갑상선절제술을 받은 여성 환자의 공기역학 검사변수 조사
Investigation of aerodynamic evaluation in female patients undergoing thyroidectomy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Breathing is the voice's driving force and also acts as a regulator of larynx function and efficiency. Respiratory distress is a side effect of general anesthesia in thyroid surgery. Therefore, this study's objective was to provide practical and complementary information for voice recovery after thyroid surgery, based on aerodynamic evaluation pre- and post-thyroidectomy. From May 2014 to July 2015, aerodynamic evaluations were performed on 34 female patients diagnosed with thyroid papillary cancer one week before surgery (PRE), one month after surgery (P1), and three months after surgery (P3). The Phonatory Aerodynamic System (model 6600, KayPENTAX, USA) was employed for this purpose, and a total of 29 analysis parameters were selected. The results showed statistically significant differences in peak expiratory airflow (p=0.004), mean pitch (p<0.01), expiration airflow duration (p=0.001), and expiratory volume (p=0.018), based on time factors. In the comparison of time factors, peak expiratory airflow and mean pitch parameters were different in PRE-P1 and PRE-P3. Expiration airflow duration and expiratory volume parameters were different in PRE-P3 and P1-P3. The interaction effect of time and surgical range was significant only for expiratory volume (p=0.024). Female patients who undergo thyroidectomy require post-operative breathing training, and exhalation improvement is considered to reflect a positive lifestyle after surgery.
Abstract
Breathing is the voice's driving force and also acts as a regulator of larynx function and efficiency. Respiratory distress is a side effect of general anesthesia in thyroid surgery. Therefore, this study's objective was to provide practical and complementary information for voice recovery after thyroid surgery, based on aerodynamic evaluation pre- and post-thyroidectomy. From May 2014 to July 2015, aerodynamic evaluations were performed on 34 female patients diagnosed with thyroid papillary cancer one week before surgery (PRE), one month after surgery (P1), and three months after surgery (P3). The Phonatory Aerodynamic System (model 6600, KayPENTAX, USA) was employed for this purpose, and a total of 29 analysis parameters were selected. The results showed statistically significant differences in peak expiratory airflow (p=0.004), mean pitch (p<0.01), expiration airflow duration (p=0.001), and expiratory volume (p=0.018), based on time factors. In the comparison of time factors, peak expiratory airflow and mean pitch parameters were different in PRE-P1 and PRE-P3. Expiration airflow duration and expiratory volume parameters were different in PRE-P3 and P1-P3. The interaction effect of time and surgical range was significant only for expiratory volume (p=0.024). Female patients who undergo thyroidectomy require post-operative breathing training, and exhalation improvement is considered to reflect a positive lifestyle after surgery.
참고문헌 (12)
- Choi, S. H., "Dignosis and management of voice change after thyroid surgery", Journal of Korean Thyroid Association, 3(1), pp.8~14 (2010)
- 홍기환, "갑상선 수술 후 증후군", 대한이비인후-두경부외과학회지, 57(5), pp.297~303 (2014), 대한이비인후과학회[DOI]
- 강영애, "갑상선 수술범위에 따른 음성의 음향적 분석", 말소리와 음성과학, 7(4), pp.77~83 (2015), 한국음성학회[DOI]
- 강영애, "성대용종 환자의 후두미세수술 전후 공기역학 변수 변화", 말소리와 음성과학, 8(3), pp.39~49 (2016), 한국음성학회[DOI]
- Lee, C. Y., "Aerodynamic features and voice therapy interventions of functional voice disorder after thyroidectomy", Journal of the Korean Society of Larynoglogy, Phoniatrics and Logopedics, 26(1), pp.25~33 (2015)
- Maeda, T., "Voice quality after surgical treatment for thyroid cancer", Thyroid, 23(7), pp.847~853 (2013)
- Park, J. H., "Pathogenesis of the postthyroidectomy dysphonia", Journal of the Korean Society of Larynoglogy, Phoniatrics and Logopedics, 26(1), pp.16~20 (2015)
- 신유정, "갑상선절제술 환자 음성의 공기역학적 분석", International Journal of Thyroidology, 7(1), pp.77~82 (2014), 대한갑상선학회
- Solomon, N. P., "Aerodynamic evaluation of the postthyroidectomy voice", Journal of Voice, 26(4), pp.454~461 (2012)
- Stojadinovic, A., "Prospective functional voice assessment in patients undergoing thyroid surgery", Annals of Surgery, 236(6), pp.823~832 (2002)
- 이가희, "2016년 대한갑상선학회 갑상선결절 및 암 진료 권고안 개정안", International Journal of Thyroidology, 9(2), pp.59~126 (2016), 대한갑상선학회
- Yilmaz, B., "An analysis on aerodynamic and acoustic changes after thyroidectomy", International Surgery, 101(5-6), pp.233~240 (2016)