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- Title
Patient-perceived dysphagia and voice change post thyroid surgery: a telephone questionnaire.
- Authors
Mowat, Andrew; Sandhar, Pardip; Chan, Jacqueline; De, Mriganka
- Abstract
Objective: This study analyses the incidence of subjectively experienced dysphagia and voice change in post-thyroidectomy and parathyroidectomy patients without recurrent laryngeal nerve palsy. Methods: A total of 400 patients were invited to participate in a telephone questionnaire based on the Dysphagia Handicap Index and Voice Handicap Index. At 6–24 months following surgery, participants were divided into: post-thyroid surgery (total, hemi-, parathyroidectomy) groups and controls (other ENT procedures). A total of 254 responses were received (127 following thyroid surgery, 127 controls). Results: Twenty-two per cent of post-thyroidectomy patients had a Voice Handicap Index score of more than 3, compared to 15 per cent of parathyroid patients and 4 per cent of controls. The mean Dysphagia Handicap Index score for patients post thyroidectomy and hemi-thyroidectomy was 2.0. Parathyroidectomy patients had a mean Dysphagia Handicap Index score of 1.3, higher than controls at 1.0. Conclusion: Dysphagia and voice alteration are common following thyroid surgery, even in the absence of recurrent laryngeal nerve injury. Both deficits occur more frequently following thyroid surgery than parathyroid surgery.
- Subjects
LARYNGEAL nerve injuries; QUESTIONNAIRES; DESCRIPTIVE statistics; ADRENALECTOMY; TELEPHONES; HUMAN voice; OPERATIVE otolaryngology; DEGLUTITION disorders; THYROIDECTOMY; DISEASE risk factors
- Publication
Journal of Laryngology & Otology, 2024, Vol 138, Issue 6, p656
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215123002219