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KMID : 0356820170330020017
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Korean Journal of Head & Neck Oncology
2017 Volume.33 No. 2 p.17 ~ p.22
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Impact of anxiety on voice after thyroidectomy : a preliminary study
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Lee Hyeong-Shin
Lee Sang-Shin
Kim Hwa-Bin
Oh Da-Sol
Kim Ji-Su
Jeon Seok-Won
Kim Sung-Won
Lee Kang-Dae
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Abstract
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Background and Objectives: Voice change after thyroidectomy may develop without injury of recurrent laryngeal nerve. Psychogenic or emotional factors related to voice change after thyroidectomy has been rarely studied. In this study, we sought to analyze the impact of anxiety on early state of post-thyroidectomy voice change.
Materials and Methods: We made a retrospective chart review of 36 patients who underwent thyroidectomy for papillary thyroid carcinoma and voice exam before surgery, 2 weeks after and 1 month after surgery. All patients included in the study answered a questionnaire for State-Trait Anxiety Inventory ; STAI-KYZ (form Korean YZ). Clinico-pathologic factors and parameters of voice analysis were reviewed to analyze correlation to the anxiety index.
Results: No differences were identified between clinicopathologic factors and preoperative parameters of voice analysis between patients with higher and lower level of anxiety. Noise to harmonic ratio (NHR) was higher in those patients with higher level of anxiety, 2 weeks after surgery (p=0.043). However, none of the parameters showed any difference 1 month later.
Conclusion: With limited number of patients and short period of follow up, significant impact of preoperative anxiety on postoperative voice change after thyroidectomy could not be identified in this preliminary study.
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KEYWORD
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Papillary thyroid carcinoma, Thyroidectomy, Voice, Anxiety
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