significância foi de 5%. Resultados 19 (47,5%) pacientes relataram queixa de disfonia. A média e desvio-padrão da EAV das pacientes e da EAV do fonoaudiólogo foram 32,58±27,99 e 37,23±15,92, respectivamente, sem diferença estatisticamente significante. Pacientes com queixa vocal apresentaram pior média na autoavaliação quando comparadas às que não tiveram queixa. Não houve diferença estatisticamente significante entre esses grupos em relação à avaliação perceptivo-auditiva. Não foi encontrada correlação estatisticamente significante entre a percepção que a paciente tem sobre sua voz e a avaliação do fonoaudiólogo. Conclusão não houve diferença entre as médias da autoavaliação vocal e da avaliação perceptivo-auditiva; a autoavaliação da voz foi pior em pacientes com queixa vocal; não houve correlação entre as duas avaliações estudadas.

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“…Systematically preoperative vocal folds examination is recommended (1,2,(4)(5)(6), because the quality and the functionality of the voice can suffer damage by both the compression of recurrent laryngeal nerve by the SG and the surgery itself (1). In additional, Holler and Anderson (7) recommend that all patients presenting with compressive thyroid symptoms should be evaluated for laryngopharyngeal reflux prior to performing a thyroidectomy, due to the association between these manifestations.…”

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confidence: 99%

Substernal goiter and laryngopharyngeal reflux

Rodrigues

Filho²,

Matos³

et al. 2017

Arch. Endocrinol. Metab.

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Objective: This study aims to compare the prevalence of laryngopharyngeal reflux signs between two groups of patients undergoing thyroidectomy for voluminous goiter: substernal goiters and voluminous cervical goiter without thoracic extension. Subjects and methods: A retrospective case-control study was performed with data retrieved of the charts of the patients submitted to thyroidectomies occurred at a tertiary care center (Head and Neck Surgery Department, University of São Paulo Medical School) between 2010 and 2014. The selected thyroidectomies were allocated in two groups for study: patients with substernal goiters and patients with voluminous cervical goiter without thoracic extension. Cervical goiters were selected by ultrasonography mensuration. Clinical criterion was used to define substernal goiter. Results: The average thyroid volume in patients with substernal goiter was significantly greater than the average volume in patients with only cervical goiter (p < 0.001). The prevalence of signs of reflux laryngitis at laryngoscopy was significantly greater in substernal goiter patients (p = 0.036). Moreover, substernal goiter was considered as the unique independent variable for high reflux laryngitis signs at laryngoscopy (OR = 2.75; CI95%: 1.05-7.20; p = 0.039) when compared to only cervical goiter patients. Conclusion: This study shows a significant association between substernal goiters and signs of laryngopharyngeal reflux at preoperative laryngoscopy. Therefore, when compared with voluminous cervical goiters, the substernal goiters increase the chance of reflux laryngitis signs in patients. Arch Endocrinol Metab. 2017;61(3):348-53.

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The Importance of Preoperative Laryngeal Examination Before Thyroidectomy and the Usefulness of a Voice Questionnaire in Screening

Cited by 56 publications

References 36 publications

Qualidade de vida em voz de pacientes no pré-operatório de tireoidectomia

Qualidade de vida em voz de pacientes no pré-operatório de tireoidectomia

Autoavaliação vocal e avaliação perceptivo-auditiva da voz em mulheres com doença tireoidiana

Substernal goiter and laryngopharyngeal reflux

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