Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
권호 표지
DOI QR코드

DOI QR Code

Acoustic Analysis of Voice Change According to Extent of Thyroidectomy

갑상선 수술범위에 따른 음성의 음향적 분석

  • Received : 2015.10.26
  • Accepted : 2015.12.12
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Voice complication without the laryngeal nerve injury can occur after thyroidectomy. The purpose of this study is to investigate voice changes according to extent of thyroidectomy with acoustic analysis. Thirty-five female patients with papillary thyroid carcinoma took voice evaluation at before and 1 month, and 3 months after thyroidectomy. Acoustic analysis parameters were speaking fundamental frequency(SFF), min $F_0$, max $F_0$, dynamic range $F_0$, jitter, shimmer, noise-to-harmonic ratio(NHR), and Cepstral prominence peak(CPP). Repeated-measured analysis of variance was applied. Time-related voice changes showed significant differences in all parameters except NHR. At 1 month after surgery, voice quality was worse and pitch was decreasing, but voice quality and pitch were improving at 3-month follow-up. Voice changes according to the extent of surgery were in SFF, max $F_0$, and dynamic range $F_0$. Time by surgery-related voice change existed only in min $F_0$. The result showed that the severity of voice complication depended on the extend of thyroidectomy which had a negative impact on $F_0$-related parameters. The deterioration of voice quality at 1 month after thyroidectomy may be affected by the loss of thyroid hormone in the blood. The descent of $F_0$-related parameters may be impacted by laryngeal fixation of surgical site adhesion.

Keywords

References

  1. Akyildiz, S., Ogut, F., Akyildiz, M., Zeki, E.(2008). A multivariate analysis of objective voice changes after thyroidectomy without laryngeal nerve injury. Archives of Otolaryngology-head & neck surgery, 134, 6, 596-602. https://doi.org/10.1001/archotol.134.6.596
  2. Choi, S.H.(2010). Diagnosis and management of voice change after thyroid surgery. Journal of Korean Thyroid Association, 3, 1, May, 8-14. (최승호(2010). 갑상선 수술 후 음성변화의 진단 및 치료. Journal of Korean Thyroid Association, 3, 1, May, 8-14.)
  3. Henry, L.R., Helou, L.B., Solomon, N.P., Howard, R.S., Gurevich-Uvena, J., Coppit, G., Stojadinovic, A.(2010). Functional voice outcomes after thyroidectomy: an assessment of the dsyphonia severity index(DSI) after thyroidectomy. Journal of surgery, 147, 6, 861-870.
  4. Hong, K.H.(2014). Post-thyroidectomy syndrome. Korean Journal of Otorhinolaryngology-head & neck surgery, 57, 5, 297-303. (홍기환(2014). 갑상선 수술 후 증후군. 대한이비인후과학회지, 57, 5, 297-303.) https://doi.org/10.3342/kjorl-hns.2014.57.5.297
  5. Kang, Y.A., Yoon, K.C., Kim, J.O.(2012). An aerodynamic and acoustic analysis of the breathy voice of thyroidectomy patients. Journal of the Korean Society of Speech Science, 4, 2, 96-104. (강영애, 윤규철, 김재옥(2012). 갑상선 수술 후 성대마비 환자의 기식 음성에 대한 공기역학적 및 음향적 분석. 말소리와 음성과학, 4, 2, 96-104.)
  6. Kim, S.W., Kim, S.T., Park, H.S., Lee, H.S., Hong, J.C., Kwon, S.B., Lee, K.D.(2012). Voice examination in patients with decreased high pitch after thyroidectomy. Indian J Otolaryngology, & Head, & Neck Surgery, 64, 2, 120-130. https://doi.org/10.1007/s12070-012-0516-7
  7. Kim, Y.M., Cho, J.I., Kim, C.H., Park, J.S, Choi, H.S., Ha, H. R.(2000). Voice comparison between strap muscle retraction and cutting technique in thyroidectomy. Korean Journal of Otorhinolaryngology-head & neck surgery, 43, 985-91. (김영모, 조정일, 김철호, 박정선, 최호순, 하현령(2000). 피대근 절개에 따른 갑상선 절제술의 음성변화. 대한이비인후과학회지, 43, 985-91.)
  8. Kuhn, M.A., Bloom, G., Myssiorek, D.(2013). Patient perspectives on dysphonia after thyroidectomy for thyroid cancer. Journal of Voice, 27, 1, 111-114. https://doi.org/10.1016/j.jvoice.2012.07.012
  9. Korean endocrine society (2011). Textbook of endocrinology and metabolism, 2nd edition. 205-210, Koonja Publish Co.:Seoul) (대한내분비학회 편 (2011). 내분비대사학, 제2판. 205-210, 군자출판사; 서울)
  10. Lee, H.S., Kim, S.W., Park, H.S., et al.(2013). Partial cutting of sternothyroid muscle during total thyroidectomy: impact on postoperative vocal outcomes. The Scientific World Journal, article ID: 4165335, 5 pages.
  11. Lee, C.Y., An, S.Y., Chang, H., Jeong, H.S., Son, H.Y.(2015). Aerodynamic features and voice therapy interventions of functional voice disorder after thyroidectomy. Journal of the Korean society of logopedics and phoniatrics, 26, 1, 25-33. (이창윤, 안수연, 장현, 정희석, 손희영(2015). 갑상선 절제술 후 기능적 음성장애의 공기역학적 특징과 음성치료 중재. 대한후두음성언어의학회지, 26, 1, 25-33.)
  12. Li, C., Tao, Z., Qu, J., Zhou, T., Xia, F.(2012). A Voice acoustic analysis of thyroid adenoma patients after a unilateral thyroid lobectomy. Journal of Voice, 26, 1, e23-26. https://doi.org/10.1016/j.jvoice.2010.10.013
  13. Neri, G., Castiello, F., Vitullo, F., De Rosa, M., Ciammetti, G., Croce, A.(2011). Post-thyroidectomy dysphonia in patients with bilateral resection of the superior laryngeal nerve: a comparative spectrographic study. Acta Otorhiolaryngeol ltal,, 31, 228-234.
  14. Park, J.H., Do, N.Y.(2015). Pathogenesis of the post-thyroidectomy dysphonia. Journal of the Korean society of logopedics and phoniatrics, 26, 1, 16-20. (박준희, 도남용(2015). 갑상선 절제술 후 발성 장애의 병인. 대한후두음성언어의학회지, 26, 1, 16-20.)
  15. Sinagar, D.L., Montesinos, M.R., Tacchi, V.A., Moreno, J.C., Falco, J.E., Mezzadri N.A., Debonis D.L., Curutchet, H.P.(2004). Voice changes after thyroidectomy without recurrent laryngeal nerve injury. Journal of the American College of Surgeons, 199, 556-560. https://doi.org/10.1016/j.jamcollsurg.2004.06.020
  16. Solomon, N.P., Awan, S.N., Helou, L.B., Stojadinovic, A.(2012). Acoustic analysis of thyroidectomy-related changes in vowel phonation. Journal of Voice, 26, 6, 711-720.
  17. Stojadinovic, A., Shaha, A. R., et al.(2002). Prospective functional voice assessment in patients undergoing thyroid surgery. Annals of Surgery, 236, 6, 823-832. https://doi.org/10.1097/00000658-200212000-00015
  18. Van Lierde, K., D'haseleer, E., Wuyts, F.L., Baudonck, N., Bernaert, L., Vermeersch, H.(2010). Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics: an objective multiparameter approach. Laryngoscope, 120, Feb, 338-345.

Cited by

  1. A Comparison of Cepstral and Spectral Measures according to Measurement Position in a Reading Passage vol.22, pp.4, 2017, https://doi.org/10.12963/csd.17433
  2. Normative Data of Cepstral and Spectral Measures in Korean Adults Using Vowel Phonation and Passage Reading Tasks vol.23, pp.1, 2018, https://doi.org/10.12963/csd.18474
  3. Clinical Usefulness of Voice Recordings using a Smartphone as a Screening Tool for Voice Disorders vol.23, pp.4, 2018, https://doi.org/10.12963/csd.18540