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Related Experiment Videos

Thyroid surgery and voice-related outcomes.

N P McIvor1, D J Flint, J Gillibrand

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Green Lane Hospital, Auckland, New Zealand.

The Australian and New Zealand Journal of Surgery
|April 15, 2000
PubMed
Summary

Thyroid surgery can impact voice quality, with some patients experiencing vocal dysfunction before and after the procedure. Postoperative voice changes, both positive and negative, can occur regardless of pre-existing vocal health.

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Area of Science:

  • Otolaryngology
  • Endocrinology
  • Surgery

Background:

  • Vocal dysfunction in thyroid pathology is under-documented.
  • Post-thyroidectomy voice changes are often attributed solely to nerve palsy, overlooking broader vocal function.
  • This study investigates dysphonia incidence and postoperative vocal changes in thyroid surgery patients.

Purpose of the Study:

  • To determine the incidence of dysphonia in patients undergoing thyroid surgery.
  • To correlate postoperative vocal function changes with recurrent laryngeal nerve (RLN) and external laryngeal nerve (ELN) function.
  • To assess the impact of surgical handling of strap muscles on voice.

Main Methods:

  • Fifty patients underwent Visipitch assessment pre- and post-thyroidectomy.

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  • Patients completed a postoperative voice-related questionnaire.
  • Objective vocal assessments and nerve function evaluations were performed.
  • Main Results:

    • 34% of patients had preoperative vocal abnormalities, with 40% improving postoperatively.
    • Postoperatively, 26/44 patients reported no subjective voice change, 10 reported deterioration, and 8 reported improvement.
    • Temporary RLN palsies occurred in 4.5% of patients, and ELN palsies in 10%. Strap muscle division did not negatively affect voice.

    Conclusions:

    • Vocal abnormalities can pre-exist thyroid surgery.
    • Thyroidectomy can lead to voice improvement or worsening, independent of preoperative vocal status.
    • Nerve integrity and surgical technique play roles in postoperative vocal outcomes.