{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:32:29Z","timestamp":1787319149951,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T00:00:00Z","timestamp":1686700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Division of the sternothyroid muscle during thyroidectomy is a widely accepted surgical technique to provide improved exposure of the thyroid gland, thus facilitating the ligation of superior pole vessels and identification of the laryngeal nerves. However, few have examined the impact on voice outcomes. We evaluate the impact of sternothyroid muscle division on patient\u2010perceived voice outcomes after thyroidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary academic institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study was conducted comparing pre\u2010 and postoperative voice outcome data after thyroidectomy, measured using Voice Handicap Index\u201010. The cohort of 109 patients underwent lobectomy or total thyroidectomy by a single surgeon at 1 institution. The sternothyroid muscle was fully divided in all surgeries. The integrity of the recurrent laryngeal and external branches of the superior laryngeal nerve was assessed using intraoperative nerve monitoring and postoperative laryngoscopy. Pre\u2010 and postoperative Voice Handicap Index\u201010 scores were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No statistically significant difference was found between total pre\u2010 and postoperative Voice Handicap Index\u201010 scores (\n                      <jats:italic>\u03bc<\/jats:italic>\n                      <jats:sub>preop<\/jats:sub>\n                      \u2009=\u20091.92,\n                      <jats:italic>\u03bc<\/jats:italic>\n                      <jats:sub>postop<\/jats:sub>\n                      \u2009=\u20091.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.87). There were no questions yielding statistically significant responses between pre\u2010 and postoperative groups. This was consistent regardless of whether the sternothyroid muscle was cut unilaterally or bilaterally. Men showed a statistically significant improvement in score after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings support no difference in postoperative voice outcomes after the intraoperative division of the sternothyroid muscle. This supports the usage of this technique as a safe means to facilitate exposure during thyroid surgery and will serve as important information to guide intraoperative surgical decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.401","type":"journal-article","created":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T06:17:41Z","timestamp":1686723461000},"page":"1550-1555","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of Sternothyroid Muscle Division on Patient\u2010Reported Voice Outcomes After Thyroid Surgery: A Prospective Study"],"prefix":"10.1002","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7248-8979","authenticated-orcid":false,"given":"Christine","family":"Barron","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Icahn School of Medicine at Mount Sinai\/New York Eye and Ear Infirmary New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Hamberis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Icahn School of Medicine at Mount Sinai\/New York Eye and Ear Infirmary New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Gold","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Icahn School of Medicine at Mount Sinai\/New York Eye and Ear Infirmary New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3041-0866","authenticated-orcid":false,"given":"Jun","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Icahn School of Medicine at Mount Sinai\/New York Eye and Ear Infirmary New York New York USA"},{"name":"THANC (Thyroid, Head &amp; Neck Cancer) Foundation at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond L.","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Icahn School of Medicine at Mount Sinai\/New York Eye and Ear Infirmary New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813487301"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(97)80046-X"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-013-9863-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.06.020"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-9936-8"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4163-6"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(97)70133-5"},{"key":"e_1_2_8_9_1","first-page":"1","article-title":"The role of the external laryngeal muscles in length\u2010adjustment of the vocal cords in singing; phoniatric, roentgenologic and experimental studies of the mechanism of pitch change in the voice with special reference to the function of the sternothyroid","volume":"130","author":"Sonninen AA","year":"1956","journal-title":"Acta Otolaryngol Suppl"},{"issue":"2","key":"e_1_2_8_10_1","first-page":"118","article-title":"Strap muscles in thyroid surgery: to cut or not to cut?","volume":"75","author":"Jaffe V","year":"1993","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1622.2000.01781.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/416535"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0603.66"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.1621"},{"issue":"2","key":"e_1_2_8_15_1","first-page":"61","article-title":"The voice handicap index as a tool for assessment of the biopsychosocial impact of voice problems","volume":"3","author":"Maertens K","year":"2007","journal-title":"B\u2010ENT"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.04.006"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:52:40Z","timestamp":1760957560000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,14]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/ohn.401"],"URL":"https:\/\/doi.org\/10.1002\/ohn.401","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,14]]},"assertion":[{"value":"2023-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}