Prethyroidectomy voice and swallowing disorders and the possible role of laryngopharyngeal reflux disease.

IF 0.7 4区医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Logopedics Phoniatrics Vocology Pub Date : 2023-10-01 Epub Date: 2021-12-23 DOI:10.1080/14015439.2021.2020894

Linda Sõber, Urmas Lepner, Ülle Kirsimägi, Priit Kasenõmm

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引用次数: 2

Abstract

Objectives: The aim of the study was to evaluate voice and swallowing function before thyroid surgery and to explore the possible role of thyroid enlargement and laryngopharyngeal reflux (LPR).

Methods: We conducted a prospective study of patients who underwent hemi- or total thyroidectomy (n = 118) and compared the results with patients of laparoscopic cholecystectomy (n = 110). All subjects underwent videolaryngostroboscopy, filled in subjective evaluations of voice, swallowing and reflux complaints. Acoustic voice analysis (AVA), maximum phonation time (MPT) and perceptual voice evaluation were conducted.

Results: We found no difference in voice quality between study and control group, neither in subjective complaints nor in AVA or perceptual evaluation. We did find indicative signs of minor laryngeal changes in thyroid group. Swallowing Impairment Score (SIS) revealed worse swallowing function in thyroid patients (p = 0.0006). Comparison of Reflux Symptom Index (RSI) scores revealed that thyroid group patients have higher values compared to control group (p = 0.006). Nevertheless, Reflux Finding Score (RFS) showed identical scores in both groups (p = 0.220). In thyroid group there was a strong positive correlation between RSI and SIS (ρ = 0.641), but no correlation between RFS and SIS (ρ = -0.002). In addition, we found a weak positive correlation between thyroid weight and RFS (ρ = 0.379).

Conclusions: Changes in laryngeal area caused by thyroid disorders do not lead to subjective but indicate slight objective disturbances in voice quality. We detected a decline in swallowing quality within thyroid patients. Higher RSI scores and a positive correlation between RFS and thyroid weight, indicate a possible role of thyroid gland in LPR.

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甲状腺前切除术的语音和吞咽障碍与咽喉反流性疾病的可能作用。

目的：本研究旨在评估甲状腺手术前的语音和吞咽功能，并探讨甲状腺肿大和喉咽反流（LPR）的可能作用 = 118），并与腹腔镜胆囊切除术（n = 110）。所有受试者均接受了视频喉镜检查，填写了对声音、吞咽和反流主诉的主观评估。进行声学语音分析（AVA）、最大发声时间（MPT）和感知语音评估。结果：我们发现研究组和对照组在语音质量方面没有差异，无论是在主观抱怨方面，还是在AVA或感知评估方面。我们确实在甲状腺组中发现了轻微喉部变化的指示性迹象。吞咽障碍评分（SIS）显示甲状腺患者吞咽功能较差（p = 0.0006）。反流症状指数（RSI）评分的比较显示，甲状腺组患者的数值高于对照组（p = 0.006）。然而，两组的反流发现分数（RFS）显示相同的分数（p = 0.220）。甲状腺组RSI与SIS呈正相关（ρ = 0.641），但RFS与SIS之间没有相关性（ρ=-0.002）。此外，我们发现甲状腺重量与RFS之间存在弱正相关性（ρ = 0.379）。结论：甲状腺疾病引起的喉部面积变化不会导致主观的，但表明声音质量有轻微的客观障碍。我们发现甲状腺患者吞咽质量下降。RSI评分越高，RFS与甲状腺重量呈正相关，表明甲状腺在LPR中可能发挥作用。

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来源期刊

Logopedics Phoniatrics Vocology 医学-耳鼻喉科学

CiteScore

2.50

自引率

9.10%

发文量

审稿时长

>12 weeks

期刊介绍： Logopedics Phoniatrics Vocology is an amalgamation of the former journals Scandinavian Journal of Logopedics & Phoniatrics and VOICE. The intention is to cover topics related to speech, language and voice pathology as well as normal voice function in its different aspects. The Journal covers a wide range of topics, including: Phonation and laryngeal physiology Speech and language development Voice disorders Clinical measurements of speech, language and voice Professional voice including singing Bilingualism Cleft lip and palate Dyslexia Fluency disorders Neurolinguistics and psycholinguistics Aphasia Motor speech disorders Voice rehabilitation of laryngectomees Augmentative and alternative communication Acoustics Dysphagia Publications may have the form of original articles, i.e. theoretical or methodological studies or empirical reports, of reviews of books and dissertations, as well as of short reports, of minor or ongoing studies or short notes, commenting on earlier published material. Submitted papers will be evaluated by referees with relevant expertise.