Risk factors and prognosis of voice disorders after surgical treatment of thyroid and parathyroid diseases

P.S. Vetshev

N.I. Pirogov National medical surgical center, Moscow, Russia

P.L. Yankin

Pirogov National Medical and Surgical Center, Healthcare Ministry of Russia, Moscow, Russia

V.A. Zhivotov

Pirogov National Medical and Surgical Center, Healthcare Ministry of Russia, Moscow, Russia

E.I. Poddubniy

Pirogov National Medical and Surgical Center, Healthcare Ministry of Russia, Moscow, Russia

A.Yu. Drozhzhin

Pirogov National Medical-Surgical Center of Ministry of Health of the Russia, Moscow, Russia

V.D. Prokhorov

Pirogov National Medical-Surgical Center of Ministry of Health of the Russia, Moscow, Russia

Risk factors and prognosis of voice disorders after surgical treatment of thyroid and parathyroid diseases

Authors:

P.S. Vetshev, P.L. Yankin, V.A. Zhivotov, E.I. Poddubniy, A.Yu. Drozhzhin, V.D. Prokhorov

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(4): 5‑14

DOI: 10.17116/hirurgia20190415

Downloaded: 36

To cite this article:

Vetshev PS, Yankin PL, Zhivotov VA, Poddubniy EI, Drozhzhin AYu, Prokhorov VD. Risk factors and prognosis of voice disorders after surgical treatment of thyroid and parathyroid diseases. Pirogov Russian Journal of Surgery. 2019;(4):5‑14. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia20190415

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Aim — to analyze risk factors and prognosis of voice disorders after surgical treatment of thyroid and parathyroid diseases. Material and methods. There were 1272 patients who were operated in the endocrine surgery department for the period from January 1, 2016 to April 30, 2017. We studied the incidence of VF paresis, VF paralysis, and persistent dysphonia as clinical outcomes. Potential risk factors have to be analyzed were sex and age of patients, BMI, diagnosis, surgical technique, thyroid volume, experience of the surgeon and assistant, use of intraoperative neuromonitoring, etc. Results. Significant relationships of risk factors with various complications of thyroid surgery were found. In logistic regression analysis, the independent predictors of complications were the following: 1) for VF paresis — extent of surgery and thyroid volume; 2) for VF paralysis — sex, extent of surgery and thyroid volume; 3) for persistent postoperative dysphonia — age and thyroid volume. Conclusion. The correlation of various risk factors with development of VF paresis, VF paralysis and persistent dysphonia were identified in patients undergoing thyroid and parathyroid surgery.

Keywords:

vocal fold paresis

vocal fold paralysis

dysphonia

thyroid surgery

parathyroid surgery

voice quality

recurrent laryngeal nerve injury

risk factors

logistic regression

multivariate analysis

Authors:

P.S. Vetshev

N.I. Pirogov National medical surgical center, Moscow, Russia

P.L. Yankin

Pirogov National Medical and Surgical Center, Healthcare Ministry of Russia, Moscow, Russia

V.A. Zhivotov

Pirogov National Medical and Surgical Center, Healthcare Ministry of Russia, Moscow, Russia

E.I. Poddubniy

Pirogov National Medical and Surgical Center, Healthcare Ministry of Russia, Moscow, Russia

A.Yu. Drozhzhin

Pirogov National Medical-Surgical Center of Ministry of Health of the Russia, Moscow, Russia

V.D. Prokhorov

Pirogov National Medical-Surgical Center of Ministry of Health of the Russia, Moscow, Russia

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