Abstract
Objective: Voice dysfunction is frequently reported after thyroidectomy even in absence of vocal fold paralysis. The energy-based devices such as Harmonic scalpel (HS) or LigaSure (LS) are commonly used in conventional thyroidectomy. The objective of this study was to investigate the long-term voice outcome after total thyroidectomy using energy based devices. Methods: Patients who underwent total thyroidectomy with or without central neck dissection for papillary thyroid carcinoma using HS or LS from April 2012 to March 2013 were involved. The videolaryngostroboscopy, acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were obtained preoperatively, 1 week, 1 month, 3 months, 6 months, and 1. year after thyroidectomy. Results: Total 92 patients (HS group: 58 cases; LS group: 34 cases) were enrolled in this study. Demographics, tumor stage, and extent of operation were not significantly different between the HS and LS group. None of the patients evidenced any abnormalities at the pre- or postoperative videolaryngostroboscopic examination. The voice range profile (highest frequency), voice perceptual evaluation (grade, rough, and breathy), and voice handicap index-30 (total, functional, physical, and emotional) showed significantly worse scores in early postoperative period (<1. month), but gradually returned to preoperative values. The all parameters of acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were not significantly different between the HS and LS group. Conclusion: The long-term voice change after thyroidectomy shows similar results regardless of the type of energy-based devices.
| Original language | English |
|---|---|
| Journal | Auris Nasus Larynx |
| DOIs | |
| Publication status | Accepted/In press - 2017 Jan 1 |
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Keywords
- Papillary thyroid carcinoma
- Surgical instruments
- Thyroidectomy
- Voice
ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology
Cite this
Long-term voice outcome after thyroidectomy using energy based devices. / Park, Min Woo; Baek, Seung-Kuk; Park, Euy Hyun; Jung, Kwang-Yoon.
In: Auris Nasus Larynx, 01.01.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Long-term voice outcome after thyroidectomy using energy based devices
AU - Park, Min Woo
AU - Baek, Seung-Kuk
AU - Park, Euy Hyun
AU - Jung, Kwang-Yoon
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Objective: Voice dysfunction is frequently reported after thyroidectomy even in absence of vocal fold paralysis. The energy-based devices such as Harmonic scalpel (HS) or LigaSure (LS) are commonly used in conventional thyroidectomy. The objective of this study was to investigate the long-term voice outcome after total thyroidectomy using energy based devices. Methods: Patients who underwent total thyroidectomy with or without central neck dissection for papillary thyroid carcinoma using HS or LS from April 2012 to March 2013 were involved. The videolaryngostroboscopy, acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were obtained preoperatively, 1 week, 1 month, 3 months, 6 months, and 1. year after thyroidectomy. Results: Total 92 patients (HS group: 58 cases; LS group: 34 cases) were enrolled in this study. Demographics, tumor stage, and extent of operation were not significantly different between the HS and LS group. None of the patients evidenced any abnormalities at the pre- or postoperative videolaryngostroboscopic examination. The voice range profile (highest frequency), voice perceptual evaluation (grade, rough, and breathy), and voice handicap index-30 (total, functional, physical, and emotional) showed significantly worse scores in early postoperative period (<1. month), but gradually returned to preoperative values. The all parameters of acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were not significantly different between the HS and LS group. Conclusion: The long-term voice change after thyroidectomy shows similar results regardless of the type of energy-based devices.
AB - Objective: Voice dysfunction is frequently reported after thyroidectomy even in absence of vocal fold paralysis. The energy-based devices such as Harmonic scalpel (HS) or LigaSure (LS) are commonly used in conventional thyroidectomy. The objective of this study was to investigate the long-term voice outcome after total thyroidectomy using energy based devices. Methods: Patients who underwent total thyroidectomy with or without central neck dissection for papillary thyroid carcinoma using HS or LS from April 2012 to March 2013 were involved. The videolaryngostroboscopy, acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were obtained preoperatively, 1 week, 1 month, 3 months, 6 months, and 1. year after thyroidectomy. Results: Total 92 patients (HS group: 58 cases; LS group: 34 cases) were enrolled in this study. Demographics, tumor stage, and extent of operation were not significantly different between the HS and LS group. None of the patients evidenced any abnormalities at the pre- or postoperative videolaryngostroboscopic examination. The voice range profile (highest frequency), voice perceptual evaluation (grade, rough, and breathy), and voice handicap index-30 (total, functional, physical, and emotional) showed significantly worse scores in early postoperative period (<1. month), but gradually returned to preoperative values. The all parameters of acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were not significantly different between the HS and LS group. Conclusion: The long-term voice change after thyroidectomy shows similar results regardless of the type of energy-based devices.
KW - Papillary thyroid carcinoma
KW - Surgical instruments
KW - Thyroidectomy
KW - Voice
UR - http://www.scopus.com/inward/record.url?scp=85028462486&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85028462486&partnerID=8YFLogxK
U2 - 10.1016/j.anl.2017.08.007
DO - 10.1016/j.anl.2017.08.007
M3 - Article
JO - Auris Nasus Larynx
JF - Auris Nasus Larynx
SN - 0385-8146
ER -