Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal Outcomes

Background. Cutting the sternothyroid (ST) muscle is a useful technique to expose the superior pole of thyroid gland during thyroidectomy. In this study, we evaluated the impact of partial cutting of the ST muscle on postoperative vocal outcomes after total thyroidectomy. Methods. A retrospective re...

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Main Authors: Hyoung Shin Lee, Sung Won Kim, Hyo Sang Park, Chan Woo Park, Ji Soo Kim, Jong Chul Hong, Yong-Ki Kim, Seon Mi Baek, Kang Dae Lee
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/416535
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author Hyoung Shin Lee
Sung Won Kim
Hyo Sang Park
Chan Woo Park
Ji Soo Kim
Jong Chul Hong
Yong-Ki Kim
Seon Mi Baek
Kang Dae Lee
author_facet Hyoung Shin Lee
Sung Won Kim
Hyo Sang Park
Chan Woo Park
Ji Soo Kim
Jong Chul Hong
Yong-Ki Kim
Seon Mi Baek
Kang Dae Lee
author_sort Hyoung Shin Lee
collection DOAJ
description Background. Cutting the sternothyroid (ST) muscle is a useful technique to expose the superior pole of thyroid gland during thyroidectomy. In this study, we evaluated the impact of partial cutting of the ST muscle on postoperative vocal outcomes after total thyroidectomy. Methods. A retrospective review of 57 patients who underwent total thyroidectomy with central neck dissection for micropapillary thyroid carcinoma was conducted. Group A (n=26) included those without cutting the ST muscle, while group B (n=31) included patients whose muscle was partially cut at the superior pole. All patients underwent voice analysis before the operation and 2 weeks and 1 month after the surgery, and the outcomes were compared between the two groups. Results. There were no differences between the two groups regarding the outcomes at each time of voice analysis. Group A showed a decrease of maximum frequency 2 weeks after surgery but showed no difference after 1 month. Group B showed a mild decrease in maximum frequency 2 weeks after surgery, but the difference was not significant. Conclusion. Partial cutting of ST muscle during thyroidectomy is useful to expose the superior pole without significant negative impact on postoperative outcomes of vocal analysis.
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issn 1537-744X
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publisher Wiley
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spelling doaj-art-ed96679dbb8c417394caa77460c37ffa2025-02-03T05:44:50ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/416535416535Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal OutcomesHyoung Shin Lee0Sung Won Kim1Hyo Sang Park2Chan Woo Park3Ji Soo Kim4Jong Chul Hong5Yong-Ki Kim6Seon Mi Baek7Kang Dae Lee8Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan 602-702, Republic of KoreaDepartment of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan 602-702, Republic of KoreaDepartment of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan 602-702, Republic of KoreaDepartment of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan 602-702, Republic of KoreaDepartment of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan 602-702, Republic of KoreaDepartment of Otolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaKim Yong Ki Internal Medicine Clinic, Busan 602-808, Republic of KoreaSharing and Happiness Hospital, Busan 612-035, Republic of KoreaDepartment of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan 602-702, Republic of KoreaBackground. Cutting the sternothyroid (ST) muscle is a useful technique to expose the superior pole of thyroid gland during thyroidectomy. In this study, we evaluated the impact of partial cutting of the ST muscle on postoperative vocal outcomes after total thyroidectomy. Methods. A retrospective review of 57 patients who underwent total thyroidectomy with central neck dissection for micropapillary thyroid carcinoma was conducted. Group A (n=26) included those without cutting the ST muscle, while group B (n=31) included patients whose muscle was partially cut at the superior pole. All patients underwent voice analysis before the operation and 2 weeks and 1 month after the surgery, and the outcomes were compared between the two groups. Results. There were no differences between the two groups regarding the outcomes at each time of voice analysis. Group A showed a decrease of maximum frequency 2 weeks after surgery but showed no difference after 1 month. Group B showed a mild decrease in maximum frequency 2 weeks after surgery, but the difference was not significant. Conclusion. Partial cutting of ST muscle during thyroidectomy is useful to expose the superior pole without significant negative impact on postoperative outcomes of vocal analysis.http://dx.doi.org/10.1155/2013/416535
spellingShingle Hyoung Shin Lee
Sung Won Kim
Hyo Sang Park
Chan Woo Park
Ji Soo Kim
Jong Chul Hong
Yong-Ki Kim
Seon Mi Baek
Kang Dae Lee
Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal Outcomes
The Scientific World Journal
title Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal Outcomes
title_full Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal Outcomes
title_fullStr Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal Outcomes
title_full_unstemmed Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal Outcomes
title_short Partial Cutting of Sternothyroid Muscle during Total Thyroidectomy: Impact on Postoperative Vocal Outcomes
title_sort partial cutting of sternothyroid muscle during total thyroidectomy impact on postoperative vocal outcomes
url http://dx.doi.org/10.1155/2013/416535
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