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Cited by 25Thyroid and Parathyroid SurgeryVoice and Speech DisordersTracheal and airway disorders

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

Papadakis, Chariton E., Asimakopoulou, Panagiota, Proimos, Efklidis, Perogamvrakis, George, Papoutsaki, Effrosyni, Chimona, Theognosia·2017·Journal of Voice
DOI 10.1016/j.jvoice.2016.12.011
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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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Crossref · 10.1016/j.jvoice.2016.12.011

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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
ORCID
Venue
Journal of Voice
Publisher
Elsevier BV
Published
2017-07
Volume
31
Issue
4
Pages
515.e15-515.e21
ISSN
0892-1997 (ISSN-L)
DOI
10.1016/j.jvoice.2016.12.011
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
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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