Voice Quality Before and After Thyroidectomy

Cvelbar, Dora; Bonetti, Ana; Šimunjak, Boris

doi:10.19057/jser.2016.3

Cited by 1 publication

(3 citation statements)

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“…Our study confirms that thyroid surgery with IONM, with positive responses from RLN and EBSLN during the operations, is on the top of quality treatment. Our results are similar to those observed by Randolph [ 30 ] and Su-jin Kim [ 29 ] during thyroid surgery with IONM. Randolph et al assessed the quality of the voice after thyroidectomy with the use of IONM in a professional singer.…”

Section: Discussionsupporting

confidence: 92%

“…In the literature, there are many publications about voice assessment and voice-related quality of life in patients after thyroid operations [ 6 , 16 , 17 , 28 – 30 ] but only a few of them refer to surgery with IONM [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…In Cvelbar’s study, significant differences were found between the mean scores on voice self-assessment variables before and after thyroidectomy. These differences were found on functional, physical and total VHI score (F-VHI, P-VHI, T-VHI) [ 30 ]. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries were assessed in a Lombardi publication.…”

Section: Discussionmentioning

confidence: 99%

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Voice quality preservation in thyroid surgery with neuromonitoring

et al. 2018

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PurposeVoice problems are common after thyroidectomy. The aim of this study was to assess the voice related quality of life after thyroidectomy with neuromonitoring. The sociodemographic and treatment factors influencing the quality of voice after the operation were investigated.MethodsA total of 40 patients after thyroidectomy with neuromonitoring were enrolled into the study. The voice outcome was analyzed pre and postoperatively by two validated self-assessment questionnaires: Voice Handicap Index and Voice-Related Quality of Life survey.ResultsAll external branches of the superior laryngeal nerve were identified during the operation. There were no recurrent laryngeal nerve palsies. The mean total VHIs before and after thyroid operation were 1.2 [SD 2.564] and 2.8 [SD 6.944], respectively (p = 0.5). Preoperatively, the mean overall score for the V-RQOL was 99.6; postoperatively 98.7 (p = 0.05). A strong correlation between the V-score of the V-RQOL and O-score of the VHI before and after thyroidectomy was observed (both p < 0.001).There was no correlation between V-RQOL or VHI and sex, the kind of thyroid operations, diagnosis, thyroid function, the mean volume of the goitre, the presence of retrosternal position and the extent of thyroid operations (p > 0.05). A small correlation between the mean age of the patients and postoperative O-Score of the VHI (p = 0.007650) and between the mean age and postoperative V-Score for the V-RQOL (p = 0.00648) was observed.ConclusionsThe use of neuromonitoring in thyroid surgery is beneficial for patients to improve voice quality. The identification and preservation of EBSLNs is crucial to eliminate altered voice after thyroidectomy.

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Section: Discussionsupporting

confidence: 92%