1Department of Logopedics, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb; 2Department of Otolaryngology, Head and Neck Surgery, Zagreb University Hospital Centre.
Acta Clin Croat. 2020 Jun;59(Suppl 1):18-24. doi: 10.20471/acc.2020.59.s1.02.
Voice disorders are among the most common complications of thyroid surgery. It is therefore advisable to continuously monitor and report the outcomes of voice rehabilitation among people who underwent thyroid surgery in order to recognize which specific clinical actions are necessary to give those patients the maximum chance to restore quality of life. The aim of this study was to examine the outcomes of voice therapy in 35 persons (26 women and 9 men) aged between 20 and 75 years after total thyroidectomy or lobectomy. Multidimensional voice assessment using the GRBAS scale, Voice Handicap Index questionnaire, and acoustic analysis was carried out before and after voice therapy, which included relaxation and breathing exercises, laryngeal massage, resonance therapy, and the employment of the digital compression method. Since the Wilcoxon Signed Ranks Test showed significant improvements in all voice parameters after voice therapy, voice rehabilitation seems to be the essential clinical activity for thyroid surgery patients who suffer from voice disorders postoperatively.
嗓音障碍是甲状腺手术后最常见的并发症之一。因此，建议对接受甲状腺手术的患者进行持续的嗓音康复效果监测和报告，以便确定哪些具体的临床措施对于最大限度地恢复患者的生活质量是必要的。本研究旨在评估 35 名（26 名女性和 9 名男性）年龄在 20 至 75 岁之间的甲状腺全切除术或叶切除术患者在接受嗓音治疗后的嗓音治疗效果。在嗓音治疗前后，使用 GRBAS 量表、嗓音障碍指数问卷和声学分析进行多维嗓音评估，嗓音治疗包括放松和呼吸练习、喉部按摩、共鸣治疗和数字压缩法的应用。由于威尔科克森符号秩检验显示嗓音治疗后所有嗓音参数均有显著改善，因此嗓音康复似乎是甲状腺手术后出现嗓音障碍的患者的基本临床活动。
