Voice Outcomes as a Results of Voice Therapy after Lobectomy and Thyroidectomy

Acta Clin Croat. 2020 Jun;59(Suppl 1):18-24. doi: 10.20471/acc.2020.59.s1.02.

Abstract

Voice disorders are among the most common complications of thyroid surgery. It is therefore advisable to continuously monitor and report the outcomes of voice rehabilitation among people who underwent thyroid surgery in order to recognize which specific clinical actions are necessary to give those patients the maximum chance to restore quality of life. The aim of this study was to examine the outcomes of voice therapy in 35 persons (26 women and 9 men) aged between 20 and 75 years after total thyroidectomy or lobectomy. Multidimensional voice assessment using the GRBAS scale, Voice Handicap Index questionnaire, and acoustic analysis was carried out before and after voice therapy, which included relaxation and breathing exercises, laryngeal massage, resonance therapy, and the employment of the digital compression method. Since the Wilcoxon Signed Ranks Test showed significant improvements in all voice parameters after voice therapy, voice rehabilitation seems to be the essential clinical activity for thyroid surgery patients who suffer from voice disorders postoperatively.

Keywords: thyroid surgery; voice disorders; voice therapy.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life
  • Thyroid Gland
  • Thyroidectomy*
  • Voice Disorders*
  • Voice Quality
  • Young Adult