{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:41:40Z","timestamp":1792060900019,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,2,8]],"date-time":"2008-02-08T00:00:00Z","timestamp":1202428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Voice and swallowing symptoms are frequently reported after thyroidectomy even in absence of objective voice alterations. We evaluated the influence of the video\u2010assisted approach on voice and swallowing outcome of thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010five patients undergoing total thyroidectomy (TT) were recruited. Eligibility criteria were: nodule size \u226430\u00a0mm, thyroid volume \u226430\u00a0ml, no previous neck surgery. Exclusion criteria were: younger than aged 18 years and older than aged 75 years, vocal fold paralysis, history of voice, laryngeal or pulmonary diseases, malignancy other than papillary thyroid carcinoma. Patients were randomized for video\u2010assisted (VAT) or conventional (CT) thyroidectomy. Videostrobolaryngoscopy (VSL), acoustic voice analysis (AVA), and maximum phonation time (MPT) evaluation were performed preoperatively and 3\u00a0months after TT. Subjective evaluation of voice (voice impairment score = VIS) and swallowing (swallowing impairment score = SIS) were obtained preoperatively, 1 week, 1\u00a0month, and 3\u00a0months after TT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010three patients completed the postoperative evaluation: 29\u00a0in the VAT group, and 24\u00a0in the CT group. No laryngeal nerves injury was shown at postoperative VSL. Mean postoperative MPT, <jats:italic>F<\/jats:italic><jats:sub>0<\/jats:sub>, <jats:italic>F<\/jats:italic><jats:sub>low<\/jats:sub>, <jats:italic>F<\/jats:italic><jats:sub>high<\/jats:sub>, and the number of semitones were significantly reduced in the CT group but not in the VAT group. Mean VIS 3\u00a0months after surgery was significantly higher than preoperatively in CT group but not in the VAT group. Mean SIS was significantly decreased 1 and 3\u00a0months after VAT but not after CT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence and the severity of early voice and swallowing postthyroidectomy symptoms are significantly reduced in patients who undergo VAT compared with conventional surgery.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9443-2","type":"journal-article","created":{"date-parts":[[2008,2,7]],"date-time":"2008-02-07T13:01:16Z","timestamp":1202389276000},"page":"693-700","source":"Crossref","is-referenced-by-count":89,"title":["Video\u2010Assisted Thyroidectomy Significantly Reduces the Risk of Early Postthyroidectomy Voice and Swallowing Symptoms"],"prefix":"10.1002","volume":"32","author":[{"given":"Celestino P.","family":"Lombardi","sequence":"first","affiliation":[{"name":"Division of Endocrine Surgery, Department of Surgery Universit\u00e0 Cattolica del Sacro Cuore, Policlinico \u201cA. Gemelli\u201d L.go A. Gemelli 8 00168 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Raffaelli","sequence":"additional","affiliation":[{"name":"Division of Endocrine Surgery, Department of Surgery Universit\u00e0 Cattolica del Sacro Cuore, Policlinico \u201cA. Gemelli\u201d L.go A. Gemelli 8 00168 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"D\u2019alatri","sequence":"additional","affiliation":[{"name":"Institute of Otolaryngology Universit\u00e0 Cattolica del Sacro Cuore, Policlinico \u201cA. Gemelli\u201d L.go A. Gemelli 8 00168 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmela","family":"De Crea","sequence":"additional","affiliation":[{"name":"Division of Endocrine Surgery, Department of Surgery Universit\u00e0 Cattolica del Sacro Cuore, Policlinico \u201cA. Gemelli\u201d L.go A. 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