Self-assessment of voice outcomes after total thyroidectomy using the Voice Handicap Index questionnaire: Results of a prospective multicenter study.
Surgery
; 167(1): 129-136, 2020 01.
Article
em En
| MEDLINE
| ID: mdl-31526583
ABSTRACT
BACKGROUND:
Voice disorders are frequent after thyroidectomy. We report the long-term voice quality outcomes after thyroidectomy using the voice handicap index self-questionnaire.METHODS:
Eight hundred patients who underwent total thyroidectomy between 2014 and 2017 in 7 French hospitals were prospectively included. All patients filled in voice handicap index questionnaires, preoperatively and 2 and 6 months after surgery.RESULTS:
Median (range) voice handicap index scores were significantly increased at month 2 (4 [0; 108]) compared to preoperative values (2 [0; 76]) and were unchanged at month 6 (2 [2; 92]). Clinically significant voice impairment (voice handicap index score difference ≥18 points) was reported in 19.7% at month 2 and 13% at month 6. Thirty-seven (4.6%) had postoperative vocal cord palsy. In patients with vocal cord palsy compared to those without, median voice handicap index scores were increased at month 2 (14 [0; 107] vs 4 [0; 108]; P = .0039), but not at month 6 (5 [0; 92] vs 2 [0; 87]; P = .0702). Clinically significant impairment was reported in 38% vs 19% at month 2 (P = .010), and in 19% vs 13% at month 6 (P = .310). Thyroid weight, postoperative hypocalcemia, vocal cord palsy, and absence of intraoperative neuromonitoring utilization were associated with an increased risk of clinically significant self-perceived voice impairment at month 2.CONCLUSION:
Thyroidectomy impairs patients' voice quality perception in patients with and without vocal cord palsy.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Autoavaliação (Psicologia)
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Tireoidectomia
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Paralisia das Pregas Vocais
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Distúrbios da Voz
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article