TREATMENT OUTCOME OF ELECTROACUPUNCTURE AND MASSAGE THERAPY IN THE TREATMENT OF POST-THYROIDECTOMY UNILATERAL VOCAL CHORD PARALYSIS

Nguyễn Văn Toàn1,, Bùi Tiến Hưng2, Phan Hoàng Hiệp1, Lê Thị Phương1
1 National Hospital of Endocrinology
2 Hanoi Medical University

Main Article Content

Abstract

Objective: To evaluate the treatment outcomes of electroacupuncture and massage therapy in patients with post-thyroidectomy unilateral vocal chord paralysis. Subjects and methods: Prospective study, clinical intervention with control group, comparison of results before and after treatment on 60 patients diagnosed with post-thyroidectomy unilateral vocal chord paralysis at the National Hospital of Endocrinology from October 2021 to August 2022. Patients was divided into 2 groups: the interventional group was treated with electroacupuncture combined with massage therapy, the control group was treated with massage therapy alone. Evaluation was conduted after 10 days of treatment. Results: The improvement in hoarseness was higher in the interventional group (from 100% to 46.7% versus from 100% to 80% of control group), the improvement in cough and sputum was also higher in the interventional group compared with the control group (from 90% to 13.3% versus from 63.3% to 13.3%). The incident of good vocal cord mobility after treatment was 93.3% in the study group and 90% in the control group, respectively. The improvement in VHI score in the interventional group was higher compared to the control group (30.1±10.9 points versus 23.7±14.6 points).

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References

1. Chaudhary IA, Samiullah null, Masood R, Majrooh MA, Mallhi AA. Recurrent laryngeal nerve injury: an experience with 310 thyroidectomies. J Ayub Med Coll Abbottabad. 2007;19(3):46-50.
2. Nhan Trừng Sơn. Liệt thanh quản. In: Tai Mũi Họng. Vol 2. Nhà xuất bản Y học,Thành phố Hồ Chí Minh; 2011.
3. Chiang FY, Wang LF, Huang YF, Lee KW, Kuo WR. Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve. Surgery. 2005; 137(3):342-347.
4. Nguyễn Huy Cường,Trần Việt Hồng, Nguyễn Thị Ngọc Dung. Ứng dụng ghi âm và phân tích âm vào chẩn đoán và đánh giá hiệu quả điều trị liệt dây thanh một bên tư thế mở. Published online 2014.
5. Nguyễn Thị Thu Hà. Đánh giá kết quả phục hồi chức năng phát âm của bệnh nhân liệt hồi quy một bên sau bơm mỡ dây thanh tự thân. Published online 2013.
6. Stuut M, Tjon Pian Gi REA, Dikkers FG. Change of Voice Handicap Index after treatment of benign laryngeal disorders. Eur Arch Otorhinolaryngol. 2014;271(5):1157-1162.
7. Wang Lei, Wang Weixin. Clinical observation of treating vocal chord paralysis by acupuncture and massage combined with Chinese medicine. Published online 2009.