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Table 3 Methods and results of voice function assessment in endoscopic thyroid surgery

From: Advances in the assessment of cosmetic outcomes, sensory alteration in surgical areas, and health-related quality of life of endoscopic thyroidectomy

Researcher

Surgery approach

No. of cases

Study design

Follow-up time

Assessment method

Result

Liu et al. [57]

Robotic/endoscopic

67/58

Retrospective study

Post-op 1 week, 1 and 3 months

VHI-10, voice acoustic analysis

No significant difference in the VHI-10 scores; F0 and MPT were higher in robotic group post-op 1 week

Kim et al. [63]

Transoral/OT

44/38

Retrospective study

Pre-op, post-op 1 month

TVQ, GRBAS score, laryngoscopy, acoustic analysis

No significant difference in TVQ score, the GRBAS score, or acoustic analysis between two groups

Han et al. [54]

TOETVA/OT

52/50

Retrospective study

Post-op 3, 6 months

VHI-10, GRBAS score, acoustic and aerodynamic analysis

No significant differences in VHI-10, GRBAS scores, acoustic and aerodynamic analysis between two groups

Liu et al. [55]

Subplatysmal/subfascial

129/320/56

Prospective study

Pre-op, post-op 2 weeks, 3 and 6 months

VHI-10

No significant difference in VHI-10 scores between two groups

Lee et al. [61]

Robotic IONM/robotic non-IONMa

25/25

Prospective study

Pre-op, post-op 2 weeks, 3 and 6 months

VHI, voice range profile (VRP), laryngoscopy

No significant difference in VHI-10 scores between two groups; earlier recovery in VRP minimum intensity in non-IONM group

Bae et al. [62]

Robotic thyroid surgerya

30

Prospective study

Pre-op, post-op 1 and 3 months

VHI-10

The mean VHI-10 score was higher postoperatively and the scores were lower at post-op 3 months than 1 month

  1. Abbreviation: VHI-10, voice handicap index 10; TVQ, Thyroidectomy-related voice questionnaire; GRBAS, the grade of dysphonia, roughness, breathiness, asthenia, and strain; TOETVA, transoral endoscopic thyroidectomy vestibular approach; IONM, intraoperative neuromonitoring
  2. aThe studies focused on the outcome of the application of intraoperative neuromonitoring in robotic thyroid surgery