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Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality

OBJECTIVES: To study the effect of endoscopic endonasal transsphenoidal surgery on voice quality in patients with pituitary lesions. METHODS: An observational study comparing voice quality before and after surgery was conducted between September 2015 and September 2017 at Srinagarind Hospital, Khon...

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Autores principales: Kasemsiri, Pornthep, Duangthongphon, Pichayen, Prathanee, Benjamas, Thongrong, Cattleya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665462/
https://www.ncbi.nlm.nih.gov/pubmed/34938862
http://dx.doi.org/10.1002/lio2.701
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author Kasemsiri, Pornthep
Duangthongphon, Pichayen
Prathanee, Benjamas
Thongrong, Cattleya
author_facet Kasemsiri, Pornthep
Duangthongphon, Pichayen
Prathanee, Benjamas
Thongrong, Cattleya
author_sort Kasemsiri, Pornthep
collection PubMed
description OBJECTIVES: To study the effect of endoscopic endonasal transsphenoidal surgery on voice quality in patients with pituitary lesions. METHODS: An observational study comparing voice quality before and after surgery was conducted between September 2015 and September 2017 at Srinagarind Hospital, Khon Kaen University, Thailand. Pituitary tumor patients who underwent endoscopic endonasal transsphenoidal surgery were recruited. The nasal corridors were created with a type I (preserving both middle turbinates with a rescue flap) or type II (cutting one middle turbinate with a raised nasoseptal flap) for the binostril with four‐hand technique. All patients were evaluated for nasal resonance, acoustic parameters, acoustic perception, and self‐assessment of their satisfaction with postoperative voice changes with a visual analog scale (VAS). The patients were evaluated 1 day before surgery and at 1 and 3 months after surgery. RESULTS: Forty‐four patients, including 19 males and 25 females with a mean age of 50.0 ± 15.6 years, were enrolled. Mean scores for nasal resonance and all acoustic parameters were not significantly changed after surgery for either nasal corridor type (p > .05). Regarding acoustic perception, word and sentence and GIRBAS scores showed no significant difference before and after surgery (p > .09) in either type of nasal corridor. There was no incidence of hypernasality voice after surgery. Patients' self‐satisfaction ratings (i.e., VAS) with voice quality were high and showed no significant change 1 and 3 months postsurgery (p > .05). CONCLUSIONS: These endoscopic endonasal transsphenoidal approaches are minimally invasive skull base surgery techniques that have minimal effects on postsurgery voice quality. TRIAL REGISTRATION: This trial was registered at ClinicalTrial.gov (NCT02828514). LEVEL OF EVIDENCE: 4.
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spelling pubmed-86654622021-12-21 Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality Kasemsiri, Pornthep Duangthongphon, Pichayen Prathanee, Benjamas Thongrong, Cattleya Laryngoscope Investig Otolaryngol Allergy, Rhinology, and Immunology OBJECTIVES: To study the effect of endoscopic endonasal transsphenoidal surgery on voice quality in patients with pituitary lesions. METHODS: An observational study comparing voice quality before and after surgery was conducted between September 2015 and September 2017 at Srinagarind Hospital, Khon Kaen University, Thailand. Pituitary tumor patients who underwent endoscopic endonasal transsphenoidal surgery were recruited. The nasal corridors were created with a type I (preserving both middle turbinates with a rescue flap) or type II (cutting one middle turbinate with a raised nasoseptal flap) for the binostril with four‐hand technique. All patients were evaluated for nasal resonance, acoustic parameters, acoustic perception, and self‐assessment of their satisfaction with postoperative voice changes with a visual analog scale (VAS). The patients were evaluated 1 day before surgery and at 1 and 3 months after surgery. RESULTS: Forty‐four patients, including 19 males and 25 females with a mean age of 50.0 ± 15.6 years, were enrolled. Mean scores for nasal resonance and all acoustic parameters were not significantly changed after surgery for either nasal corridor type (p > .05). Regarding acoustic perception, word and sentence and GIRBAS scores showed no significant difference before and after surgery (p > .09) in either type of nasal corridor. There was no incidence of hypernasality voice after surgery. Patients' self‐satisfaction ratings (i.e., VAS) with voice quality were high and showed no significant change 1 and 3 months postsurgery (p > .05). CONCLUSIONS: These endoscopic endonasal transsphenoidal approaches are minimally invasive skull base surgery techniques that have minimal effects on postsurgery voice quality. TRIAL REGISTRATION: This trial was registered at ClinicalTrial.gov (NCT02828514). LEVEL OF EVIDENCE: 4. John Wiley & Sons, Inc. 2021-11-19 /pmc/articles/PMC8665462/ /pubmed/34938862 http://dx.doi.org/10.1002/lio2.701 Text en © 2021 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Allergy, Rhinology, and Immunology
Kasemsiri, Pornthep
Duangthongphon, Pichayen
Prathanee, Benjamas
Thongrong, Cattleya
Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality
title Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality
title_full Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality
title_fullStr Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality
title_full_unstemmed Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality
title_short Nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: Analysis of voice quality
title_sort nasal resonance changes after endoscopic endonasal transsphenoidal skull base surgery: analysis of voice quality
topic Allergy, Rhinology, and Immunology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665462/
https://www.ncbi.nlm.nih.gov/pubmed/34938862
http://dx.doi.org/10.1002/lio2.701
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AT prathaneebenjamas nasalresonancechangesafterendoscopicendonasaltranssphenoidalskullbasesurgeryanalysisofvoicequality
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