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Summary: Objective. Voice changes related to the thyroid is either due to thyroid diseases or following thyroid surgery. Vocal changes are frequent following thyroid surgery. This study evaluate the voice outcome after various thyroid surgeries. Subjects and methods. This prospective non randomized uncontrolled study included 50 patients who attended the ENT and General Surgery outpatient clinics in Fayoum University hospital. The subjects underwent total and partial thyroidectomy. All patients were subjected both Pre as well as Post operatively (2weeks) to laryngoscopic examination , voice handicap index(VHI) and dysphonia severity index (DSI). Results. There was a highly significant decrease in total DSI and highly significant increase of VHI after the operation. There was a highly significant negative correlation between the DSI and the VHI after operation as general and also among each type of thyroidectomy (hemi and total thyroidectomy). Vocal fold paralysis (VFP) was diagnosed in 9patients in early post-operative assessment ( 6 bilateral paralysis ) and (3unilateral paralysis). Conclusions. the quality of voice deteriorated after thyroid operation, both subjectively and objectively, even in ISSN: 2536-9474 (Print) Original article / FYMJ ISSN: 2536-9482 (Online) Fayoum University Medical Journal El-Dessoukyet al., 2020,5(1), 52-60 Page 53 absence of VFP, this deterioration is more significant in total thyroidectomy patients. Preand immediate postoperative laryngoscopic examination are useful for all patients.

Functional Assessment Of Voice Outcome After Thyroid Surgeries: Change In DSI Versus VHI In Post-Operative Period