갑상선 수술 범위와 공기역학적 음성 지표 변화
Aerodynamic Evaluation of Voice Changes in Thyroid Surgery Extent
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background and Objectives The purpose of this study was to evaluate the impact of surgical extent on voice using acoustic and aerodynamic measurements in a serially followed thyroidectomy patients. Materials and Method From October 2015 to January 2017, 108 patients who had undergone thyroid surgery and voice test for preoperative, 2, 3, and 6 months postoperatively were classified into five operative types. The radiological stage preoperatively and histopathological stage postoperatively were classified according to the invasion of thyroid capsule and surrounding tissue. For each classification, the results of the voice analysis according to the period were compared and analyzed. Results The difference of voice according to surgical extent, radiological stage, and histopathologic stage showed significant difference only with Maximal phonation time (MPT) over time. However, in the analysis of interaction between each classification and period, Phonation threshold pressure (PTP) only showed significant results. Conclusion Differences in imaging and histopathologic stages have no significant effect on recovery of voice symptoms after thyroid surgery. As the extent of operation increases, the pressure to start vocalization is relatively higher, which also varies with time after surgery.
Abstract
Background and Objectives The purpose of this study was to evaluate the impact of surgical extent on voice using acoustic and aerodynamic measurements in a serially followed thyroidectomy patients. Materials and Method From October 2015 to January 2017, 108 patients who had undergone thyroid surgery and voice test for preoperative, 2, 3, and 6 months postoperatively were classified into five operative types. The radiological stage preoperatively and histopathological stage postoperatively were classified according to the invasion of thyroid capsule and surrounding tissue. For each classification, the results of the voice analysis according to the period were compared and analyzed. Results The difference of voice according to surgical extent, radiological stage, and histopathologic stage showed significant difference only with Maximal phonation time (MPT) over time. However, in the analysis of interaction between each classification and period, Phonation threshold pressure (PTP) only showed significant results. Conclusion Differences in imaging and histopathologic stages have no significant effect on recovery of voice symptoms after thyroid surgery. As the extent of operation increases, the pressure to start vocalization is relatively higher, which also varies with time after surgery.
참고문헌 (19)
- Choi JS, "Voice changes after thyroidectomy without recurrent laryngeal nerve injury", J Korean Logo Phon, 21(1), pp.37~41 (2010)
- Lombardi CP, "Long- term outcome of functional post-thyroidectomy voice and s-wallowing symptoms", J Surg, 9(10), pp.1174~1181 (2009)
- Lee CY, "Aerodynamic Features and Voice Therapy Interventions of Functional Voice Disorder after Thyroidectomy", J Korean Logo Phon, 26(1), pp.25~31 (2015)
- 홍기환, "갑상선 수술 후 증후군", 대한이비인후-두경부외과학회지, 57(5), pp.297~303 (2014), 대한이비인후과학회[DOI]
- Stojadinovic A, "Prospective functional voice assessment in patients undergoing thyroid surgery", Ann Surg, 236, pp.823~832 (2002)
- Solomon NP, "Aerodynamic evaluation of the post-thyroidectomy voice", J Voice, 26(4), pp.454~461 (2011)
- Solomon NP, "Effects of a vocally fatiguing task and systemic hydration on phonation threshold pressure", J Voice, 14(3), pp.341~362 (2000)
- Jiang JJ, "Aerodynamic measures of glottal function:what extra can they tell us and how do they guide management?", Curr Opin Otolaryngol Head Neck Surg, 22(6), pp.450~454 (2014)
- 신유정, "갑상선절제술 환자 음성의 공기역학적 분석", International Journal of Thyroidology, 7(1), pp.77~82 (2014), 대한갑상선학회
- Ryu J, "Extent of thyroidectomy affects vocal and throat functions: a prospective observational study of lobectomy versus total thyroidectomy", Surgery, 154(3), pp.611~620 (2013)
- 홍기환, "The Effect of Total Thyroidectomy on the Speech Production", Clinical and Experimental Otorhinolaryngology, 8(2), pp.155~160 (2015), 대한이비인후과학회[DOI]
- The Korean Society of Laryngology, "Phoniatrics and Logopedics", pp.366~369 (2012), ILCHOKAK
- Solomon NP, "Effects of a vocally fatiguing task and systemic hydration on men’s voices", J Voice, 17(1), pp.31~46 (2003)
- Nam IC, "Lateral neck dissection affects the voice in thyroid cancer patients", J Laryngol Otol, 131(10), pp.853~859 (2017)
- Maeda T, "Voice quality after surgical treatment for thyroid cancer", Thyroid, 23(7), pp.847~853 (2013)
- Van Lierde K, "Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics: an objective multiparameter approach", Laryngoscope, 120(2), pp.338~345 (2010)
- Vicente DA, "Voice outcomes after total thyroidectomy, partial thyroidectomy, or non-neck surgery using a prospective multifactorial assessment", J Am Coll Surg, 219(1), pp.152~163 (2014)
- Storper IS, "Laryngeal edema induced by neck dissection and catheter thrombosis", Am J Otolaryngol, 13(2), pp.101~104 (1992)
- Sariego J, "Vocal fold hypomobility secondary to elective endotracheal intubation: a general surgeon’s perspective", J Voice, 24(1), pp.110~112 (2010)