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Updated: May 10, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

How can we screen voice problems effectively in patients undergoing thyroid surgery?

Jun-Ook Park¹, Ja-Sung Bae, Byung-Joo Chae

¹1 Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea , Seoul, Korea.

Thyroid : Official Journal of the American Thyroid Association

|July 9, 2013

Summary

A new Perioperative Voice-Screening Protocol for Thyroid Surgery (PVST) effectively identifies voice disorders after thyroidectomy. This cost-effective tool aids surgeons in early detection and referral, improving patient voice outcomes.

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Area of Science:

Otolaryngology
Surgical Outcomes
Voice Science

Background:

Voice problems are common after thyroid surgery.
Current voice assessment methods are costly and time-consuming.
A need exists for an efficient screening tool for post-thyroidectomy voice disorders.

Purpose of the Study:

To develop and validate the Perioperative Voice-Screening Protocol for Thyroid Surgery (PVST).
To create a cost-effective screening tool for voice disorders following thyroidectomy.

Main Methods:

Developed the Perioperative Voice-Screening Protocol for Thyroid Surgery (PVST) utilizing the Thyroidectomy-Related Voice Questionnaire (TVQ).
Enrolled 242 patients undergoing thyroidectomy to follow the PVST.
Validated the PVST against a comprehensive voice work-up by a specialist.

Main Results:

PVST demonstrated high sensitivity (82.1%) and specificity (50.5%) for abnormal preoperative laryngeal findings.
PVST achieved 100% sensitivity for detecting vocal cord palsy postoperatively.
The protocol is estimated to save US $42,768 and reduce costs by 43.5%.

Conclusions:

The PVST is a reliable and cost-effective perioperative screening tool.
Enables early detection of voice problems in thyroidectomy patients.
Facilitates timely referral to voice specialists for appropriate management.