{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:30:42Z","timestamp":1747150242919,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T00:00:00Z","timestamp":1708128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>(1) Assess the frequency and severity of long\u2010term swallowing and voice complaints, follow\u2010up care, risk factors for the development of long\u2010term swallowing and voice complications in patients who underwent anterior transcervical approach (ACA). (2) Determine incidence of long\u2010term swallowing and voice complications requiring follow\u2010up otolaryngologic care and assess the frequency of otolaryngologic follow\u2010up for postoperative swallowing and voice complaints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study of patients between January 2017 and March 2020 who underwent ACA. Demographic information, data from preoperative evaluation, operative records, and data from postoperative visits were collected. Patients were contacted to complete the Eating Assessment Tool and the \u201cImpairment\u201d subset of the Voice Symptoms Scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 48 patients (10.6%) followed up with a head and neck surgeon for swallowing complaints and 31 patients (6.8%) for voice complaints. Otolaryngology follow\u2010up for swallowing complaints among patients with at least 3 and 12\u2009months of follow\u2010up was 16.4% and 17.8%, respectively. Otolaryngology follow\u2010up for voice complaints among patients with at least 3 and 12\u2009months of follow\u2010up was 11.7% and 11.9%, respectively. Swallowing function was abnormal in 40.7% at least 3\u2009months after surgery and in 41.8% 12\u2009months after. Voice function was abnormal in 55.7% of respondents at least 3\u2009months after surgery and in 54.5% of respondents 12\u2009months after.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ACA is associated with otolaryngologic complications that include dysphagia and dysphonia. This study demonstrates that long\u2010term swallowing and voice dysfunction appear to persist longer than what is noted by patient utilization of follow\u2010up otolaryngologic care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 134:3201\u20133205, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31340","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T08:34:17Z","timestamp":1708158857000},"page":"3201-3205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterizing Long\u2010Term Swallowing and Voice Outcomes Following Anterior Transcervical Approach"],"prefix":"10.1002","volume":"134","author":[{"given":"Ahmed","family":"Toure","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Weill Cornell Medical Center, New York Presbyterian Hospital  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1515-3859","authenticated-orcid":false,"given":"Audrey","family":"Abend","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Weill Cornell Medical Center, New York Presbyterian Hospital  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel S.","family":"Lipsky","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Weill Cornell Medical Center, New York Presbyterian Hospital  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David I.","family":"Kutler","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Weill Cornell Medical Center, New York Presbyterian Hospital  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,17]]},"reference":[{"volume-title":"Campbell's Operative Orthopaedics, E\u2010Book","year":"2020","author":"Azar FM","key":"e_1_2_6_2_1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2017.10.072"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200211150-00007"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3171\/2017.5.SPINE161104"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318154c57e"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2011.07.004"},{"issue":"3","key":"e_1_2_6_8_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0173364","article-title":"The incidences and risk factors related to early dysphagia after anterior cervical spine 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