PMID: 589839Aug 1, 1977

Late voice function after surgical injury to the recurrent nerve

Clinical Otolaryngology and Allied Sciences
S Watt-BoolsenA Boberg

Abstract

In the period 1960 to 1970, a total of 213 patients underwent subtotal thyroidectomy for benign cervical toxic goitre. Postoperatively, immobile vocal cord indicating paralysis of the recurrent nerve was found in 17 patients. In 8 patients, immobility of the vocal cord was permanent. Seven of the 17 patients received voice training which was initiated within 3 weeks after operation. After a period of 5-10 years, on an average 8 years, the 17 patients had a clinical and a comprehensive objective examination of the voice function comprising stroboscopy, electroglottography, phono-oscillometry, voice range, phonation time, peak-flow and pitch. Only a few complaints were ciliated whereas the objective examination of the voice function revealed abnormal findings in all but one patient. The findings were less abnormal in patients who had received early voice training. It is concluded that despite abnormal objective findings, all 17 patients found their voice function satisfactory. Moreover, early voice training seemed to offer a fair chance of minimizing late voice problems, whether the paralysis was permanent or transitory.

Citations

Jan 9, 1998·Journal of Voice : Official Journal of the Voice Foundation·F DebruyneW Wellens
Nov 24, 1984·British Medical Journal·A E KarkM Meikle
Aug 1, 1986·World Journal of Surgery·M D JensenW E Mayberry
Apr 22, 2014·Journal of the American College of Surgeons·Diego A VicenteAlexander Stojadinovic
Apr 18, 2014·Journal of Voice : Official Journal of the Voice Foundation·Xuhui ChenZaoming Huang
May 30, 2016·Journal of Voice : Official Journal of the Voice Foundation·Doh Young LeeKwang-Yoon Jung
Aug 1, 1979·The British Journal of Surgery·S Watt-BoolsenA Boberg

Related Concepts

Goiter
Postoperative Complications
Thyroidectomy
Unilateral Vocal Cord Paresis
Voice
Voice Training
Laryngeal Nerve Contusion
Recurrent Laryngeal Nerve Contusion

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