The therapeutic decision making of the unilateral vocal cord palsy after thyroidectomy using thyroidectomy-related voice questionnaire (TVQ)

The objective of this study was to investigate the efficacy of early management of post-thyroidectomy unilateral vocal cord palsy (UVCP) and the clinical utility of the thyroidectomy-related voice questionnaire (TVQ) when planning UVCP treatment. The study group comprised 48 consecutive patients dia...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2015-03, Vol.272 (3), p.727-736
Main Authors: Chun, Byung-Joon, Bae, Ja-Sung, Chae, Byung-Joo, Park, Jun-Ook, Nam, Inn-Chul, Kim, Chung-Soo, Cho, Kwang-Jae, Hwang, Yeon-Shin, Shim, Mi-Ran, Park, Young-Hak, Sun, Dong-Il
Format: Article
Language:English
Subjects:
Adult
Aged
Decision Making
Female
Head and Neck
Head and Neck Surgery
Humans
Laryngoplasty
Laryngoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otorhinolaryngology
Sensitivity and Specificity
Surveys and Questionnaires
Thyroidectomy - adverse effects
Vocal Cord Paralysis - etiology
Vocal Cord Paralysis - therapy
Voice Training
Young Adult
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Summary:The objective of this study was to investigate the efficacy of early management of post-thyroidectomy unilateral vocal cord palsy (UVCP) and the clinical utility of the thyroidectomy-related voice questionnaire (TVQ) when planning UVCP treatment. The study group comprised 48 consecutive patients diagnosed with UVCP after thyroidectomy. Laryngoscopic examination and voice analysis were conducted, and the TVQ was administered pre-thyroidectomy and at 2 weeks and 1, 3, 6, and 12 months post-thyroidectomy. Twenty-five patients with aspiration symptoms and severe vocal difficulties received injection laryngoplasty, and 23 with no aspiration symptoms and relatively mild vocal difficulties underwent voice therapy. We performed a video fluoroscopic swallowing study on each patient 2 weeks after thyroidectomy and 1 month following the procedure. The average total TVQ scores 2 weeks post-thyroidectomy were 51.92 ± 11.42 in the injection laryngoplasty group and 35.78 ± 12.99 in the voice therapy group. Both subjective and objective parameters improved significantly at 1 month after treatment and continued to improve slowly over the next 12 months ( p  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-014-3021-7