Impact of Thyroid Surgery on Voice: A Prospective Study

Overview

Journal Indian J Otolaryngol Head Neck Surg

Publisher Springer

Date 2023 Feb 6

PMID 36742723

Authors

Jasmine Kaur

Gurbax Singh

Jai Lal Davessar

Rupali Bhatia

Affiliations

Soon will be listed here.

Abstract

Thyroidectomy is one of the most common neck surgery done worldwide. It is associated with debilitating post-operative voice changes even without recurrent laryngeal nerve (RLN) injury. : To study the impact of thyroidectomy on voice parameters in the absence of Recurrent Laryngeal Nerve and External Branch of Superior Laryngeal Nerve injury and comparison between the pre and post-operative changes in the subjective and objective voice parameters. : Patients fulfilling the inclusion criteria underwent thyroidectomy. The Subjective voice assessment was done using Voice Impairment Score (VIS) and objective parameters were analyzed using Multi-Dimensional Voice Program (MDVP) pre-operatively and post-operatively at 1 week, 1 month and 3 months interval. : On MDVP analysis of patients, a fall in Mean F (Hz), Minimum F (Hz) and Maximum F (Hz) values was noted at 1 week after surgery. But a trend toward the pre-operative values was observed at 3 months post-operatively.

Citing Articles

Prospective Voice Assessment After Thyroidectomy Without Recurrent Laryngeal Nerve Injury.

Simic Prgomet I, Frkanec S, Gugic Radojkovic I, Prgomet D Diagnostics (Basel). 2025; 15(1.

PMID: 39795565 PMC: 11720102. DOI: 10.3390/diagnostics15010037.

References

Pereira J, Girvent M, Sancho J, Parada C, Sitges-Serra A . Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Surgery. 2003; 133(3):318-22. DOI: 10.1067/msy.2003.58. View

Sun X, Xu Y . Perceived pitch of synthesized voice with alternate cycles. J Voice. 2003; 16(4):443-59. DOI: 10.1016/s0892-1997(02)00119-4. View

Kark A, Kissin M, Auerbach R, MEIKLE M . Voice changes after thyroidectomy: role of the external laryngeal nerve. Br Med J (Clin Res Ed). 1984; 289(6456):1412-5. PMC: 1443661. DOI: 10.1136/bmj.289.6456.1412. View

McIvor N, Flint D, Gillibrand J, Morton R . Thyroid surgery and voice-related outcomes. Aust N Z J Surg. 2000; 70(3):179-83. DOI: 10.1046/j.1440-1622.2000.01781.x. View

Akyildiz S, Ogut F, Akyildiz M, Engin E . A multivariate analysis of objective voice changes after thyroidectomy without laryngeal nerve injury. Arch Otolaryngol Head Neck Surg. 2008; 134(6):596-602. DOI: 10.1001/archotol.134.6.596. View

Lombardi C, Raffaelli M, DAlatri L, Marchese M, Rigante M, Paludetti G . Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Surgery. 2006; 140(6):1026-32. DOI: 10.1016/j.surg.2006.08.008. View

Hong K, Kim Y . Phonatory characteristics of patients undergoing thyroidectomy without laryngeal nerve injury. Otolaryngol Head Neck Surg. 1997; 117(4):399-404. DOI: 10.1016/S0194-5998(97)70133-5. View

Yeung P, Erskine C, Mathews P, Crowe P . Voice changes and thyroid surgery: is pre-operative indirect laryngoscopy necessary?. Aust N Z J Surg. 1999; 69(9):632-4. DOI: 10.1046/j.1440-1622.1999.01653.x. View

Stojadinovic A, Shaha A, Orlikoff R, Nissan A, Singh B, Boyle J . Prospective functional voice assessment in patients undergoing thyroid surgery. Ann Surg. 2002; 236(6):823-32. PMC: 1422649. DOI: 10.1097/00000658-200212000-00015. View

10.

Shimokojin T, Takenoshita M, Sakai T, Yoshikawa K . Vocal cordal bowing as a cause of long-lasting hoarseness after a few hours of tracheal intubation. Anesthesiology. 1998; 89(3):785-7. DOI: 10.1097/00000542-199809000-00032. View

11.

de Pedro Netto I, Fae A, Vartanian J, Barros A, Correia L, Toledo R . Voice and vocal self-assessment after thyroidectomy. Head Neck. 2006; 28(12):1106-14. DOI: 10.1002/hed.20480. View

12.

Aluffi P, Policarpo M, Cherovac C, Olina M, Dosdegani R, Pia F . Post-thyroidectomy superior laryngeal nerve injury. Eur Arch Otorhinolaryngol. 2002; 258(9):451-4. DOI: 10.1007/s004050100382. View

13.

Hong K, Ye M, Kim Y, Kevorkian K, Berke G . The role of strap muscles in phonation--in vivo canine laryngeal model. J Voice. 1997; 11(1):23-32. DOI: 10.1016/s0892-1997(97)80020-3. View