Transient voice changes following thyroid surgery and surgical efforts to minimize postoperative dysphonia

2006 ◽  
Vol 114 (S 1) ◽  
Author(s):  
TJ Musholt ◽  
PB Musholt ◽  
C Fottner ◽  
J Garm ◽  
U Napiontek ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Voice Changes

VOICE CHANGES AND THYROID SURGERY: IS PRE-OPERATIVE INDIRECT LARYNGOSCOPY NECESSARY?

1999 ◽  
Vol 69 (9) ◽  
pp. 632-634 ◽  
Author(s):  
Philip Yeung ◽  
Catherine Erskine ◽  
Philip Mathews ◽  
PHILIP J. Crowe
Keyword(s):  
Thyroid Surgery ◽  
Indirect Laryngoscopy ◽  
Voice Changes

scholarly journals Aerodynamic Evaluation of Voice Changes in Thyroid Surgery Extent

2018 ◽  
Vol 29 (1) ◽  
pp. 24-29
Author(s):  
Hee Seok Jeong ◽  
Joong Sun Kim ◽  
Chang-Yoon Lee ◽  
Hee Young Son
Keyword(s):  
Thyroid Surgery ◽  
Voice Changes

scholarly journals Voice changes after thyroidectomy: an experience with 364 cases of thyroid surgery

2018 ◽  
Vol 5 (2) ◽  
pp. 626
Author(s):  
Arvind K. Prabhat ◽  
Niranjan Dash ◽  
J. M. Gadekar
Keyword(s):  
Total Thyroidectomy ◽  
Thyroid Surgery ◽  
Orotracheal Intubation ◽  
Age Group ◽  
Completion Thyroidectomy ◽  
Patient Age ◽  
Voice Changes ◽  
Patient Âgé ◽  
Laryngeal Nerve Injury ◽  
The Impact

Background: To study voice changes and to evaluate the impact of thyroidectomy and effects of factors such as patient age, sex, operation-type, surgeons-experience, laryngeal nerve injury and orotracheal intubation on voice of patients undergoing thyroidectomy.Methods: Author prospectively analyzed 364 cases of multinodular goiter (MNG) and neoplastic thyroid disorders, undergoing sub-total/total-thyroidectomy and completion-thyroidectomy in the department of surgery, during the study period of June 2016 to December 2016.Results: The study comprised of 364 patients, with 298 females and 66 males. Voice changes were seen in 216(59.34%) patients. Transient voice changes were seen in 212(98.15%) patients and permanent in 4(1.85%) patents. Out of 216 patents, age group ≥65 years were 128(59.25%) and age group <65 years were 88(40.75%) patients(p:0.012324). Out of 216 patients in which voice changes were seen,165(76.39%) patients were females and 51(23.61%) patients were males(p:0.001046). Voice changes were seen in 190(88%) patients in which sub-total/total-thyroidectomies were performed and in 26(12%) patients completion-thyroidectomies were performed. Voice changes were statistically significant in which completion-thyroidectomies were performed(p:0.002102). Voice changes were seen in 205(68.56%) cases and 11(16.92%) cases which were performed by post-graduate-trainee and experienced-surgeon respectively. Voice changes were seen in 122(67.77%) cases in which orotracheal intubation was performed and in 94(51.65%) cases cervical-epidural anaesthesia was given (p:0.00281). RLN palsy was seen in 2(0.60%) cases in which sub-total/total-thyroidectomy were performed and 2(6.25%) cases in which completion-thyroidectomy was performed (p:0.003426).Conclusions: Voice changes is common after thyroid surgery but usually transient and sometimes, permanent. So, patients must be informed about the risk of voice-impairment after thyroid surgery. Present study is novel as it investigates not only laryngeal neve injury but also highlights patient age, sex, types of operation, surgeons experience and laryngeal complications during orotracheal intubation.

scholarly journals Effect of Postoperative High-Concentration Oxygen on Recovery After Thyroid Surgery: A Prospective, Open, Randomized, Controlled Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Qian Zhou ◽  
Ming Cai ◽  
Juxiang Gou ◽  
Ning Ning
Keyword(s):  
Clinical Trial ◽  
Thyroid Surgery ◽  
Control Group ◽  
High Concentration ◽  
Clinical Trial Registration ◽  
Oxygen Treatment ◽  
Voice Changes ◽  
Parathyroid Function ◽  
Experimental Group ◽  
Better Than

ObjectiveTo investigate the effectiveness of high-concentration oxygen on the improvement of throat symptoms and voice changes after thyroid surgery and its protection of the parathyroid function.MethodsA total of 600 patients undergoing thyroid surgery who met the inclusion criteria were randomly divided into the experimental group (n = 300) and the control group (n = 300) by using a random number generator. The patients in the experimental group underwent high-oxygen treatment [FiO280 (8 L/min)] for 6 continuous hours after returning to the ward after surgery. The patients in the control group underwent low-oxygen treatment [FiO230 (2 L/min)] for 6 continuous hours after returning to the ward after surgery.ResultsThe postoperative incision pain score of patients in the experimental group was significantly better than that in the control group at 6 h (1.07 ± 0.80 VS 1.23 ± 0.95, P=0.031) and 12 h (1.08 ± 0.64 VS 1.20 ± 0.73, P=0.041). The postoperative throat pain score of the patients in the experimental group was significantly better than that of the control group at 6 h (1.40 ± 0.85 VS 1.59 ± 0.97, P=0.011) and 12 h (1.40 ± 0.85 VS 1.59 ± 0.97, P=0.019). The PONV score of the patients in the experimental group was significantly better than that of the control group at 12 h (0.09 ± 0.19 VS 0.14 ± 0.37, P=0.024). The Voice Handicap Index score of the patients in the experimental group was significantly better than that of the control group at 24 h (2.89 ± 5.92 VS 4.10 ± 6.31, P=0.017), 36 h (2.46 ± 5.06 VS 3.43 ± 5.97, P=0.035), and 48 h (2.46 ± 5.06 VS 3.43 ± 5.97, P=0.032).ConclusionHigh-concentration oxygen can alleviate PONV and pain after thyroid surgery, with less severe voice changes potentially. However, its effects on swallowing function, and parathyroid function need to be further verified.Clinical Trial Registration NumberChiCTR-IOR-17012765 (China Clinical Trial Registry clinical trial registration center [http://www.chictr.org.cn/index.aspx)

Is thyroid surgery performed too often in Germany?

2015 ◽  
Vol 54 (03) ◽  
pp. 101-105 ◽  
Author(s):  
F. A. Verburg
Keyword(s):  
Surgical Procedures ◽  
Thyroid Surgery ◽  
Needle Biopsy ◽  
Fine Needle Biopsy ◽  
Contributing Factors ◽  
Fine Needle ◽  
Diagnostic Measures ◽  
Frequent Use ◽  
Preoperative Diagnostic ◽  
The Usa

SummaryThyroid surgery is one of the more common surgical procedures in Germany. This is in contrast with the situation in some other countries, where this procedure is performed comparatively rarely. In this paper the number of thyroid surgeries in Germany is compared with other western countries (Netherlands, USA, England). In contrast to e. g. the USA and England the number of thyroid surgeries in Germany is declining, however with approximately 109/100 000/year in 2012 is still elevated (Netherlands: 16/100 000/year, USA: at least 42/100 000/year, England: at least 27/100 000/year).Possible contributing factors to this higher number of thyroid surgeries in Germany are explored. These factors include iodine deficiency, the frequent use of advanced diagnostics such as ultrasound, insufficient use of preoperative diagnostic measures such as fine needle biopsy and the practice of “defensive medicine”. How much each of these factors contributes is however unclear.

History of thyroid surgery

2020 ◽  
Vol 99 (11) ◽  
Keyword(s):  
Surgical Technique ◽  
20Th Century ◽  
Thyroid Surgery ◽  
History Of ◽  
Ancient Times

The authors present an outline of the development of thyroid surgery from the ancient times to the beginning of the 20th century, when the definitive surgical technique have been developed and the physiologic and pathopfysiologic consequences of thyroid resections have been described. The key representatives, as well as the contribution of the most influential czech surgeons are mentioned.

Sign in / Sign up

Export Citation Format

Share Document