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Volume 14
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10.3390/diagnostics14010111
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Article

Early Assessment of Voice Problems in Post-Thyroidectomy Syndrome Using Cepstral Analysis

by
Yeso Choi
1,
Bo Ram Keum
1,
Ju Eun Kim
1,
Joong Seob Lee
2,
Seok Min Hong
1,
IL-Seok Park
1 and
Heejin Kim
2,*
1
Department of Otorhinolaryngology-Head and Neck Surgery, Dongtan Sacred Heart Hospital, Hallym University of Medicine, Hwaseong 18450, Republic of Korea
2
Department of Otorhinolaryngology-Head and Neck Surgery, Hallym Sacred Heart Hospital, Hallym University of Medicine, Anyang-si 14068, Republic of Korea
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(1), 111; https://doi.org/10.3390/diagnostics14010111
Submission received: 8 December 2023 / Revised: 27 December 2023 / Accepted: 2 January 2024 / Published: 4 January 2024
(This article belongs to the Special Issue Recent Advances in Thyroid Carcinoma)
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Abstract

Post-thyroidectomy syndrome (PTS), characterized by voice issues after thyroidectomy without recurrent laryngeal nerve injury, was investigated in this study. The Voice Fatigue Index (VFI) and cepstral analysis were employed for subjective and objective voice evaluation. Retrospective analysis involved 96 patients (37 males, 59 females) who underwent thyroidectomy without nerve injury from April 2018 to June 2022. Assessments pre- and post-thyroidectomy included the Voice Handicap Index (VHI) and VFI, along with auditory perceptual, acoustic (including cepstral), aerodynamic, and glottal vibration analyses. In females, although the GRBAS scale showed no significant change, both VHI and VFI increased post-thyroidectomy. Significant correlations were observed between the VHI and VFI in females. Acoustic analysis indicated a decrease in the cepstral peak prominence (CPP) of vowels (/a/) and sentences in females, with significant correlations between changes in the CPP/a/ and VHI/VFI. The maximum fundamental frequency (F0max) exhibited a significant decrease, correlating with the VHI and VFI changes. The VFI demonstrated effectiveness in subjective PTS voice evaluation, comparable to the VHI. The present study highlights the potential of cepstral analysis as an index reflecting subjective voice discomfort, suggesting its promise for a comprehensive PTS voice evaluation.
Keywords: post-thyroidectomy syndrome; vocal fatigue; cepstral analysis post-thyroidectomy syndrome; vocal fatigue; cepstral analysis

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MDPI and ACS Style

Choi, Y.; Keum, B.R.; Kim, J.E.; Lee, J.S.; Hong, S.M.; Park, I.-S.; Kim, H. Early Assessment of Voice Problems in Post-Thyroidectomy Syndrome Using Cepstral Analysis. Diagnostics 2024, 14, 111. https://doi.org/10.3390/diagnostics14010111

AMA Style

Choi Y, Keum BR, Kim JE, Lee JS, Hong SM, Park I-S, Kim H. Early Assessment of Voice Problems in Post-Thyroidectomy Syndrome Using Cepstral Analysis. Diagnostics. 2024; 14(1):111. https://doi.org/10.3390/diagnostics14010111

Chicago/Turabian Style

Choi, Yeso, Bo Ram Keum, Ju Eun Kim, Joong Seob Lee, Seok Min Hong, IL-Seok Park, and Heejin Kim. 2024. "Early Assessment of Voice Problems in Post-Thyroidectomy Syndrome Using Cepstral Analysis" Diagnostics 14, no. 1: 111. https://doi.org/10.3390/diagnostics14010111

APA Style

Choi, Y., Keum, B. R., Kim, J. E., Lee, J. S., Hong, S. M., Park, I.-S., & Kim, H. (2024). Early Assessment of Voice Problems in Post-Thyroidectomy Syndrome Using Cepstral Analysis. Diagnostics, 14(1), 111. https://doi.org/10.3390/diagnostics14010111

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