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Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery

The thyroidectomy-related voice questionnaire (TVQ) is an efficient screening tool for detecting postoperative vocal dysfunction. The aim of this study was to confirm the significance of the preoperative TVQ score in thyroid surgery. We examined 180 women who underwent total thyroidectomy with centr...

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Published in:Journal of voice 2022-01, Vol.36 (1), p.145.e7-145.e13
Main Authors: Kwon, Hyun-Keun, Cheon, Yong-Il, Shin, Sung-Chan, Kim, Geun-Hyo, Lee, Yeon-Woo, Sung, Eui-Suk, Lee, Jin-Choon, Lee, Byung-Joo
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creator Kwon, Hyun-Keun
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Lee, Byung-Joo
description The thyroidectomy-related voice questionnaire (TVQ) is an efficient screening tool for detecting postoperative vocal dysfunction. The aim of this study was to confirm the significance of the preoperative TVQ score in thyroid surgery. We examined 180 women who underwent total thyroidectomy with central lymph node dissection from March 2014 to May 2016. Based on the preoperative TVQ score, participants were categorized under “normal” (TVQ score
doi_str_mv 10.1016/j.jvoice.2020.04.017
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The aim of this study was to confirm the significance of the preoperative TVQ score in thyroid surgery. We examined 180 women who underwent total thyroidectomy with central lymph node dissection from March 2014 to May 2016. Based on the preoperative TVQ score, participants were categorized under “normal” (TVQ score &lt;5) and “abnormal” (TVQ score ≥5) groups. The laryngoscopic examination and acoustic analysis were performed and the TVQ score assessed before and after surgery (2 weeks, 2 months, and 8 months). In the normal group, the TVQ score increased up to 2 months postoperatively and had decreased at 8 months postoperatively but was significantly higher than the preoperative TVQ score. In the abnormal group, the TVQ score increased up to 2 months postoperatively but had recovered similar to the preoperative TVQ score 8 months postoperatively. The preoperative TVQ score in the abnormal group moderately correlated with the final TVQ score; however, the preoperative TVQ score in the normal group did not correlate with the TVQ score 8 months postoperatively. During preoperative patient counseling, it is important to explain that voice changes without vocal cord palsy may occur postoperatively and that it may take a long time to resolve, particularly in patients with a normal preoperative TVQ score.</description><identifier>ISSN: 0892-1997</identifier><identifier>EISSN: 1873-4588</identifier><identifier>DOI: 10.1016/j.jvoice.2020.04.017</identifier><identifier>PMID: 32389503</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acoustic analysis ; Female ; Humans ; Screening ; Surveys and Questionnaires ; Thyroid Gland ; Thyroidectomy ; Thyroidectomy - adverse effects ; Thyroidectomy-related voice questionnaire ; Voice ; Voice Disorders - diagnosis ; Voice Disorders - etiology</subject><ispartof>Journal of voice, 2022-01, Vol.36 (1), p.145.e7-145.e13</ispartof><rights>2020 The Authors</rights><rights>Copyright © 2020 The Authors. Published by Elsevier Inc. 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The preoperative TVQ score in the abnormal group moderately correlated with the final TVQ score; however, the preoperative TVQ score in the normal group did not correlate with the TVQ score 8 months postoperatively. 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subjects Acoustic analysis
Female
Humans
Screening
Surveys and Questionnaires
Thyroid Gland
Thyroidectomy
Thyroidectomy - adverse effects
Thyroidectomy-related voice questionnaire
Voice
Voice Disorders - diagnosis
Voice Disorders - etiology
title Clinical Significance of the Preoperative Thyroidectomy-Related Voice Questionnaire Score in Thyroid Surgery
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