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Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery.
J Voice. 2020 May 07 [Online ahead of print]JV

Abstract

BACKGROUND

The thyroidectomy-related voice questionnaire (TVQ) is an efficient screening tool for detecting postoperative vocal dysfunction. The aim of this study was to confirm the significance of the preoperative TVQ score in thyroid surgery.

METHODS

We examined 180 women who underwent total thyroidectomy with central lymph node dissection from March 2014 to May 2016. Based on the preoperative TVQ score, participants were categorized under "normal" (TVQ score <5) and "abnormal" (TVQ score ≥5) groups. The laryngoscopic examination and acoustic analysis were performed and the TVQ score assessed before and after surgery (2 weeks, 2 months, and 8 months).

RESULTS

In the normal group, the TVQ score increased up to 2 months postoperatively and had decreased at 8 months postoperatively but was significantly higher than the preoperative TVQ score. In the abnormal group, the TVQ score increased up to 2 months postoperatively but had recovered similar to the preoperative TVQ score 8 months postoperatively. The preoperative TVQ score in the abnormal group moderately correlated with the final TVQ score; however, the preoperative TVQ score in the normal group did not correlate with the TVQ score 8 months postoperatively.

CONCLUSION

During preoperative patient counseling, it is important to explain that voice changes without vocal cord palsy may occur postoperatively and that it may take a long time to resolve, particularly in patients with a normal preoperative TVQ score.

Authors+Show Affiliations

Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Pusan National University and Medical Research Institute, Pusan National University Hospital, Busan, South Korea.Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Pusan National University and Medical Research Institute, Pusan National University Hospital, Busan, South Korea.Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Pusan National University and Medical Research Institute, Pusan National University Hospital, Busan, South Korea.Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Pusan National University and Medical Research Institute, Pusan National University Hospital, Busan, South Korea.Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Pusan National University and Medical Research Institute, Pusan National University Hospital, Busan, South Korea.Department of Otorhinolaryngology-Head and Neck Surgery, College of Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea.Department of Otorhinolaryngology-Head and Neck Surgery, College of Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea.Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Pusan National University and Medical Research Institute, Pusan National University Hospital, Busan, South Korea. Electronic address: voiceleebj@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32389503

Citation

Kwon, Hyun-Keun, et al. "Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery." Journal of Voice : Official Journal of the Voice Foundation, 2020.
Kwon HK, Cheon YI, Shin SC, et al. Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery. J Voice. 2020.
Kwon, H. K., Cheon, Y. I., Shin, S. C., Kim, G. H., Lee, Y. W., Sung, E. S., Lee, J. C., & Lee, B. J. (2020). Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery. Journal of Voice : Official Journal of the Voice Foundation. https://doi.org/10.1016/j.jvoice.2020.04.017
Kwon HK, et al. Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery. J Voice. 2020 May 7; PubMed PMID: 32389503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery. AU - Kwon,Hyun-Keun, AU - Cheon,Yong-Il, AU - Shin,Sung-Chan, AU - Kim,Geun-Hyo, AU - Lee,Yeon-Woo, AU - Sung,Eui-Suk, AU - Lee,Jin-Choon, AU - Lee,Byung-Joo, Y1 - 2020/05/07/ PY - 2019/11/20/received PY - 2020/03/26/revised PY - 2020/04/01/accepted PY - 2020/5/12/entrez KW - Acoustic analysis KW - Screening KW - Thyroidectomy KW - Thyroidectomy-related voice questionnaire KW - Voice JF - Journal of voice : official journal of the Voice Foundation JO - J Voice N2 - BACKGROUND: The thyroidectomy-related voice questionnaire (TVQ) is an efficient screening tool for detecting postoperative vocal dysfunction. The aim of this study was to confirm the significance of the preoperative TVQ score in thyroid surgery. METHODS: We examined 180 women who underwent total thyroidectomy with central lymph node dissection from March 2014 to May 2016. Based on the preoperative TVQ score, participants were categorized under "normal" (TVQ score <5) and "abnormal" (TVQ score ≥5) groups. The laryngoscopic examination and acoustic analysis were performed and the TVQ score assessed before and after surgery (2 weeks, 2 months, and 8 months). RESULTS: In the normal group, the TVQ score increased up to 2 months postoperatively and had decreased at 8 months postoperatively but was significantly higher than the preoperative TVQ score. In the abnormal group, the TVQ score increased up to 2 months postoperatively but had recovered similar to the preoperative TVQ score 8 months postoperatively. The preoperative TVQ score in the abnormal group moderately correlated with the final TVQ score; however, the preoperative TVQ score in the normal group did not correlate with the TVQ score 8 months postoperatively. CONCLUSION: During preoperative patient counseling, it is important to explain that voice changes without vocal cord palsy may occur postoperatively and that it may take a long time to resolve, particularly in patients with a normal preoperative TVQ score. SN - 1873-4588 UR - https://www.unboundmedicine.com/medline/citation/32389503/Clinical_Significance_of_the_Preoperative_Thyroidectomy-Related_Voice_Questionnaire_Score_in_Thyroid_Surgery L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(20)30138-7 DB - PRIME DP - Unbound Medicine ER -
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