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Updates in Surgery
Published in: Updates in Surgery 4/2020

01-12-2020 | Dysphonia | Original Article

Posture and dysphonia associations in patients undergoing total thyroidectomy: stabilometric analysis

Authors: Galletti Bruno, Sciumè Melissa, Catalano Natalia, Gazia Francesco, Freni Francesco, Bruno Rocco, Longo Patrizia, Pino Antonella, Caruso Ettore, Daqi Zhang, Dionigi Gianlorenzo, Galletti Francesco

Published in: Updates in Surgery | Issue 4/2020

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Abstract

The aim of this study is the analysis of postural changes of patients affected by vocal disorders post-thyroidectomy, in the absence of post-operative organ damage, through a stabilometry analysis, evaluating the effectiveness of a speech-language intensive treatment in phoniatric and postural quality recovery. 260 patients with vocal dysfunction after surgery without iatrogenic damage were enrolled. 130 patients were subject to post-surgical logopedic rehabilitative training (Group A); other 130 patients were not subject to any post-surgical treatment (Group B). For all patients, vocal and stabilometric parameters were evaluated before and after 2 days and 1 month from surgery. Vocal parameters evaluated were Voice Handicap Index-10, Maximum Phonation Time and objective evaluation of voice with Multidimensional Voice Program (MDVP). Stabilometric parameters evaluated were Sway area (mm2) and Sway velocity (mm/s) in firm surface and foam pad with eyes opened and closed. Regarding the stabilometric parameters, Group A obtained a statistically significant recovery of the correct posture statistically significant compared to Group B, after a month of speech therapy. Vocal parameters (VHI, MPT, MDVP) were statistically different between the two groups (p < 0.05), with a better improvement in Group A. Thanks to our study, we have shown that a logopedic rehabilitation therapy in patients with dysfunctional post-thyroidectomy dysphonia improves both the vocal and postural outcomes.
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Metadata
Title
Posture and dysphonia associations in patients undergoing total thyroidectomy: stabilometric analysis
Authors
Galletti Bruno
Sciumè Melissa
Catalano Natalia
Gazia Francesco
Freni Francesco
Bruno Rocco
Longo Patrizia
Pino Antonella
Caruso Ettore
Daqi Zhang
Dionigi Gianlorenzo
Galletti Francesco
Publication date
01-12-2020
Publisher
Springer International Publishing
Published in
Updates in Surgery / Issue 4/2020
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-020-00844-0

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