Voice outcomes of transoral robotic thyroidectomy: Comparison with conventional trans-cervical thyroidectomy
- Authors
- Song, Chang Myeon; Park, Jeong Seon; Park, Hae Jin; Tae, Kyung
- Issue Date
- Aug-2020
- Publisher
- ELSEVIER
- Keywords
- Voice; Transoral approach; Robotic thyroidectomy; Remote-access thyroidectomy; Thyroid neoplasm
- Citation
- ORAL ONCOLOGY, v.107, pp.1 - 6
- Indexed
- SCIE
SCOPUS
- Journal Title
- ORAL ONCOLOGY
- Volume
- 107
- Start Page
- 1
- End Page
- 6
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/145294
- DOI
- 10.1016/j.oraloncology.2020.104748
- ISSN
- 1368-8375
- Abstract
- Objectives: The purpose of this study was to compare the short-term voice outcomes of transoral robotic thyroidectomy (TORT) and trans-cervical thyroidectomy.
Materials and methods: The acoustic parameters and the voice handicap index (VHI)-10 scores were compared between the two groups preoperatively, and 1 week, 1 month, and 3 months postoperatively.
Results: Forty-two patients in the TORT group and 47 patients in the trans-cervical group completed the VHI-10 questionnaire and acoustic analysis. The highest frequency and pitch range was higher and broader, respectively, in the TORT group than in the trans-cervical group until 3 months after surgery. They were not significantly impaired by surgery in the TORT group. The postoperative VHI-10 score was not significantly different between the two groups at any time point. Surgical approach (TORT vs. trans-cervical) and age were independent factors related to highest frequency and pitch range in multiple regression analysis.
Conclusion: TORT has advantages of excellent postoperative voice outcomes compared to trans-cervical thyroidectomy in the short-term period.
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