{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:53:01Z","timestamp":1792144381085,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anesthesiology Research and Practice"],"published-print":{"date-parts":[[2023,8,7]]},"abstract":"<jats:p>Background and Aims. Postoperative voice change, difficulty of swallowing, throat pain, and neck pain are the most commonly complaint after thyroid surgery. However, little emphasis is given to the problem, especially a place where the surgical and anesthesia services\u2019 unmet need is highly observed, i.e., the problem gets little attention especially in the countries where the gaps of surgery and anesthesia services are observed. Hence, this study aims to determine the magnitude and associated factors of voice change and related complaints after thyroid surgery. Methods. A cross-sectional study was conducted on 151 patients who had had thyroid surgery from June 1 to December 30, 2021. Data were retrieved during the postoperative period after the patient regains consciousness. Result. Out of 151 participants, 98 (64.9%) patients complained of either voice change or difficulty of swallowing and neck pain after thyroid surgery within 24\u2009hours. Majority (58.3%) of the participants aged more than 30\u2009years with a mean age of 33.7\u2009\u00b1\u20098.3\u2009years and females 102 (67.5%). Neck pain is the most (52.3%) complained suffering after thyroid surgery, followed by voice change 38.4% and difficulty in swallowing 37.7%. Difficulty in swallowing after thyroid surgery significantly associated with a patient who frequently experience intraoperative hypotension (AOR\u2009=\u200923.24, 95% CI 4.6\u2013116.7, and <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>p<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>0.01<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>), type of surgical procedure (total thyroidectomy) (AOR\u2009=\u20098.62, 95% CI 1.21\u201361.50, and <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>p<\/c:mi>\n                        <c:mo>=<\/c:mo>\n                        <c:mn>0.03<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>), and larger ETT size (AOR\u2009=\u20094.92, 95% CI 1.34\u201318.01, and <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>p<\/e:mi>\n                        <e:mo>=<\/e:mo>\n                        <e:mn>0.02<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>). Postoperative voice change is associated with larger endotracheal tube (AOR\u2009=\u200915.47, 95% CI 3.4\u201369.5, and <jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>p<\/g:mi>\n                        <g:mo>\u2264<\/g:mo>\n                        <g:mn>0.001<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>), surgery lasting more than 2\u2009hours (AOR\u2009=\u20097.34, 95% CI 1.5\u201335.1, and <jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>p<\/i:mi>\n                        <i:mo>=<\/i:mo>\n                        <i:mn>0.01<\/i:mn>\n                     <\/i:math>\n                  <\/jats:inline-formula>), and intraoperative hypotension (AOR\u2009=\u200923.24, 95% CI 4.6\u2013116.7, and <jats:inline-formula>\n                     <k:math xmlns:k=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                        <k:mi>p<\/k:mi>\n                        <k:mo>\u2264<\/k:mo>\n                        <k:mn>0.001<\/k:mn>\n                     <\/k:math>\n                  <\/jats:inline-formula>). Conclusion. The complaint of postthyroidectomy neck pain and throat discomfort is higher than 64.9%. Intraoperative hypotension, blood loss, higher ETT size utilization, and duration of surgical procedure are the identified possible risk factors and have to be minimized as much as possible. Patient reassurance has to be considered during the postoperative time.<\/jats:p>","DOI":"10.1155\/2023\/1312980","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T20:50:07Z","timestamp":1691441407000},"page":"1-7","source":"Crossref","is-referenced-by-count":6,"title":["The Underreported Postoperative Suffering after Thyroid Surgery: Dysphagia, Dysphonia, and Neck Pain\u2014A Cross-Sectional Study"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0302-7183","authenticated-orcid":true,"given":"Hunduma Jisha","family":"Chawaka","sequence":"first","affiliation":[{"name":"Ambo University, Anesthesiology, Ambo, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zenebe Bekele","family":"Teshome","sequence":"additional","affiliation":[{"name":"Ambo University, Anesthesiology, Ambo, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.08.008"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.06.020"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200212000-00015"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.10.009"},{"issue":"4","key":"5","first-page":"223","article-title":"Meta-analysis of recurrent laryngeal nerve injury in thyroid surgery with or without intraoperative nerve monitoring","volume":"34","author":"F. 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Kadri","year":"2009","journal-title":"Pakistan Journal of Medical Sciences"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-011-1293-2"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2009.02159.x"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2012.02768.x"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen023"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2017.27.127.10566"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1984.tb08932.x"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2009.02.015"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-280"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13438"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0074467"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/73.6.786"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1017\/s0265021505000529"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-022-07386-8"},{"issue":"4","key":"27","first-page":"290","article-title":"Dysphagia and dysphonia in patients submited to the anterior approach to the cervical spine","volume":"10","author":"B. 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Ahmed","year":"2007","journal-title":"Journal of Ayub Medical College, Abbottabad"},{"issue":"4","key":"35","first-page":"373","article-title":"World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects","volume":"79","author":"World Medical Association","year":"2001","journal-title":"Bulletin of the World Health Organization"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1101\/2022.09.04.22279584"}],"container-title":["Anesthesiology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2023\/1312980.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2023\/1312980.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2023\/1312980.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T20:50:16Z","timestamp":1691441416000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/arp\/2023\/1312980\/"}},"subtitle":[],"editor":[{"given":"Ronald G.","family":"Pearl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,8,7]]},"references-count":36,"alternative-id":["1312980","1312980"],"URL":"https:\/\/doi.org\/10.1155\/2023\/1312980","relation":{},"ISSN":["1687-6970","1687-6962"],"issn-type":[{"value":"1687-6970","type":"electronic"},{"value":"1687-6962","type":"print"}],"subject":[],"published":{"date-parts":[[2023,8,7]]}}}