Objective: To evaluate results of telerehabilitation (TR) during the coronavirus disease 2019 pandemic for the treatment of dysphonia caused by permanent post-thyroidectomy unilateral vocal fold paralysis (UVFP). Methods: Forty subjects with post-thyroidectomy UVFP (onset <1 month) underwent TR. Videostrobolaryngoscopy, acoustic and perceptual voice analysis and patient self-assessment were carried out in person before, at the end of TR and 6 months later. Results: Twenty-five subjects spontaneously recovered full vocal fold motility at some time during follow-up, whereas 15 had a permanent UVFP at the end of the follow-up period. These subjects constituted our study group. At the early posttherapy control 10/15 subjects (66.6%) showed a complete glottal closure, while in 5/15 (33.3%) a glottal gap remained (P = 0.03). These results did not change 6 months after TR. At the late posttherapy control the maximum phonation time improved significantly (P = 0.02). Both post-therapy Voice Handicap Index scores were significantly lower than the pre-therapy ones (P = 0.04). Grade, Breathiness, and Asthenia parameters of the Grade-Roughness-Breathiness-Asthenia-Strain scale improved 6 months after TR (P < 0.05). The number of voice signals suitable for acoustic analysis increased significantly after therapy. Finally, 87% of patients were satisfied with TR. Conclusions: With careful patient selection, TR may be considered as a promising method for voice therapy in postthyroidectomy UVFP. Keywords: Telerehabilitation—Voice therapy—Thyroidectomy—Unilateral vocal fold paralysis–COVID-19–SARS-CoV-2.

Mari, G., Marchese, M. R., Longobardi, Y., Proietti, I., Marenda, M. E., Di Cesare, T., D'alatri, L., Voice Telerehabilitation in Iatrogenic Unilateral Vocal Fold Paralysis: From Necessity to Opportunity in the COVID-19 Time, <<JOURNAL OF VOICE>>, 2022; 2022 (N/A): N/A-N/A. [doi:10.1016/j.jvoice.2022.04.005] [http://hdl.handle.net/10807/215524]

Voice Telerehabilitation in Iatrogenic Unilateral Vocal Fold Paralysis: From Necessity to Opportunity in the COVID-19 Time

Mari, Giorgia
Primo
;
Marchese, Maria Raffaella
;
Longobardi, Ylenia;Proietti, Ilaria;Marenda, Maria Elisabetta;Di Cesare, Tiziana;D'Alatri, Lucia
Ultimo
2022

Abstract

Objective: To evaluate results of telerehabilitation (TR) during the coronavirus disease 2019 pandemic for the treatment of dysphonia caused by permanent post-thyroidectomy unilateral vocal fold paralysis (UVFP). Methods: Forty subjects with post-thyroidectomy UVFP (onset <1 month) underwent TR. Videostrobolaryngoscopy, acoustic and perceptual voice analysis and patient self-assessment were carried out in person before, at the end of TR and 6 months later. Results: Twenty-five subjects spontaneously recovered full vocal fold motility at some time during follow-up, whereas 15 had a permanent UVFP at the end of the follow-up period. These subjects constituted our study group. At the early posttherapy control 10/15 subjects (66.6%) showed a complete glottal closure, while in 5/15 (33.3%) a glottal gap remained (P = 0.03). These results did not change 6 months after TR. At the late posttherapy control the maximum phonation time improved significantly (P = 0.02). Both post-therapy Voice Handicap Index scores were significantly lower than the pre-therapy ones (P = 0.04). Grade, Breathiness, and Asthenia parameters of the Grade-Roughness-Breathiness-Asthenia-Strain scale improved 6 months after TR (P < 0.05). The number of voice signals suitable for acoustic analysis increased significantly after therapy. Finally, 87% of patients were satisfied with TR. Conclusions: With careful patient selection, TR may be considered as a promising method for voice therapy in postthyroidectomy UVFP. Keywords: Telerehabilitation—Voice therapy—Thyroidectomy—Unilateral vocal fold paralysis–COVID-19–SARS-CoV-2.
Inglese
Mari, G., Marchese, M. R., Longobardi, Y., Proietti, I., Marenda, M. E., Di Cesare, T., D'alatri, L., Voice Telerehabilitation in Iatrogenic Unilateral Vocal Fold Paralysis: From Necessity to Opportunity in the COVID-19 Time, <<JOURNAL OF VOICE>>, 2022; 2022 (N/A): N/A-N/A. [doi:10.1016/j.jvoice.2022.04.005] [http://hdl.handle.net/10807/215524]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/215524
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