Can Voice Pitch Be Preserved in Patients after Transoral Endoscopic Thyroidectomy Vestibular Approach?
Abstract
:1. Introduction
2. Methods
2.1. Study Design
2.2. Thyroid Lobectomy
2.3. Functional Voice Analysis: Subjective
2.3.1. Thyroidectomy-Related Voice Questionnaire (TVQ)
2.3.2. Perceptual Voice Analysis
2.4. Functional Voice Analysis: Objective
2.4.1. Fiberoptic Laryngoscopic and Videolaryngostroboscopic Examinations
2.4.2. Acoustic Analysis
2.5. Statistical Analyses
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Ethical Approval
References
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Characteristics | Transoral Group (n = 44) | Open Group (n = 38) | p-Value |
---|---|---|---|
Age (years) | 42.8 ± 12.6 | 52.0 ± 12.6 | 0.003 * |
Gender | 0.516 | ||
Male | 12 | 8 | |
Female | 32 | 30 | |
Pathology of tumor | 0.848 | ||
Benign | 4 | 3 | |
Malignant | 40 | 35 | |
Size of tumor | 1.19 ± 1.06 | 1.22 ± 1.48 | 0.569 |
Number of tumors | 1.25 ± 0.72 | 1.50 ± 1.06 | 0.229 |
Current smoking | 0.828 | ||
Yes | 4 | 4 | |
No | 40 | 34 | |
Alcohol consumption | 0.383 | ||
Yes | 13 | 8 | |
No | 31 | 30 | |
Type of voice user | 0.075 | ||
Professional voice user | 20 | 10 | |
Nonvocal professionals | 24 | 28 | |
Preoperative voice workup | |||
Perceptual evaluation | |||
Grade | 0.14 ± 0.41 | 0.05 ± 0.23 | 0.318 |
Roughness | 0.07 ± 0.33 | 0.00 ± 0.00 | 0.186 |
Breathiness | 0.09 ± 0.29 | 0.00 ± 0.00 | 0.058 |
Asthenia | 0.00 ± 0.00 | 0.05 ± 0.23 | 0.126 |
Strain | 0.00 ± 0.00 | 0.00 ± 0.00 | 1.000 |
Subjective analysis | |||
TVQ scores | 14.41 ± 13.79 | 15.71 ± 17.20 | 0.716 |
Acoustic voice analysis | |||
F0 (Hz) | 187.45 ± 59.29 | 179.98 ± 42.67 | 0.463 |
SFF (Hz) | 172.15 ± 44.03 | 170.20 ± 32.36 | 0.625 |
Jitter (%) | 1.11 ± 1.09 | 0.89 ± 0.64 | 0.874 |
Shimmer (%) | 3.52 ± 1.80 | 3.43 ± 1.40 | 0.915 |
NHR | 0.13 ± 0.04 | 0.13 ± 0.04 | 0.679 |
Pitch range (Hz) | 249.49 ± 123.21 | 260.77 ± 93.17 | 0.444 |
Pitch low (Hz) | 118.42 ± 36.98 | 110.98 ± 26.57 | 0.437 |
Pitch High (Hz) | 367.91 ± 120.98 | 372.92 ± 101.04 | 0.539 |
Transoral Group (n = 44) | Open Group (n = 38) | |||||
---|---|---|---|---|---|---|
Preoperative | Postoperative | p-Value | Preoperative | Postoperative | p-Value | |
Perceptual evaluation | ||||||
Grade | 0.14 ± 0.41 | 0.16 ± 0.37 | 0.705 | 0.05 ± 0.23 | 0.05 ± 0.23 | 1.000 |
Roughness | 0.07 ± 0.33 | 0.05 ± 0.21 | 0.655 | 0.00 ± 0.00 | 0.03 ± 0.16 | 0.317 |
Breathiness | 0.09 ± 0.29 | 0.11 ± 0.32 | 0.564 | 0.00 ± 0.00 | 0.03 ± 0.16 | 0.317 |
Asthenia | 0.00 ± 0.00 | 0.00 ± 0.00 | 1.000 | 0.05 ± 0.23 | 0.03 ± 0.16 | 0.564 |
Strain | 0.00 ± 0.00 | 0.02 ± 0.15 | 0.317 | 0.00 ± 0.00 | 0.00 ± 0.009 | 1.000 |
TVQ scores | 14.41 ± 13.79 | 20.10 ± 9.31 | 0.097 | 15.71 ± 17.20 | 27.66 ± 20.67 | 0.078 |
Transoral Group (n = 44) | Open Group (n = 38) | |||||||
---|---|---|---|---|---|---|---|---|
Parameters | Preoperative | Postoperative | Difference (Δ) | p-Value | Preoperative | Postoperative | Difference (Δ) | p-Value |
F0 (Hz) | 187.45 ± 59.29 | 187.36 ± 57.30 | 0.09 ± 21.40 | 0.986 | 179.98 ± 42.67 | 179.38 ± 42.22 | 0.60 ± 18.20 | 0.658 |
SFF (Hz) | 172.15 ± 44.03 | 170.85 ± 44.00 | 1.30 ± 10.58 | 0.905 | 170.20 ± 32.36 | 168.16 ± 32.95 | 2.04 ± 12.09 | 0.277 |
Pitch range (Hz) | 249.49 ± 123.21 | 218.38 ± 106.97 | 31.11 ± 108.43 | 0.150 | 260.77 ± 93.17 | 251.51 ± 74.92 | 9.27 ± 86.03 | 0.629 |
Pitch low (Hz) | 118.42 ± 36.98 | 117.41 ± 41.81 | 1.01 ± 33.69 | 0.665 | 110.98 ± 26.57 | 110.33 ± 25.10 | 0.65 ± 26.43 | 0.829 |
Pitch High (Hz) | 367.91 ± 120.98 | 325.80 ± 100.86 | 32.11 ± 99.17 | 0.069 | 372.92 ± 101.04 | 361.48 ± 81.93 | 11.44 ± 84.75 | 0.509 |
Jitter (%) | 1.11 ± 1.09 | 1.01 ± 1.09 | N/A | 0.243 | 0.89 ± 0.64 | 0.92 ± 0.77 | N/A | 0.557 |
Shimmer (%) | 3.52 ± 1.80 | 3.28 ± 1.76 | N/A | 0.294 | 3.43 ± 1.40 | 3.53 ± 1.46 | N/A | 0.902 |
NHR | 0.13 ± 0.04 | 0.13 ± 0.03 | N/A | 0.595 | 0.13 ± 0.04 | 0.13 ± 0.02 | N/A | 0.220 |
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Kim, M.R.; Park, Y.J.; Park, B.W.; Suh, T.; Kim, S.-Y.; Moon, T.H.; Lee, D.H.; Park, J.-O. Can Voice Pitch Be Preserved in Patients after Transoral Endoscopic Thyroidectomy Vestibular Approach? J. Clin. Med. 2020, 9, 2777. https://doi.org/10.3390/jcm9092777
Kim MR, Park YJ, Park BW, Suh T, Kim S-Y, Moon TH, Lee DH, Park J-O. Can Voice Pitch Be Preserved in Patients after Transoral Endoscopic Thyroidectomy Vestibular Approach? Journal of Clinical Medicine. 2020; 9(9):2777. https://doi.org/10.3390/jcm9092777
Chicago/Turabian StyleKim, Mi Ra, Yeong Jun Park, Byung Whoo Park, Taekyung Suh, Sang-Yeon Kim, Tae Hoon Moon, Dong Hyun Lee, and Jun-Ook Park. 2020. "Can Voice Pitch Be Preserved in Patients after Transoral Endoscopic Thyroidectomy Vestibular Approach?" Journal of Clinical Medicine 9, no. 9: 2777. https://doi.org/10.3390/jcm9092777