Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지

Role of Voice Therapy after Post-Thyroidectomy Dysphonia

갑상선 수술 후 발생한 음성장애에 대한 음성치료 역할

  • Yun, Young-Sun (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center)
  • 윤영선 (삼성서울병원 이비인후과 음성언어치료실)
  • Published : 2015.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Voice therapy after post-thyroidectomy dysphonia is designed to improve glottal closure without supraglottic hyperfunction by development of abdominal support for breathing and intrinsic muscle strengthening exercises. Regarding voice therapy of unilateral vocal fold paresis/paralysis, several techniques such as head positioning, digital manipulation, pushing and pulling method are used for trial or temporary therapy. And the holistic voice therapy such as LSVT, Accent method, VFE are useful for hypofunctional voice disorders. These may be effective interventions as a temporary improvement until normal voice recovers or may provide the essentials for long-term rehabilitation.

Keywords

References

  1. Jeannon JP, Orabi AA, Bruch GA, Abdalsalam HA, Simo R. Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy: a systematic review. Int J Clin Pract 2009;63(4):624-9. https://doi.org/10.1111/j.1742-1241.2008.01875.x
  2. Boone DR, McFarlane SC, Von Berg SL, Zraick RI. The voice and voice therapy. 9th ed. USA: Pearson;2014.
  3. 윤영선. 과소기능발성의 음성치료. In: 대한후두음성언어의학회 편, 후두음성언어의학회 I. 1판. 서울: 일조각;2012. p.129-40.
  4. Boone DR, McFarlane SC. The voice and voice therapy. 4th ed. New Jersey: Prentice Hall;1998.
  5. Ramig LO, Bonitati CM, Lemke JH, Horii Y. Voice treatment for patients with Parkinson disease: development of an approach and preliminary efficacy data. J Med Speech Lang Pathol 1994;2:191-209.
  6. Kotby MN, Shiromoto O, Hirano M. The accent method of voice therapy: effect of accentuations or Fo, SPL, and airflow. J Voice 1993;7:319-25. https://doi.org/10.1016/S0892-1997(05)80120-1
  7. Khidr A. Effect of the "Smith accent technique" of voice therapy on the laryngeal functions and voice quality of patients with unilateral vocal fold paralysis. International Congress Series 2003;1240:1235-41. https://doi.org/10.1016/S0531-5131(03)00836-7
  8. El-Banna M, Youssef G. Early voice therapy in patients with unilateral vocal fold paralysis. Folia Phoniatr Logop 2014;66:237-43. https://doi.org/10.1159/000369167
  9. Stemple JC, Lee L, D'Amico B, Pickup B. Efficacy of vocal function exercises as a method of improving voice production. J Voice 1994;8:271-8. https://doi.org/10.1016/S0892-1997(05)80299-1
  10. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, et al. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. J Voice 2014;28(6):799-808. https://doi.org/10.1016/j.jvoice.2014.02.003
  11. Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Kraemer J, et al. Clinical practice guideline: improving voice outcomes after thyroid surgery. Otolaryngol Head Neck Surg 2014;148(6S):S1-37.
  12. Mattioli F, Bergamini G, Alicandri-Ciufelli M, Molteni G, Luppi MP, Nizzoli F, et al. The role of early voice therapy in the incidence of motility recovery in unilateral vocal fold paralysis. Logoped Phoniatr Vocol 2011;36:40-4. https://doi.org/10.3109/14015439.2011.554433