| Impact of anxiety on voice after thyroidectomy : a preliminary study |
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Hyoung Shin Lee;Sang Shin Lee;Hwa Bin Kim;Dasol Oh;Ji Su Kim;Suk Won Jeon;Sung Won Kim;Kang Dae Lee |
| 갑상선 수술 전 환자의 불안 정도가 수술 후 음성에 미치는 영향 : 예비연구 |
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이형신;이상신;김화빈;오다솔;김지수;전석원;김성원;이강대 |
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| Abstract |
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. |
| Key Words:
Papillary thyroid carcinoma, Thyroidectomy, Voice⋅Anxiety |
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