The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Subjective and Objective Voice Assessments After Recurrent Laryngeal Nerve-Preserved Total Thyroidectomy
Abstract
Objectives This study aims to investigate early voice changes after total thyroidectomy, to assess the improved parameters in intermediate postoperative intervals, to evaluate the effect of age on voice after thyroidectomy, and to determine the correlation between the objective and the subjective method outcomes. Study design This is a prospective, nonrandomized study. Materials and methods One hundred ninety-one participants, divided into two age groups, underwent three full voice assessments (preoperatively and 1 and 8 weeks after thyroidectomy) by means of videostroboscopy, perceptual evaluation, acoustic analysis, aerodynamic evaluation, and a self-evaluation questionnaire. Two control groups enrolled in the study: (1) patients with an indication of neck surgery not related to laryngeal nerve injury risk or strap muscle dissection and (2) patients with an indication of a non-neck surgery. Results No statistically significant difference was found in any voice parameter, between preoperative and 1-week postoperative assessment regarding the control groups. A statistically significant difference was found between preoperative evaluation and 1 week after thyroidectomy for the total study population, as well as for the ≥40 years' age subgroup for all parameters evaluated except for shimmer. The <40 years' age subgroup showed a statistically significant difference in pitch, maximum phonation time, and grade, roughness, breathiness, asthenia, and strain (GRBAS) score between preoperative evaluation and 1 week after thyroidectomy. None of the parameters showed a statistical significant difference in the <40 years' age subgroup at 8 weeks' evaluation. The Voice Handicap Index (VHI) score correlated significantly with the GRBAS score preoperatively and postoperatively at 1 and 8 weeks' evaluations. Furthermore, VHI correlated significantly with pitch a week postoperatively. GRBAS scores showed significant correlation not only with VHI but also with acoustic parameters including pitch, shimmer, and noise-to-harmonic ratio 1 and 8 weeks after thyroidectomy. Conclusions Objective voice changes are common in the majority of the thyroidectomized patients in the early postoperative period. Our results revealed that these changes are related to thyroidectomy per se. Older patients (≥40 years of age) show acoustic and aerodynamic changes 8 weeks postoperatively, although they report no voice abnormalities and their perceptual evaluation is similar to the preoperative one.
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“Studies in the past among individuals who underwent thyroidectomy [40] and multiple sclerosis [41] have also reported similar correlations between VHI and the GRBAS scale.”
From Correlation of Multiple Measures of Voice Evaluation Among Individuals with Muscle Tension Dysphonia: An Exploratory Study (2024) · cites this paper as [40]
Citations
Cites
The Voice Handicap Index (VHI): Development and Validation
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Maryn, Y., Corthals, P., Van Cauwenberge, P., Roy, N., & De Bodt, M. (2010) · Journal of Voice · doi:10.1016/j.jvoice.2008.12.014 · Cited by 427
Kent, R. D., & Kim, Y. (2008) · doi:10.1002/9781444301007.ch22 · Cited by 338
Prospective Functional Voice Assessment in Patients Undergoing Thyroid Surgery
Stojadinovic, A., Shaha, A. R., Orlikoff, R. F., Nissan, A., Kornak, M.-F., Singh, B., Boyle, J. O., Shah, J. P., Brennan, M. F., & Kraus, D. H. (2002) · Annals of Surgery · doi:10.1097/00000658-200212000-00015 · Cited by 295
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Voice changes after thyroidectomy without recurrent laryngeal nerve injury
Sinagra, D. L., Montesinos, M. R., Tachi, V., Moreno, J. C., Falco, J. E., Mezzadri, N. A., Debonis, D. L., & Curutchet, P. (2004) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2004.06.020 · Cited by 203
Phonatory Characteristics of Patients Undergoing Thyroidectomy without Laryngeal Nerve Injury
Hong, K. H., & Kim, Y. K. (1997) · Otolaryngology · doi:10.1016/s0194-5998(97)70133-5 · Cited by 197
THYROID SURGERY AND VOICE‐RELATED OUTCOMES
McIvor, N. P., Flint, D. J., Gillibrand, J., & Morton, R. P. (2000) · Australian and New Zealand Journal of Surgery · doi:10.1046/j.1440-1622.2000.01781.x · Cited by 141
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Association Between Age and Patient‐Reported Changes in Voice and Swallowing After Thyroidectomy
Sahli, Z. T., Canner, J. K., Najjar, O., Schneider, E. B., Prescott, J. D., Russell, J. O., Tufano, R. P., Zeiger, M. A., & Mathur, A. (2018) · The Laryngoscope · doi:10.1002/lary.27297 · Cited by 53
Ryu, C., Lee, S.-J., Cho, J.-G., Choi, I., Choi, Y. S., Hong, Y., Jung, S.-Y.-O., Kim, J. W., Lee, D. Y., Lee, D.-K., et al. (2021) · Clinical and Experimental Otorhinolaryngology · doi:10.21053/ceo.2021.00633 · Cited by 27
Sung, E. S., Kim, K. Y., Yun, B. R., Song, C. M., Ji, Y. B., Lee, J., & Tae, K. (2018) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-018-5145-7 · Cited by 26
Borel, F., Trésallet, C., Hamy, A., Mathonnet, M., Lifante, J., Brunaud, L., Marret, O., Caillard, C., Espitalier, F., Drui, D., et al. (2019) · Surgery · doi:10.1016/j.surg.2019.05.090 · Cited by 24
Development and Validation of the Thyroidectomy-Related Voice and Symptom Questionnaire (TVSQ)
Hwang, Y., Shim, M., Kim, G.-J., Lee, D., Nam, I., Park, J., Kim, S., Park, Y.-H., Bae, J., Lee, S. H., et al. (2020) · Journal of Voice · doi:10.1016/j.jvoice.2020.04.028 · Cited by 21
Metadata
- Authors
- Papadakis, C. E., Asimakopoulou, P., Proimos, E., Perogamvrakis, G., Papoutsaki, E., & Chimona, T.
- Affiliations
- Chania General Hospital ”St. George” (GR)
- Corresponding author
- Chimona, Theognosia
- Venue
- Journal of Voice
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 31
- Issue
- 4
- Pages
- 515.e15-515.e21
- ISSN
- 0892-1997 (ISSN-L)
- OpenAlex
- W2583811492
- Cited by
- 25
- References
- 25
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 7 · 2020: 3 · 2019: 2 · 2018: 2
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Voice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Tracheal and airway disorders
- Keywords
- total thyroidectomy, recurrent laryngeal nerve preservation, postoperative voice changes, voice quality, age-related voice changes, Voice Handicap Index, acoustic voice analysis, aerodynamic voice parameters, pitch, shimmer, maximum phonation time, laryngeal nerve injury
- MeSH terms
- Adult, Age Factors, Aged, Aged, 80 and over, Humans, Middle Aged, Postoperative Period, Prospective Studies, Recurrent Laryngeal Nerve, Thyroidectomy, Voice, Young Adult
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- Papadakis, C. E., Asimakopoulou, P., Proimos, E., Perogamvrakis, G., Papoutsaki, E., & Chimona, T. (2017). Subjective and Objective Voice Assessments After Recurrent Laryngeal Nerve-Preserved Total Thyroidectomy. Journal of Voice. https://doi.org/10.1016/j.jvoice.2016.12.011
