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Lateral neck dissection affects the voice in thyroid cancer patients

Published online by Cambridge University Press:  31 July 2017

I-C Nam
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, The Catholic University of Korea, Seoul, Korea
J-S Bae
Affiliation:
Department of Surgery, The Catholic University of Korea, Seoul, Korea
S-H Lee
Affiliation:
Department of Surgery, The Catholic University of Korea, Seoul, Korea
J-O Park
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Inje University Haeundae Paik Hospital, Busan, Korea
S-Y Kim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, The Catholic University of Korea, Seoul, Korea
Y-H Joo
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, The Catholic University of Korea, Seoul, Korea
Y-H Park
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, The Catholic University of Korea, Seoul, Korea
D-I Sun
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, The Catholic University of Korea, Seoul, Korea
Corresponding
E-mail address:
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Abstract

Objective:

This study aimed to identify the effect of lateral neck dissection on voice change in thyroidectomised patients.

Methods:

Medical records from 264 patients who underwent thyroidectomy with (n = 65) or without (n = 199) lateral neck dissection were reviewed. Clinical and voice evaluation data were compared between the two groups.

Results:

Patients who underwent surgery that included lateral neck dissection had lower fundamental frequencies and speaking fundamental frequencies. They also had a higher incidence of asymmetric mucosal wave and vocal fold oedema on videostroboscopy during the first month after surgery, with the incidence of vocal fold oedema remaining significantly higher at three months. Self-assessed voice quality scores were significantly higher in lateral neck dissection patients at both one and three months after surgery.

Conclusion:

In thyroidectomised patients, lateral neck dissection lowers the vocal pitch in the initial period after surgery and induces vocal fold oedema that persists for several months. Although most objective parameters improved within a month, subjective symptoms lasted for longer.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Musholt, TJ, Musholt, PB, Garm, J, Napiontek, U, Keilmann, A. Changes of the speaking and singing voice after thyroid or parathyroid surgery. Surgery 2006;140:978–88CrossRefGoogle ScholarPubMed
2 Rosato, L, Carlevato, MT, De Toma, G, Avenia, N. Recurrent laryngeal nerve damage and phonetic modifications after total thyroidectomy: surgical malpractice only or predictable sequence? World J Surg 2005;29:780–4CrossRefGoogle ScholarPubMed
3 Stojadinovic, A, Shaha, AR, Orlikoff, RF, Nissan, A, Kornak, MF, Singh, B et al. Prospective functional voice assessment in patients undergoing thyroid surgery. Ann Surg 2002;236:823–32CrossRefGoogle ScholarPubMed
4 Aluffi, P, Policarpo, M, Cherovac, C, Olina, M, Dosdegani, R, Pia, F. Post-thyroidectomy superior laryngeal nerve injury. Eur Arch Otorhinolaryngol 2001;258:451–4CrossRefGoogle ScholarPubMed
5 Bellantone, R, Boscherini, M, Lombardi, CP, Bossola, M, Rubino, F, De Crea, C et al. Is the identification of the external branch of the superior laryngeal nerve mandatory in thyroid operation? Results of a prospective randomized study. Surgery 2001;130:1055–9CrossRefGoogle ScholarPubMed
6 Van Lierde, K, D'Haeseleer, E, Wuyts, FL, Baudonck, N, Bernaert, L, Vermeersch, H. Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics: an objective multiparameter approach. Laryngoscope 2010;120:338–45Google ScholarPubMed
7 Nam, IC, Bae, JS, Chae, BJ, Shim, MR, Hwang, YS, Sun, DI. Therapeutic approach to patients with a lower-pitched voice after thyroidectomy. World J Surg 2013;37:1940–50CrossRefGoogle ScholarPubMed
8 Sinagra, DL, Montesinos, MR, Tacchi, VA, Moreno, JC, Falco, JE, Mezzadri, NA et al. Voice changes after thyroidectomy without recurrent laryngeal nerve injury. J Am Coll Surg 2004;199:556–60CrossRefGoogle ScholarPubMed
9 Nam, IC, Cho, YJ, Bae, JS, Lee, SH, Park, JO, Shim, MR et al. Female sex, central lymph node metastasis and dissection are causes of globus symptom after thyroidectomy. Eur Arch Otorhinolaryngol 2016;273:1607–13CrossRefGoogle ScholarPubMed
10 Nam, IC, Bae, JS, Shim, MR, Hwang, YS, Kim, MS, Sun, DI. The importance of preoperative laryngeal examination before thyroidectomy and the usefulness of a voice questionnaire in screening. World J Surg 2012;36:303–9CrossRefGoogle ScholarPubMed
11 Debruyne, F, Ostyn, F, Delaere, P, Wellens, W. Acoustic analysis of the speaking voice after thyroidectomy. J Voice 1997;11:479–82CrossRefGoogle ScholarPubMed
12 Hong, KH, Kim, YK. Phonatory characteristics of patients undergoing thyroidectomy without laryngeal nerve injury. Otolaryngol Head Neck Surg 1997;117:399404 Google ScholarPubMed
13 Kark, AE, Kissin, MW, Auerbach, R, Meikle, M. Voice changes after thyroidectomy: role of the external laryngeal nerve. Br Med J (Clin Res Ed) 1984;289:1412–15CrossRefGoogle ScholarPubMed
14 McIvor, NP, Flint, DJ, Gillibrand, J, Morton, RP. Thyroid surgery and voice-related outcomes. Aust N Z J Surg 2000;70:179–83CrossRefGoogle ScholarPubMed
15 Soylu, L, Ozbas, S, Uslu, HY, Kocak, S. The evaluation of the causes of subjective voice disturbances after thyroid surgery. Am J Surg 2007;194:317–22CrossRefGoogle ScholarPubMed
16 Vilkman, E, Sonninen, A, Hurme, P, Korkko, P. External laryngeal frame function in voice production revisited: a review. J Voice 1996;10:7892 CrossRefGoogle ScholarPubMed
17 Lee, J, Na, KY, Kim, RM, Oh, Y, Lee, JH, Lee, J et al. Postoperative functional voice changes after conventional open or robotic thyroidectomy: a prospective trial. Ann Surg Oncol 2012;19:2963–70CrossRefGoogle ScholarPubMed
18 Maeda, T, Saito, M, Otsuki, N, Morimoto, K, Takahashi, M, Iwaki, S et al. Voice quality after surgical treatment for thyroid cancer. Thyroid 2013;23:847–53CrossRefGoogle ScholarPubMed
19 Ryu, J, Ryu, YM, Jung, YS, Kim, SJ, Lee, YJ, Lee, EK et al. Extent of thyroidectomy affects vocal and throat functions: a prospective observational study of lobectomy versus total thyroidectomy. Surgery 2013;154:611–20CrossRefGoogle ScholarPubMed
20 Chun, BJ, Bae, JS, Lee, SH, Joo, J, Kim, ES, Sun, DI. A prospective randomized controlled trial of the laryngeal mask airway versus the endotracheal intubation in the thyroid surgery: evaluation of postoperative voice, and laryngopharyngeal symptom. World J Surg 2015;39:1713–20CrossRefGoogle ScholarPubMed
21 Worni, M, Schudel, HH, Seifert, E, Inglin, R, Hagemann, M, Vorburger, SA et al. Randomized controlled trial on single dose steroid before thyroidectomy for benign disease to improve postoperative nausea, pain, and vocal function. Ann Surg 2008;248:1060–6CrossRefGoogle ScholarPubMed
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