Advertisement

Phonetic features of patients with transoral endoscopic thyroidectomy

  • Sol Kim
    Affiliations
    Department of Otolaryngology-HNS, Jeonbuk National University Medical School, Jeonju, Korea

    Department of Research Institute for Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk, 560-182, Korea
    Search for articles by this author
  • Ki Wook Kim
    Affiliations
    Department of Rehabilitation, Jeonbuk National University Medical School, Jeonju, Korea

    Department of Research Institute for Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk, 560-182, Korea
    Search for articles by this author
  • Yong Tae Hong
    Correspondence
    Corresponding author at: Department of Otolaryngology-HNS, Research Institute for Clinical Medicine of Jenbuk National University- Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk, 1,2,3 560-182, Korea.
    Affiliations
    Department of Otolaryngology-HNS, Jeonbuk National University Medical School, Jeonju, Korea

    Department of Research Institute for Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk, 560-182, Korea
    Search for articles by this author
Published:January 07, 2023DOI:https://doi.org/10.1016/j.anl.2022.12.009

      ABSTRACT

      Objective

      The objective of this study was to compare phonetic outcomes of TOETVA with those of conventional transcervical thyroidectomy(OPEN).

      Methods

      Retrospective chart review of total 61 patients who received thyroidectomy through OPEN (n = 34) or TOETVA (n = 27) approach in single tertiary center were enrolled.

      Results

      There were significant differences in F0 between the two groups and there were significant changes from different time points within each group in jitter for vowel /i/. Aerodynamically, there were significant differences in mean sound pressure level for vowel /a/ and mean sound pressure level, mean air pressure, and aerodynamic resistance for syllable /pa/ between the two groups. In subjective VHI evaluations, there were no significant differences between the two groups.

      Conclusion

      This study is significant in that it has investigated voices of patients with TOETVA. Results of this study are expected to be useful for voice evaluation, treatment, and prevention in the future.

      Level of Evidence

      3

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Auris Nasus Larynx
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Juarez MC
        • Ishii L
        • Nellis JC
        • Bater K
        • Huynh PP
        • Fung N
        • et al.
        Objectively measuring social attention of thyroid neck scars and transoral surgery using eye tracking.
        Laryngoscope. 2019; 129: 2789-2794
        • Ikeda Y
        • Takami H
        • Sasaki Y
        • Kan S
        • Niimi M.
        Endoscopic neck surgery by the axillary approach.
        J Am Coll Surg. 2000; 191: 336-340
        • Shimazu K
        • Shiba E
        • Tamaki Y
        • Takiguchi S
        • Taniguchi E
        • Ohashi S
        • et al.
        Endoscopic thyroid surgery through the axillo-bilateral breast approach.
        Surg Laparosc Endosc. 2003; 13: 196-201
        • Terris DJ
        • Singer MC
        • Seybt MW.
        Robotic facelift thyroidectomy: patient selection and technical considerations.
        Surg Laparosc Endosc Percutan Tech. 2011; 21: 237-242
        • Anuwong A.
        Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases.
        World J Surg. 2016; 40: 491-497
        • Hong KH
        • Ye M
        • Kim YM
        • Kevorkian KF
        • Berke GS.
        The role of strap muscles in phonation–in vivo canine laryngeal model.
        J Voice. 1997; 11: 23-32
        • Hong KH
        • Yang YS
        • Lee HD
        • Hong YT.
        The effect of total thyroidectomy on the speech production.
        Clin Exp Otorhinolaryngol. 2015; 8: 155-160
        • Hong KH.
        Post-Thyroidectomy Syndrome.
        Korean J Otorhinolaryngol Head Neck Surg. 2014; 57: 297-303
        • Hong KH
        • Kim YK.
        Phonatory characteristics of patients undergoing thyroidectomy without laryngeal nerve injury.
        Otolaryngol Head Neck Surg. 1997; 117: 399-404
        • Sedar A
        • Ogut F
        • Akyildiz M
        • Engin EZ.
        A multivariate analysis of objective voice changes after thyroidectomy without laryngeal nerve injury.
        Arch Otolaryngol Head Neck Surg. 2008; 134: 596-602
        • Choi JS
        • Jeong JI
        • Jang MS
        • Son YI.
        Voice changes after thyroidectomy without recurrent laryngeal nerve injury.
        Korean J Logo Phon. 2010; 21: 37-41
        • Song CM
        • Park JS
        • Park HJ
        • Tae K.
        Voice outcomes of transoral robotic thyroidectomy: Comparison with conventional trans-cervical thyroidectomy.
        Oral Oncol. 2020; 107S104748
        • Kim MR
        • Park YJ
        • Park BW
        • Suh T
        • Kim SY
        • Moon TH
        • et al.
        Can voice pitch be preserved in patients after transoral endoscopic thyroidectomy vestibular approach?.
        J Clin Med. 2020; 9: 2777
        • Han S
        • Kwon TK
        • Chai YJ
        • Park J
        • Lee DY
        • Lee KE
        • et al.
        Functional voice and swallowing outcome analysis after thyroid lobectomy: transoral endoscopic vestibular versus open approach.
        World J Surg. 2020; 44: 4127-4135
        • Dejonckere PH
        • Bradley P
        • Clemente P
        • Cornut G
        • Crevier-Buchman L
        • Friedrich G
        • et al.
        A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques: guideline elaborated by the committee on Phoniatrics of the European Laryngological Society (ELS).
        Eur Arch Otorhinolaryngol. 2001; 258: 77-82
        • Hong YT
        • Ahn JH
        • Kim JH
        • Yi JW
        • Hong KH.
        Bi-institutional experience of transoral endoscopic thyroidectomy: challenges and outcomes.
        Head Neck. 2020; 42: 2115-2122
        • Kempster GB
        • Gerratt BR
        • Verdolini AK
        • Barkmeier-Kraemer J
        • Hilman RE.
        Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol.
        Am J Speech Language Pathol. 2009; 18: 124-132
        • Kim JO.
        Korean adult normative data for the KayPENTAX phonatory aerodynamic system Model 6600.
        Phonetic Speech Sci. 2014; 6: 105-117
        • Yoon YS
        • Son YI
        • Choi HS.
        Validation of the Korean Voice Handicap Index (K-VHI) and the Clinical Usefulness of Korean VHI-10.
        Korean Acad Speech Lang Pathol Audiol. 2008; 13: 216-241
        • Tae K
        • Ji YB
        • Song CM
        • Ryu J.
        Robotic and endoscopic thyroid surgery: evolution and advances.
        Clin Exp Otorhinolaryngol. 2019; 12: 1-11
        • Kim HK
        • Chai YJ
        • Dionigi G
        • Berber E
        • Tufano RP
        • Kim HY.
        Transoral robotic thyroidectomy for papillary thyroid carcinoma: perioperative outcomes of 100 consecutive patients.
        World J Surg. Apr 2019; 43: 1038-1046
        • Park JO
        • Park YJ
        • Kim MR
        • Sun DI
        • Kim MS
        • Koh YW.
        Gasless transoral endoscopic thyroidectomy vestibular approach (gasless TOETVA).
        Surg Endosc. 2019; 33: 3034-3039
        • Kim SH
        • GO DH
        Fundamental frequencies in Korean elderly speakers.
        Speech Sci. 2008; 15: 95-102
        • Tae K
        • Lee DW
        • Bang HS
        • Ahn YH
        • Park JH
        • Kim DS.
        Sensory change in the chin and neck after transoral thyroidectomy: prospective study of mental nerve injury.
        Head Neck. 2020; 42: 3111-3117
        • Wilhelm T
        • Metzig A.
        Endoscopic minimally invasive thyroidectomy (eMIT): a prospective proof-of-concept study in humans.
        World J Surg. 2011; 35: 543-551
        • Nakajo A
        • Arima H
        • Hirata M
        • Mizoguchi T
        • Kijima Y
        • Mori S
        • et al.
        Trans-oral video-assisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach.
        Surg Endosc. 2013; 27: 1105-1110
        • Van Lierde K
        • D'haeseleer E
        • Wuyts FL
        • Baudonck N
        • Bernaert L
        • Vermeersch H
        Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics: an objective multi parameter approach.
        Laryngoscope. 2010; 120: 338-345