LIU Peigen 1 , LUO Jie 1 , LUO Bin 1 , ZHANG Zeyu 1 , MA Yinhua 1 , CHEN Daibo 2 , YANG Yinghong 1 , YAN Jing 1
  • 1. Department of General Surgery, Panzhihua Central Hospital, Panzhihua, Sichuan 617000, P. R. China;
  • 2. Department of Otolaryngology, Panzhihua Central Hospital, Panzhihua, Sichuan 617000, P. R. China;
YAN Jing, Email: 1455819058@qq.com
thyroid cancer; robotic thyroid surgery; voice function; series of case study
10.7507/1007-9424.202305048
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Objective To investigate the voice function before and after surgery in patients undergoing axillary thyroidectomy with da Vinci robotic Xi system. Methods Seventy female patients who underwent robotic thyroid cancer radical resection in Panzhihua Central Hospital from March 2022 to March 2023 were selected. The voice dysfunction index scale VHI-10, auditory perception evaluation scale GRBAS and voice analysis software were used to evaluate the voice function of patients subjectively and objectively at 1 day before operation, 1 week and 3 months after surgery. Results The operative time was (128.13±48.36) min, the amount of blood loss was (16.36±8.23) mL. There were no significant differences in the points of function, physiology and emotion evaluated by VHI-10 scale at 1 week and 3 months after operation compared with those before operation (P>0.05). There were no significant differences in the three characteristics points of voice roughness, breathiness, and strain evaluated by GRBAS scale at 1 week and 3 months after operation (P>0.05). At 1 week after operation, the total hoarseness grade and asthenia evaluated by GRBAS scale were increased in different degrees as compared with those before operation and the difference was statistically significant (P<0.05), while the total hoarseness grade and asthenia points were decreased at 3 months after operation and there was no significant difference as compared with that before operation (P>0.05). Voice acoustic analysis results showed that there were no significant differences in fundamental frequency, jitter, shimmer and harmonic to noise ratio of the patients between at 1 week or 3 months after operation and before operation (P>0.05). The maximum phonation time (MPT) of patients was decreased at 1 week after operation as compared with that before operation, and the difference was statistically significant (P<0.05). The MPT of the patients recovered at 3 months after operation, and there was no significant difference as compared with that before operation (P>0.05). The dysphonia severity index (DSI) of patients at 1 week after surgery was decreased as compared with that before surgery, and the difference was statistically significant (P<0.05). The DSI was increased at 3 months after operation and there was no significant difference as compared with that before operation (P>0.05). Conclusion Robot radical thyroidectomy via axillary breast is safe and can protect the voice function.

Citation： LIU Peigen, LUO Jie, LUO Bin, ZHANG Zeyu, MA Yinhua, CHEN Daibo, YANG Yinghong, YAN Jing. Voice function comparison of 70 patients undergoing robotic radical thyroidectomy via axillary and breast approach before and after surgery: a single-center series of case study. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(10): 1244-1248. doi: 10.7507/1007-9424.202305048 Copy

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