Objective Analysis of Swallowing and Functional Voice Outcomes After Thyroidectomy: A Prospective Cohort Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Functional Voice and Swallowing Outcomes
- Sponsor
- Ege University
- Enrollment
- 43
- Primary Endpoint
- functional oral intake score
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Impairment in voice and swallowing functions are common after thyroidectomy. The investigators aimed to evaluate the objective functional voice and swallowing outcomes in a series of patients undergoing thyroidectomy.
according to the study, even in the absence of recurrent laryngeal nerve injury, subjective and objective swallowing and voice alterations do occur after thyroidectomy.
Detailed Description
A total of 43 consenting patients who underwent thyroidectomy were prospectively recruited. Subjective evaluation of swallowing was assessed with 'Swallowing Impairment Score' and 'MD Anderson Dysphagia Inventory'. Fiberoptic endoscopic evaluation of swallowing (FEES) was applied for objective evaluation. Also, functional oral intake scale (FOIS) and functional outcome swallowing scale (FOSS) were used for swallowing assessment. Voice evaluation was assessed with videostrobolaryngoscopy (VSL) and 'The Multi-Dimensional Voice Program (MDVP)' was used for capturing and analyzing the voice samples. All evaluations were performed preoperatively and on 1st day, 2nd week and 6th months postoperatively.
Investigators
Ozer Makay
ass. prof. ozer makay
Ege University
Eligibility Criteria
Inclusion Criteria
- •patients undergoing thyroidectomy
Exclusion Criteria
- •Patients who were diagnosed with thyroid carcinoma preoperatively
- •Having history of previous neck surgery,
- •History of radiotherapy at head and neck region,
- •Vocal cord paralysis,
- •neuromuscular dysfunction,
- •larynx, esophagus and chest pathology
- •who did not want to be involved in the study
Outcomes
Primary Outcomes
functional oral intake score
Time Frame: 6 months
comparison of functional oral intake score of specific functional limitation between groups
voice evaluation
Time Frame: 6 months
comparison of standard deviation of average, fundamental frequency and degree of subharmonics between groups
light and moderate residual accumulation in solid food intake
Time Frame: 6 months
comparison of light and moderate residual accumulation in solid food intake between groups
the intake of fluid and thickened liquid food
Time Frame: 6 months
comparison of the intake of fluid and thickened liquid food between pre- and post-operative scores
MD Anderson dysphagia inventory (MDADI)
Time Frame: 6 months
comparison of MD Anderson dysphagia inventory (MDADI) between pre- and post-operative groups
Swallowing impairment score (SIS)
Time Frame: 6 months
comparison of Swallowing impairment score (SIS) between pre- and post-operative groups
Secondary Outcomes
- objective and subjective values correlation(6 months)