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  1. Voice outcomes following robotic transoral, robotic retroauricular, and open hemithyroidectomy
    Lim CC, Sahimi HI, Bin Abu Bakar MZ, Kim SY, Ji JY, Cha W, et al.
    Eur Arch Otorhinolaryngol, 2026 Aug 31.
    PMID: 42671599 DOI: 10.1007/s00405-026-10566-5
    PURPOSE: Considering the favourable prognosis of thyroid tumours, the importance of quality of life, including functional and voice outcomes, is critically important. The impact of remote-access thyroidectomy on postoperative voice function remains unclear, and direct comparative data across major approaches are limited. This study compared patient-reported and objective voice outcomes following robotic transoral (TO), robotic retroauricular (RA), and open hemithyroidectomy.

    METHODS: This retrospective observational cohort study included patients undergoing hemithyroidectomy between January 2022 and August 2025. Voice outcomes were evaluated preoperatively and at 3 months postoperatively using the Voice Handicap Index-10 and acoustic analysis. Between-group comparisons and multivariable general linear modelling were performed to identify factors associated with postoperative voice outcomes.

    RESULTS: A total of 150 patients were analysed (RA: 58; TO: 37; open: 55). Baseline VHI-10 and acoustic parameters were comparable across groups. The RA group demonstrated significantly higher postoperative VHI-10 scores and greater VHI-10 change scores compared with TO and open approaches (p 

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