An Acoustic Analysis of Voice Before and After Thyroidectomy

  • Conference paper
  • First Online:
Artificial Intelligence and Green Computing (ICAIGC 2023)

Part of the book series: Lecture Notes in Networks and Systems ((LNNS,volume 806))

  • 99 Accesses

Abstract

After thyroid surgery, some patients complain of voice disorders, recurrent laryngeal nerve palsy, hoarseness, and breathing problems, which can significantly impact their quality of life. In this paper, we sought to assess and identify the impact of thyroidectomy on voice quality by following some patients before and after surgery. To accomplish this, we collected a dataset of voice recordings from patients one day before, one day after, and one month after thyroid surgery. Then, we extracted acoustic features related to harmonicity and pitch variations in amplitude and duration and used statistical tests to study the discrimination abilities of these features in preoperative and postoperative. The results revealed that the (mean, max, min, and median) fundamental frequency values were not significantly decreased in the first postoperative stage. However, they changed significantly in the second postoperative stage. For females, the Max (F0) was not changed after one day and one month. The other parameters did not differ between the preoperative and postoperative. The analysis and results clarify that thyroidectomy can affect voice quality for up to one month. Further studies are needed to fully understand the factors behind these alterations.

This work has been carried out under the Moroccan-Tunisian research project titled ‘Détection et Classification Multimodale des Troubles Pathologiques de la Voix.’ It is funded by the Ministries of Higher Education and Scientific Research and the Ministries of Higher Education, Scientific Research, and Innovation in Tunisia and Morocco, respectively.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
GBP 19.95
Price includes VAT (United Kingdom)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
GBP 111.50
Price includes VAT (United Kingdom)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
GBP 139.99
Price includes VAT (United Kingdom)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Boersma, P., et al.: Accurate short-term analysis of the fundamental frequency and the harmonics-to-noise ratio of a sampled sound. In: Proceedings of the institute of phonetic sciences, vol. 17, pp. 97–110 (1993)

    Google Scholar 

  2. Debruyne, F., Ostyn, F., Delaere, P., Wellens, W.: Acoustic analysis of the speaking voice after thyroidectomy. J. Voice 11(4), 479–482 (1997). https://doi.org/10.1016/S0892-1997(97)80046-X

    Article  Google Scholar 

  3. D’haeseleer, E., Huvenne, W., Vermeersch, H., Meerschman, I., Imke, K., Servayge, L., Versavel, O., Van Lierde, K.: Long-term voice quality outcome after thyroidectomy without laryngeal nerve injury: a prospective 10 year follow up study. J. Commun. Disord. 91, 106,109 (2021). https://doi.org/10.1016/j.jcomdis.2021.106109

  4. Fernandes, J., Teixeira, F., Guedes, V., Junior, A., Teixeira, J.P.: Harmonic to noise ratio measurement-selection of window and length. Proc. Comput. Sci. 138, 280–285 (2018). https://doi.org/10.1016/j.procs.2018.10.040

    Article  Google Scholar 

  5. Hong, K.H., Yang, W.S., Park, M.J., Oh, J.S., Han, B.H.: Changes in oral vowel sounds and hyoid bone movement after thyroidectomy. Clin. Exper. Otorhinolaryngol. 10(2), 168 (2017). https://doi.org/10.21053/ceo.2015.01585

  6. Jeannon, J.P., Orabi, A., Bruch, G., Abdalsalam, H., Simo, R.: Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy: a systematic review. Int. J. Clin. Pract. 63(4), 624–629 (2009). https://doi.org/10.1111/j.1742-1241.2008.01875.x

    Article  Google Scholar 

  7. Kim, C.S., Park, J.O., Bae, J.S., Lee, S.H., Joo, Y.H., Park, Y.H., Hwang, Y.S., Shim, M.R., Sun, D.I.: Long-lasting voice-related symptoms in patients without vocal cord palsy after thyroidectomy. World J. Surg. 42(7), 2109–2116 (2018). https://doi.org/10.1007/s00268-017-4438-0

    Article  Google Scholar 

  8. Kim, S.Y., Kim, G.J., Lee, D.H., Bae, J.S., Lee, S.H., Kim, J.S., Hwang, Y.S., Shim, M.R., Park, Y.H., Sun, D.I.: Voice change after thyroidectomy without vocal cord paralysis: analysis of 2,297 thyroidectomy patients. Surgery 168(6), 1086–1094 (2020)

    Article  Google Scholar 

  9. Kim, S.Y., Kim, G.J., Lee, D.H., Bae, J.S., Lee, S.H., Kim, J.S., Hwang, Y.S., Shim, M.R., Park, Y.H., Sun, D.I.: Analysis of voice changes after thyroidectomy using the thyroidectomy-related voice and symptom questionnaire. Auris Nasus Larynx 48(5), 963–972 (2021)

    Article  Google Scholar 

  10. Kuhn, M.A., Bloom, G., Myssiorek, D.: Patient perspectives on dysphonia after thyroidectomy for thyroid cancer. J. Voice 27(1), 111–114 (2013)

    Article  Google Scholar 

  11. Lee, D.Y., Lee, K.J., Hwang, S.M., Oh, K.H., Cho, J.G., Baek, S.K., Kwon, S.Y., Woo, J.S., Jung, K.Y.: Analysis of temporal change in voice quality after thyroidectomy: single-institution prospective study. J. Voice 31(2), 195–201 (2017)

    Article  Google Scholar 

  12. Lee, J.C., Breen, D., Scott, A., Grodski, S., Yeung, M., Johnson, W., Serpell, J.: Quantitative study of voice dysfunction after thyroidectomy. Surgery 160(6), 1576–1581 (2016)

    Article  Google Scholar 

  13. Lombardi, C.P., Raffaelli, M., D’Alatri, L., Marchese, M.R., Rigante, M., Paludetti, G., Bellantone, R.: Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Surgery 140(6), 1026–1034 (2006). https://doi.org/10.1016/j.surg.2006.08.008

    Article  Google Scholar 

  14. Myers, E.N., Hong, K.H., Kim, Y.K.: Phonatory characteristics of patients undergoing thyroidectomy without laryngeal nerve injury. Otolaryngol.-Head Neck Surg. 117(4), 399–404 (1997). https://doi.org/10.1016/S0194-5998(97)70133-5

    Article  Google Scholar 

  15. Park, J.O., Bae, J.S., Lee, S.H., Shim, M.R., Hwang, Y.S., Joo, Y.H., Park, Y.H., Sun, D.I.: The long-term prognosis of voice pitch change in female patients after thyroid surgery. World J. Surg. 40(10), 2382–2390 (2016)

    Article  Google Scholar 

  16. Paul Boersma, D.W.: Praat: doing phonetics by computer (2021). http://www.praat.org/

  17. de Pedro Netto, I., Fae, A., Vartanian, J.G., Barros, A.P.B., Correia, L.M., Toledo, R.N., Testa, J.R.G., Nishimoto, I.N., Kowalski, L.P., Angelis, E.C.D.: Voice and vocal self-assessment after thyroidectomy. Head Neck 28(12), 1106–1114 (2006). https://doi.org/10.1002/hed.20480

  18. Rosen, C.A., Lee, A.S., Osborne, J., Zullo, T., Murry, T.: Development and validation of the voice handicap index-10. Laryngoscope 114(9), 1549–1556 (2004)

    Article  Google Scholar 

  19. Soylu, L., Ozbas, S., Uslu, H.Y., Kocak, S.: The evaluation of the causes of subjective voice disturbances after thyroid surgery. Am. J. Surg. 194(3), 317–322 (2007). https://doi.org/10.1007/s00268-017-4438-0

    Article  Google Scholar 

  20. Stojadinovic, A., Shaha, A.R., Orlikoff, R.F., Nissan, A., Kornak, M.F., Singh, B., Boyle, J.O., Shah, J.P., Brennan, M.F., Kraus, D.H.: Prospective functional voice assessment in patients undergoing thyroid surgery. Ann. Surg. 236(6), 823 (2002). https://doi.org/10.1097/00000658-200212000-00015

    Article  Google Scholar 

  21. Sung, E.S., Kim, K.Y., Yun, B.R., Song, C.M., Ji, Y.B., Lee, J.C., Tae, K.: Long-term functional voice outcomes after thyroidectomy, and effect of endotracheal intubation on voice. Eur. Arch. Otorhinolaryngol. 275(12), 3049–3058 (2018)

    Article  Google Scholar 

  22. Tanaka, A., Isono, S., Ishikawa, T., Sato, J., Nishino, T.: Laryngeal resistance before and after minor surgery: Endotracheal tube versus laryngeal mask airway™. J. Am. Soc. Anesthesiol. 99(2), 252–258 (2003). https://doi.org/10.1097/00000542-200308000-00005

  23. Teixeira, J.P., Fernandes, P.O.: Jitter, shimmer and hnr classification within gender, tones and vowels in healthy voices. Proc. Technol. 16, 1228–1237 (2014)

    Article  Google Scholar 

  24. Teixeira, P., Ferreira, D., Carneiro, M.: Análise acústica vocal-determinação do jitter e shimmer para diagnóstico de patalogias da fala;vocal acoustic analysis - determination of jitter and shimmer for speech pathology diagnosis. In: 6\(^{\circ }\) Congresso Luso-Moçambicano de Engenharia, 3\(^{\circ }\) Congresso de Engenharia de Moçambique, 6\(^{\circ }\) (2011)

    Google Scholar 

  25. Teixeira, P., Oliveira, C., Lopes, C.: Vocal acoustic analysis - jitter, shimmer and HNR parameters. Proc. Technol. 9, 1112–1122 (2013). https://doi.org/10.1016/j.protcy.2013.12.124

    Article  Google Scholar 

  26. tojadinovic, A., Henry, L.R., Howard, R.S., Gurevich-Uvena, J., Makashay, M.J., Coppit, G.L., Shriver, C.D., Solomon, N.P.: Prospective trial of voice outcomes after thyroidectomy: evaluation of patient-reported and clinician-determined voice assessments in identifying postthyroidectomy dysphonia. Surgery 143(6), 732–742 (2008). https://doi.org/10.1016/j.surg.2007.12.004

  27. Uloza, V., Latoszek, B.B.v., Ulozaite-Staniene, N., Petrauskas, T., Maryn, Y.: A comparison of dysphonia severity index and acoustic voice quality index measures in differentiating normal and dysphonic voices. Eur. Arch. Oto-Rhino-Laryngol. 275(4), 949–958 (2018)

    Google Scholar 

  28. Van, K., D’haeseleer, E., Wuyts, F., Baudonck, N., Bernaert, L., Vermeersch, H.: Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics: an objective multiparameter approach. Laryngoscope 120(2), 338–345 (2010). https://doi.org/10.1002/lary.20762.

  29. Wuyts, F.L., Bodt, M.S.D., Molenberghs, G., Remacle, M., Heylen, L., Millet, B., Lierde, K.V., Raes, J., Heyning, P.H.V.D.: The dysphonia severity index: an objective measure of vocal quality based on a multiparameter approach. J. Speech, Lang. Hear. Res. 43(3), 796–809 (2000)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Noura Haddou .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Haddou, N., Idrissi, N., Ben Jebara, S., Ben Ayed, M., Mnejja, M., Charfeddine, I. (2023). An Acoustic Analysis of Voice Before and After Thyroidectomy. In: Idrissi, N., Hair, A., Lazaar, M., Saadi, Y., Erritali, M., El Kafhali, S. (eds) Artificial Intelligence and Green Computing. ICAIGC 2023. Lecture Notes in Networks and Systems, vol 806. Springer, Cham. https://doi.org/10.1007/978-3-031-46584-0_5

Download citation

Publish with us

Policies and ethics

Navigation