{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:27:11Z","timestamp":1788269231478,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T00:00:00Z","timestamp":1597104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T00:00:00Z","timestamp":1597104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T00:00:00Z","timestamp":1597104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/501100015098","name":"Seoul Metropolitan Government Seoul National University Boramae Medical Center","doi-asserted-by":"crossref","award":["03-2017-11"],"award-info":[{"award-number":["03-2017-11"]}],"id":[{"id":"10.13039\/501100015098","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a scarless remote\u2010access thyroidectomy technique. This study compared subjective and objective voice outcomes and swallowing outcomes of patients who underwent thyroid lobectomy using the TOETVA versus conventional open thyroidectomy (OT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In addition to questionnaires, acoustic and aerodynamic analyses were performed to compare subjective and objective voice outcomes of the two groups. Swallowing outcome analyses were conducted using Swallowing Impairment Index\u20106 (SIS\u20106) scores. Assessments were performed preoperatively and 3 and 6\u00a0months after surgery. Propensity score matching was performed to compare the outcomes of the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and two patients were included in this study (52 TOETVA and 50 OT). Excluding two patients who had vocal cord palsy and open conversion in the TOETVA group, 100 patients completed 3\u2010month postoperative surveys. There were no significant differences between the groups in VAS, GRBAS, or VHI\u201010 scores at the preoperative and 3\u2010 and 6\u2010month assessments. For both groups, there were no significant changes in acoustic or aerodynamic parameters during the 3\u20136\u2010month postoperative period. The TOETVA group had lower SIS\u20106 scores at the postoperative 6\u2010month assessment, but the SIS\u20106 scores after 12\u00a0months were similar between groups before and after propensity score matching.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Following TOETVA lobectomy, there were no significant changes in voice outcomes 3 and 6\u00a0months after surgery, and the outcomes were comparable with those of OT. The TOETVA group also had swallowing outcomes that were comparable with the OT group.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05731-8","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T18:04:01Z","timestamp":1597169041000},"page":"4127-4135","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Functional Voice and Swallowing Outcome Analysis After Thyroid Lobectomy: Transoral Endoscopic Vestibular Versus Open Approach"],"prefix":"10.1002","volume":"44","author":[{"given":"Sungjun","family":"Han","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery, St. Vincent's Hospital, College of Medicine The Catholic University of Korea Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tack\u2010Kyun","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Seoul Metropolitan Government Seoul National University Boramae Medical Center Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8830-3433","authenticated-orcid":false,"given":"Young Jun","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul Metropolitan Government Seoul National University Boramae Medical Center 20 Boramaep\u2010ro 5\u2010gil, Dongjak\u2010gu 07061 Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jina","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Korea University College of Medicine Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doh Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Seoul Metropolitan Government Seoul National University Boramae Medical Center Seoul 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