caa a22 4500 606184643 CHVBK 20210128100827.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00405-014-3021-7 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3021-7 The therapeutic decision making of the unilateral vocal cord palsy after thyroidectomy using thyroidectomy-related voice questionnaire (TVQ) [Elektronische Daten] [Byung-Joon Chun, Ja-Sung Bae, Byung-Joo Chae, Jun-Ook Park, Inn-Chul Nam, Chung-Soo Kim, Kwang-Jae Cho, Yeon-Shin Hwang, Mi-Ran Shim, Young-Hak Park, Dong-Il Sun] The objective of this study was to investigate the efficacy of early management of post-thyroidectomy unilateral vocal cord palsy (UVCP) and the clinical utility of the thyroidectomy-related voice questionnaire (TVQ) when planning UVCP treatment. The study group comprised 48 consecutive patients diagnosed with UVCP after thyroidectomy. Laryngoscopic examination and voice analysis were conducted, and the TVQ was administered pre-thyroidectomy and at 2weeks and 1, 3, 6, and 12months post-thyroidectomy. Twenty-five patients with aspiration symptoms and severe vocal difficulties received injection laryngoplasty, and 23 with no aspiration symptoms and relatively mild vocal difficulties underwent voice therapy. We performed a video fluoroscopic swallowing study on each patient 2weeks after thyroidectomy and 1month following the procedure. The average total TVQ scores 2weeks post-thyroidectomy were 51.92±11.42 in the injection laryngoplasty group and 35.78±12.99 in the voice therapy group. Both subjective and objective parameters improved significantly at 1month after treatment and continued to improve slowly over the next 12months (p<0.01) in both groups. TVQ scores were significantly lower in the injection laryngoplasty group than in the voice therapy group 1month post-intervention (p<0.01). At the study end point, the greatest improvement in subjective symptoms occurred in temporary VCP patients who underwent injection laryngoplasty. The optimal TVQ score cut-off distinguishing the two groups was 45 (68.0% sensitivity, 78.3% specificity). In conclusion, early management following timely diagnosis of post-thyroidectomy UVCP can improve symptoms within 1month. Moreover, application of TVQ will aid clinicians to plan treatment for postoperative VCP patients. Springer-Verlag Berlin Heidelberg, 2014 Thyroidectomy nationallicence Vocal cord palsy nationallicence Injection laryngoplasty nationallicence Voice therapy nationallicence Voice questionnaire nationallicence Chun Byung-Joon Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Bae Ja-Sung Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea aut Chae Byung-Joo Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea aut Park Jun-Ook Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Nam Inn-Chul Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Kim Chung-Soo Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Cho Kwang-Jae Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Hwang Yeon-Shin Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Shim Mi-Ran Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Park Young-Hak Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Sun Dong-Il Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/3(2015-03-01), 727-736 0937-4477 272:3<727 2015 272 405 https://doi.org/10.1007/s00405-014-3021-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3021-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chun Byung-Joon Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Bae Ja-Sung Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea aut NATIONALLICENCE 700 1- Chae Byung-Joo Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea aut NATIONALLICENCE 700 1- Park Jun-Ook Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Nam Inn-Chul Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Kim Chung-Soo Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Cho Kwang-Jae Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Hwang Yeon-Shin Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Shim Mi-Ran Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Park Young-Hak Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Sun Dong-Il Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/3(2015-03-01), 727-736 0937-4477 272:3<727 2015 272 405