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Computerized Acoustic Voice Analysis And Subjective Scaled Evaluation Of The Voice Can Avoid The Need For Laryngoscopy After Thyroid Surgery.

J. Ortega, N. Cassinello, D. Dorcaratto, E. Leopaldi
Published 2009 · Medicine

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BACKGROUND Because of frequent postoperative alterations in voice, many surgeons include laryngoscopy as a routine examination before/after thyroid surgery. The aim of this work was to determine whether more comfortable and easier subjective or objective postoperative voice assessments could complement or replace laryngoscopy. METHODS Sixty-four consecutive patients scheduled to undergo thyroid surgery underwent preoperative objective computerized acoustic voice analysis (CAVA), subjective scaled evaluation of the voice (SSEV) with the GIRBAS scale, and fiberoptic laryngoscopy. All patients had 7- and 30-day postoperative follow-up assessments using the same tests. RESULTS CAVA measurements of jitter and noise-to-harmonic ratio showed the most frequent variations (36% and 31%, respectively) between the first and second tests. The mean preoperative SSEV GIRBAS value was 1.3 (range, 0-7) and had deteriorated in 36% of patients at 30 days postoperatively. All patients had a normal preoperative laryngoscopy. At 7 days postoperatively, 5 (8%) patients suffered unilateral vocal cord palsy which recovered in 2 (5%) patients after 1 month. GIRBAS values showed differences between patients with and without a vocal cord palsy both 7 and 30 days postoperatively (P < .05). The vocal parameters jitter and shimmer showed differences (P < .02 each) between patients with or without vocal cord palsy. When there was a change in >or=3 vocal parameters, vocal cord palsy was confirmed by laryngoscopy. CONCLUSION After thyroid surgery, vocal cord palsy may be suspected when there is an alteration in GIRBAS scale or in several parameters of the CAVA. Laryngoscopy may only be necessary when the CAVA and SSEV are abnormal.
This paper references
10.1007/s004050100382
Post-thyroidectomy superior laryngeal nerve injury
P. Aluffi (2001)
10.1067/MSY.2003.58
Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy.
J. A. Pereira (2003)
10.1001/ARCHSURG.1985.01390280065014
Recurrent laryngeal nerve palsy in thyroid gland surgery related to operations and nerves at risk.
H. Mårtensson (1985)
10.1001/ARCHSURG.135.2.204
A prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy.
C. Lo (2000)
10.1002/hed.20480
Voice and vocal self‐assessment after thyroidectomy
Irene de Pedro Netto (2006)
The superior and inferior laryngeal nerve as related to thvroid surgery.
Hunt Cj (1961)
10.1046/J.1440-1622.1999.01653.X
Voice changes and thyroid surgery: is pre-operative indirect laryngoscopy necessary?
P. Yeung (1999)
10.1002/HED.2880170108
Superior laryngeal nerve injury from thyroid surgery
B. Teitelbaum (1995)
10.1016/S0892-1997(97)80020-3
The role of strap muscles in phonation--in vivo canine laryngeal model.
K. H. Hong (1997)
10.1007/s00268-005-7653-z
Recurrent Laryngeal Nerve Damage and Phonetic Modifications after Total Thyroidectomy: Surgical Malpractice Only or Predictable Sequence?
L. Rosato (2005)
Clinical Examination of Voice
M. Hirano (1981)
10.1016/S0892-1997(96)80048-8
Superior laryngeal nerve paresis and paralysis.
G. Dursun (1996)
10.1016/S0892-1997(01)00037-6
Objective voice quality analysis before and after onset of unilateral vocal fold paralysis.
D. Hartl (2001)
10.1136/bmj.289.6456.1412
Voice changes after thyroidectomy: role of the external laryngeal nerve.
A. Kark (1984)
10.1097/00000658-200212000-00015
Prospective Functional Voice Assessment in Patients Undergoing Thyroid Surgery
A. Stojadinovic (2002)
10.1288/00005537-199201000-00018
How i do it: Head and neck and plastic surgery: Male soprano voice: A rare complication of thyroidectomy
R. Sataloff (1992)
10.1016/J.JAMCOLLSURG.2004.06.020
Voice changes after thyroidectomy without recurrent laryngeal nerve injury.
D. Sinagra (2004)
10.1016/J.SURG.2005.08.009
The importance of preoperative laryngoscopy in patients undergoing thyroidectomy: voice, vocal cord function, and the preoperative detection of invasive thyroid malignancy.
G. Randolph (2006)
10.1016/S0194-5998(97)70133-5
Phonatory Characteristics of Patients Undergoing Thyroidectomy without Laryngeal Nerve Injury
E. Myers (1997)
10.1288/00005537-197406000-00002
Benign disease of the thyroid gland and vocal cord paralysis
R. Rueger (1974)
10.1046/j.1440-1622.2001.02040.x
Thyroid surgery and voice‐related outcomes
J. Kollias (2001)
10.1016/S1479-666X(08)80011-X
The recurrent laryngeal nerve in thyroid surgery.
J. O'neill (2008)
10.1016/J.SURG.2006.07.041
Changes of the speaking and singing voice after thyroid or parathyroid surgery.
T. Musholt (2006)



This paper is referenced by
10.15388/informatica.2018.159
Inverse Filtering of Speech Signal for Detection of Vocal Fold Paralysis After Thyroidectomy
Andrius Rybakovas (2018)
The impact of surgery on quality of life, esophageal motility, and tracheal anatomy and airflow in patients with benign nodular goiter.
J. Sorensen (2018)
10.1007/s00268-009-0353-3
The Impact of Intraoperative Neuromonitoring (IONM) on Surgical Strategy in Bilateral Thyroid Diseases: Is it Worth the Effort?
P. Goretzki (2009)
10.1016/j.jvoice.2020.09.024
Voice Quality Evaluation in Patients With COVID-19: An Acoustic Analysis
Maral Asiaee (2020)
10.1016/j.jvoice.2014.10.001
Influence of F0 and Sequence Length of Audio and Electroglottographic Signals on Perturbation Measures for Voice Assessment.
Julian Hohm (2015)
10.18203/ISSN.2454-5929.IJOHNS20174315
A prospective study to evaluate the etiologies and parameters of voice assessment in patients of vocal cord paralysis
A. Joshi (2017)
Acoustic and perceptual parameters of voice quality relating to sagittal postural alignment :
D. Franco (2014)
A EFICÁCIA MULTIDIMENSIONAL DA REABILITAÇÃO VOCAL EM PACIENTES TRATADOS COM RADIOTERAPIA DEVIDO AO CÂNCER AVANÇADO DE CABEÇA E PESCOÇO
A. Gonçalves (2014)
10.1016/j.jvoice.2012.05.008
Severity of voice disorders in children: correlations between perceptual and acoustic data.
L. Lopes (2012)
10.1016/j.bjorl.2017.07.012
Multidimensional effects of voice therapy in patients affected by unilateral vocal fold paralysis due to cancer.
Camila Barbosa Barcelos (2018)
10.1159/000335779
Auditory-Perceptual Voice Characteristics in Pre-Operative Patients Undergoing Thyroid or Parathyroid Surgery
Sarah L. Bone (2012)
10.1016/j.jvoice.2009.07.002
Reliable jitter and shimmer measurements in voice clinics: the relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task.
Meike Brockmann (2011)
10.1590/2317-1782/20142013033
Severity of voice disorders: integration of perceptual and acoustic data in dysphonic patients.
L. Lopes (2014)
10.1016/j.jvoice.2018.07.010
Positive Effects of Manual Circumlaryngeal Therapy in the Treatment of Muscle Tension Dysphonia (MTD): Long Term Treatment Outcomes.
A. Dehqan (2018)
THE THREE ORIGNAL PAPERS ARE: I. The quality of life after thyroidectomy in patients with non-toxic nodular Goiter. A prospective cohort study
J. Sorensen (2018)
10.1016/j.jvoice.2018.07.002
Acoustic Voice Analysis and Maximum Phonation Time in Relation to Voice Handicap Index Score and Larynx Disease.
Tom Karlsen (2018)
10.1007/s12070-012-0516-7
Voice Examination in Patients with Decreased High Pitch after Thyroidectomy
S. Kim (2012)
10.1007/s00268-012-1547-7
Randomized Controlled Trial of Visualization versus Neuromonitoring of the External Branch of the Superior Laryngeal Nerve during Thyroidectomy
M. Barczyński (2012)
10.1002/lary.25452
A systematic review and meta‐analysis on acoustic voice parameters after uncomplicated thyroidectomy
B. Lang (2016)
and acoustic data in dysphonic patients Intensidade do desvio vocal: integração de dados perceptivo-auditivos e acústicos em pacientes disfônicos
L. Lopes (2014)
10.1016/j.jvoice.2014.01.002
Is the sagittal postural alignment different in normal and dysphonic adult speakers?
D. Franco (2014)
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