Comparative analysis of voice outcomes between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and transaxillary aprroach
Thyroid World Congress ePoster Library. Joo Y. 06/22/19; 272052; 136
Young-Hoon Joo
Young-Hoon Joo
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)

Background: There have been a number of reports regarding the safety and utility of transoral endoscopic thyroidectomy vestibular approach (TOETVA), but nothing is known about voice dysfunction after such surgery. Therefore, this study was designed to assess functional voice outcomes after TOETVA and compare with preexisting remote access approach. Methods: The voice functional outcomes of 27 patients who underwent TOETVA and 58 patients after trans-axillary approach for hemithyroidectomy were analyzed. Thyroidectomy-related voice questionnaire (TVQ), auditory perceptual voice analysis, videolaryngostroboscopy and objective acoustic voice analysis were carried out before and 1 month after surgery. The changes in these values after the operation, and the differences between the TOETVA and trans-axillary groups were analyzed. Results: There was no significant changes in perceptual evaluation or TVQ score, nor in a number of parameters of acoustic voice analysis (fundamental frequency, shimmer, noise to harmonic ratio, pitch range), after surgery in TOETVA group. The value of perceptual evaluation, TVQ score, speech fundamental frequency (SFF) and shimmer were significantly changed in trans-axillary group. After surgery, clinically significant changes in voice pitch (ΔSFF > 12) were evident in 3 (11.1%) and 14 (24.1%) patients in the TOETVA and trans-axillary groups, respectively, and the group difference was not statistically significant (P=0.162). Conclusions: The results showed acceptable subjective and objective postoperative voice outcomes in patients undergoing TOETVA compared with preexisting remote access approach.

 


Background: There have been a number of reports regarding the safety and utility of transoral endoscopic thyroidectomy vestibular approach (TOETVA), but nothing is known about voice dysfunction after such surgery. Therefore, this study was designed to assess functional voice outcomes after TOETVA and compare with preexisting remote access approach. Methods: The voice functional outcomes of 27 patients who underwent TOETVA and 58 patients after trans-axillary approach for hemithyroidectomy were analyzed. Thyroidectomy-related voice questionnaire (TVQ), auditory perceptual voice analysis, videolaryngostroboscopy and objective acoustic voice analysis were carried out before and 1 month after surgery. The changes in these values after the operation, and the differences between the TOETVA and trans-axillary groups were analyzed. Results: There was no significant changes in perceptual evaluation or TVQ score, nor in a number of parameters of acoustic voice analysis (fundamental frequency, shimmer, noise to harmonic ratio, pitch range), after surgery in TOETVA group. The value of perceptual evaluation, TVQ score, speech fundamental frequency (SFF) and shimmer were significantly changed in trans-axillary group. After surgery, clinically significant changes in voice pitch (ΔSFF > 12) were evident in 3 (11.1%) and 14 (24.1%) patients in the TOETVA and trans-axillary groups, respectively, and the group difference was not statistically significant (P=0.162). Conclusions: The results showed acceptable subjective and objective postoperative voice outcomes in patients undergoing TOETVA compared with preexisting remote access approach.

 


    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings