Article Sidebar

PDF (Tiếng Việt)
Published: 2021-12-01
Abstract Views: 248
Views PDF (Tiếng Việt): 468
DOI: https://doi.org/10.52852/tcncyh.v147i11.607
Issue
Vol. 147 No. 11 (2021)
Section
Các bài báo
How to Cite
Phạm Thị Bích, Đào, Lê Minh, Đạt, Tâm, T. V., Phạm Anh, D., Thuỷ, P. T. B., Mai Thị Mai, P., & Bùi Thị, M. (2021). Effectiveness of vietnamese voice therapy among patients with unilateral recurrent laryngeal nerve palsy after total thyroidectomy. Journal of Medical Research, 147(11), 146-153. https://doi.org/10.52852/tcncyh.v147i11.607

Effectiveness of vietnamese voice therapy among patients with unilateral recurrent laryngeal nerve palsy after total thyroidectomy

Pham Thi Bich Dao, Le Minh Dat, Tâm Trần Văn, Pham Anh Dung, Phạm Thị Bích Thuỷ, Mai Thi Mai Phuong, Bui Thi Mai

Main Article Content

Abstract

The rate of total thyroidectomy due to thyroid cancer has been gradually increasing. Total thyroidectomy is usually accompanied by postoperative voice changes, especially when the recurrent laryngeal nerve (LRN) is damaged. Our study was confined to 60 patients with damaged LRN after total thyroidectomy at Hanoi Medical University Hospital, Vietnam National Otolaryngology Hospital, and Vietnam National Cancer Hospital from 1/2015 to 1/2020. Patients were divided into 2 groups: Group 1 of 30 patients received voice therapy and Group 2 of 30 patients were observed with no intervention. The voice quality of all the patients was evaluated after 03 months, 06 months, and 12 months by PRAAT. Results: Intervened group (Group 1): movements of arytenoid cartilages and affected vocal cord were improved, no vocalis muscle atrophy was observed, and glottis closure was improved. After voice therapy, jitter index, shimmer index, noise-to-harmonic ratio (HNR), vowels (low, mid, high), consonants, tone, voice’s fundamental frequency (F0, F1, F2), and the ability to prolong pronunciation of the intervened group were improved compared to the control group (p < 0.005). Conclusion: It is recommended to provide voice therapy for patients with LRN palsy after total thyroidectomy.

Article Details

Keywords

total thyroidectomy, recurrent laryngeal nerve palsy, voice quality, voice’s fundamental frequency

References

1. Schindler A, Bottero A, Capaccio P, Ginocchio D, Adorni F, Ottaviani F. Vocal improvement after voice therapy in unilateral vocal fold paralysis. J Voice Off J Voice Found. 2008; 22(1):113-118. doi:10.1016/j.jvoice.2006.08.004.
2. Colton RH, Casper JK, Leonard RJ. Understanding Voice Problem: A Physiological Perspective for Diagnosis and Treatment: Fourth Edition. Wolters Kluwer Health Adis (ESP); 2011. http://www.scopus.com/inward/record.url?scp=84970002476&partnerID=8YFLogxK. Accessed October 9, 2021.
3. Busto-Crespo O, Uzcanga-Lacabe M, Abad-Marco A, et al. Longitudinal Voice Outcomes After Voice Therapy in Unilateral Vocal Fold Paralysis. J Voice Off J Voice Found. 2016; 30(6):767.e9-767.e15. doi:10.1016/j.jvoice.2015.10.018.
4. Solomon NP, Helou LB, Makashay MJ, Stojadinovic A. Aerodynamic evaluation of the postthyroidectomy voice. J Voice Off J Voice Found. 2012; 26(4):454-461. doi:10.1016/j.jvoice.2011.03.010.
5. Minni A, Ruoppolo G, Barbaro M, Di Lorenzo E, Sementilli G, Bononi M. Long-term (12 to 18 months) functional voice assessment to detect voice alterations after thyroidectomy. Eur Rev Med Pharmacol Sci. 2014; 18(12):1704-1708.
6. Miyauchi A, Inoue H, Tomoda C, et al. Improvement in phonation after reconstruction of the recurrent laryngeal nerve in patients with thyroid cancer invading the nerve. Surgery. 2009; 146(6):1056-1062. doi:10.1016/j.surg.2009.09.018.
7. Miller S. Voice therapy for vocal fold paralysis. Otolaryngol Clin North Am. 2004; 37(1):105-119. doi:10.1016/S0030-6665(03)00163-4.
8. Behrman A. Evidence-based treatment of paralytic dysphonia: making sense of outcomes and efficacy data. Otolaryngol Clin North Am. 2004; 37(1):75-104, vi. doi:10.1016/S0030-6665(03)00169-5.
9. Mai Ngọc Chừ. Cơ Sở Ngôn Ngữ Học và Tiếng Việt. NXB Giáo dục; 1997.
10. Mattioli F, Menichetti M, Bergamini G, et al. Results of Early Versus Intermediate or Delayed Voice Therapy in Patients With Unilateral Vocal Fold Paralysis: Our Experience in 171 Patients. J Voice Off J Voice Found. 2015;29(4):455-458. doi:10.1016/j.jvoice.2014.09.027.
11. Chandrasekhar SS, Randolph GW, Seidman MD, et al. Clinical practice guideline: improving voice outcomes after thyroid surgery. Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2013;148(6 Suppl):S1-37. doi:10.1177/0194599813487301.
12. Awan SN, Helou LB, Stojadinovic A, Solomon NP. Tracking voice change after thyroidectomy: application of spectral/cepstral analyses. Clin Linguist Phon. 2011;25(4):302-320. doi:10.3109/02699206.2010.535646.
13. Henry LR, Helou LB, Solomon NP, et al. Functional voice outcomes after thyroidectomy: an assessment of the Dsyphonia Severity Index (DSI) after thyroidectomy. Surgery. 2010; 147(6):861-870. doi:10.1016/j.surg.2009.11.017.
14. Ruoppolo G, Mariani L, Quaglieri S, et al. Unilateral vocal fold paralysis post-thyroidectomy: does early intervention allow for better voice recovery? Eur Rev Med Pharmacol Sci. 2021; 25(3):1177-1184. doi:10.26355/eurrev_202102_24820.
15. Lovato A, Barillari MR, Giacomelli L, Gamberini L, de Filippis C. Predicting the Outcome of Unilateral Vocal Fold Paralysis: A Multivariate Discriminating Model Including Grade of Dysphonia, Jitter, Shimmer, and Voice Handicap Index-10. Ann Otol Rhinol Laryngol. 2019; 128(5):447-452. doi:10.1177/0003489419826597.