{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:19:09Z","timestamp":1791883149703,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Some patients complain of long\u2010lasting voice symptoms after thyroid surgery without objective vocal fold pathology. We assessed the factors that may influence voice symptoms more than 12\u00a0months after thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective analysis of 68 patients from July 2010 to May 2012. The voices of all patients were analyzed before and after thyroid surgery (2 weeks and 2, 4, 6, 8, 10, and 12\u00a0months after surgery). According to the recovery of postoperative voice symptoms, patients were divided into two groups: the non\u2010recovery group and the recovery group. Voice symptoms were measured using a thyroidectomy\u2010related voice questionnaire (TVQ). We compared voice analysis data for each group and investigated the factors related to long\u2010lasting postoperative voice symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010nine patients were included in the recovery group, and 19 patients were included in the non\u2010recovery group. No differences in sex ratio, tumor size, and surgical extent were found between the groups. However, the proportion of professional voice users (odds ratio 4.121; 95% confidence interval 0.983\u201317.267; <jats:italic>p<\/jats:italic> &lt; 0.043) was significantly higher in the non\u2010recovery group. The cutoff score of the TVQ, at 2\u00a0months after thyroid surgery, for the differentiation of the recovery and non\u2010recovery groups was 25, and the sensitivity and specificity values were 84.2 and 87.8%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Professional voice users may be presented long\u2010lasting voice symptoms after thyroid surgery. The cutoff TVQ score of 25, at 2\u00a0months after thyroid surgery, may be a guideline for counseling patients who have voice symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4438-0","type":"journal-article","created":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T22:59:54Z","timestamp":1514588394000},"page":"2109-2116","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Long\u2010Lasting Voice\u2010Related Symptoms in Patients Without Vocal Cord Palsy After Thyroidectomy"],"prefix":"10.1002","volume":"42","author":[{"given":"Choung\u2010Soo","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, College of Medicine The Catholic University of Korea 222 Banpo\u2010Daero, Seocho\u2010Gu 06591 Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun Ook","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Inje University College of Medicine, Haeundae Paik Hospital Busan Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ja\u2010Sung","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine The Catholic University of Korea Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So\u2010Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine The Catholic University of Korea Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young\u2010Hoon","family":"Joo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, College of Medicine The Catholic University of Korea 222 Banpo\u2010Daero, Seocho\u2010Gu 06591 Seoul Republic 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