PubMed ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Surg Laparosc Endosc Percutan Tech 16(4):226231. We found that patients in this group are at high risk of dysphagia, since bilateral thyroid surgery is performed in these patients, often with lymph node dissection. World J Surg 38(2):378384. The external branch of the superior laryngeal nerve is not exposed routinely. For low-risk patients showing an excellent response after treatment, . Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. Bukvi B, ivaljevi V, ipeti S, Dikli A, Tauanovi K, Paunovi I. Validation and cross-cultural adaptation of the questionnaire ThyPRO in thyroid patients in Serbia. https://doi.org/10.1007/s00464-013-3413-6, Jung SP, Kim SH, Bae SY et al (2013) A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Brazier JE, Harper R, Jones NM, et al. The site is secure. Surg Endosc Other Interv Tech 16(12):17411745. There was . ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Thyroid 22(8):814819. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. Please enable it to take advantage of the complete set of features! Ann Surg Oncol 20(12):38693876. Printza A, Triaridis S (2021) Is the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration in patients with dysphagia depending on the patients disease? The https:// ensures that you are connecting to the Eur Arch Otorhinolaryngol. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . Careers. Careers. reported a qualitative improvement of swallowing function after thyroidectomy . Since these symptoms can reduce patie J Laryngol Otol 121(3):242245. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Am J Surg. They found a decreased pressure in the upper esophageal sphincter in postoperative esophageal manometry by an average of 25% after uncomplicated thyroidectomy, recovering to original values after 2 years.5,17 In case of radical central neck dissection, the inferior laryngeal nerve and the nerve branches destined for esophageal region are dissected; an extended dissection of the nerves could predispose to risk. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Correspondence to Unable to load your collection due to an error, Unable to load your delegates due to an error. doi: 10.1016/j.jvoice.2021.02.030. Do you ever vomit or bring up blood or black material? The literature available at PubMed, SciELO and Cochrane Library databases was reviewed, according to PRISMA guidelines, using the terms "dysphagia", "swallowing disorder", "deglutition disorder", "thyroidectomy" and "thyroid surgery" in the appropriate combinations. Oncologist. 2008;32(5):693700. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. An official website of the United States government. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. 2021 May 27:S0892-1997(21)00093-X. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. Mayo Clinic. This work is published and licensed by Dove Medical Press Limited. World J Surg. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. F1000Research. https://www.uptodate.com/contents/search. Disclaimer. Results This retrospective review included 45,539. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. I'm going to be helping out with the evaluation today. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Aging and swallowing. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Allscripts EPSi. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. https://doi.org/10.1001/jamaoto.2017.3378, Tomoda C, Sugino K, Tanaka T et al (2018) Globus symptoms in patients undergoing thyroidectomy: relationships with psychogenic factors, thyroid disease, and surgical procedure. Results: Post-thyroidectomy Dysphagia: An International Multicentric CONSORT Unauthorized use of these marks is strictly prohibited. Accessed Sept. 21, 2021. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. https://doi.org/10.1007/s00268-015-3323-y, Hillenbrand A, Cammerer G, Dankesreiter L et al (2018) Postoperative swallowing disorder after thyroid and parathyroid resection. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. Dysphagia; Swallowing disorders; Thyroidectomy; Uncomplicated. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. HHS Vulnerability Disclosure, Help Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). The https:// ensures that you are connecting to the Lombardi et al report that the incidence and the severity of dysphagia is significantly reduced in patients who undergo video-assisted surgery compared with conventional surgery.16 In most cases, correlations for these swallowing disorders do not translate into objective findings and a discordance between objective deterioration and subjective symptoms is reported.6 Altered objective test results were reported by Scerrino et al. Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. https://doi.org/10.1007/s00405-019-05599-y, Printza A, Triaridis S (2021) Is the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration in patients with dysphagia depending on the patients disease? We found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma and a decreased risk for patients operated on for hyperparathyroidism. Rosato L, Avenia N, Bernante P, et al. 2014;38(2):378384. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Keywords: sharing sensitive information, make sure youre on a federal One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Eur Arch Otorhinolaryngol 276(10):26612671. Design, setting, and participants: https://doi.org/10.3342/ceo.2015.8.1.76, Article 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. CAS Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. National Library of Medicine This should not lead to underestimation of symptoms, since the patients quality of life is negatively affected by the symptomatology. Would you like email updates of new search results? Thyroid. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. Clipboard, Search History, and several other advanced features are temporarily unavailable. Accessed 1 Nov 2020, Alkan Z, Yigit O, Adatepe T et al (2014) Effect of anti-adhesive barrier use on laryngotracheal movement after total thyroidectomy: an electrophysiological study. Scerrino G, Tudisca C, Bonventre S, Raspanti C, Picone D, Porrello C, Paladino NC, Vernuccio F, Cupido F, Cocorullo G, Lo Re G, Gulotta G. Int J Surg. https://doi.org/10.1007/s00268-013-2269-1, Chung EJ, Park MW, Cho JG et al (2015) A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. A speech-language pathologist performing head positioning on a patient. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Surg Endosc 24(12):31863194. BMJ. and transmitted securely. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. 1992;305(6846):160164. Importance: Indian J Otolaryngol Head Neck Surg 66(Suppl 1):7177. Surgery. The https:// ensures that you are connecting to the (2009) Symptoms and signs of swallowing changes after thyroidectomy, Wang C, Feng Z, Li J et al (2015) Endoscopic thyroidectomy via areola approach: summary of 1,250 cases in a single institution. In the evaluation, 219 returns could be included. doi: 10.1016/j.ijsu.2017.03.078. https://doi.org/10.1111/coa.12913, Rosato L, Avenia N, Bernante P et al (2004) Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. This could be a major limitation. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Thyroidectomy should be considered for anyone with Graves' disease (GD) and moderate-to-severe eye disease, or smokers with GD due to increased risk of exacerbation of eye disease after radioactive iodine. Laryngoscope 129(2):519524. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Interventions: Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. https://doi.org/10.1177/000348940411300914, Nouraei SAR, Allen J, Kaddour H et al (2017) Vocal palsy increases the risk of lower respiratory tract infection in low-risk, low-morbidity patients undergoing thyroidectomy for benign disease: a big data analysis. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. and transmitted securely. 1976;235(1):5859. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. The type of surgical treatment depends on the cause of dysphagia. That's it. The chi-squared test showed no significant relation between operation and dysphagia (thyroidectomy with/without lymph nodes: chi-squared test=3.2/2.7, subtotal resection/hemithyroidectomy: chi-squared test 0.3/2.1, and parathyroid resection: chi-squared test=3.7). Figure 3 Frequency of dysphagia depending on diagnosis. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. Total Thyroidectomy (Discharge Care) - Drugs.com https://doi.org/10.1089/thy.2017.0524, Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Pinchot SN, Youngwirth L, Rajamanickam V, Schaefer S, Sippel R, Chen H. Changes in swallowing-related quality of life after parathyroidectomy for hyperparathyroidism: a prospective cohort study. JAMA Otolaryngol Head Neck Surg. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. software development by maffey.com https://doi.org/10.1007/s00455-018-9949-9, Hyun K, Byon W, Park HJ et al (2014) Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Dysphagia following uncomplicated thyroidectomy: a systematic review Otolaryngol Head Neck Surg. https://doi.org/10.1007/s00268-015-2995-7, Ryu JH, Han SS, Do SH et al (2013) Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications: prospective, randomized, and controlled trial. Thyroid Surgery | American Thyroid Association Registered in England and Wales. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. Figure 1 Frequency and duration of postoperative dysphagia complaints. Epub 2018 Sep 7. Curr Opin Otolaryngol Head Neck Surg. Swallowing disorders after thyroidectomy: What we know - ScienceDirect J Laparoendosc Adv Surg Tech A 26(8):618624. Greenblatt et al report a significant improvement in postoperative swallowing using the standardized SWAL-QOL questionnaire, designed to find out how swallowing problems affect quality of life.2 With the same questionnaire, Sabaretnam et al8 reported a significant improvement in quality of life in patients with benign goiters after thyroidectomy and Pinchot et al reported a significant improvement in quality of life in patients with parathyroid disease after thyroidectomy.9. Swallowing disorders after thyroidectomy: What we know and where we are. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Radioactive Iodine Therapy for Thyroid Cancer: Outpatient Treatment Elsevier; 2022. https://www.clinicalkey.com. 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. A feeding tube provides nutrients without the need to swallow. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Conclusions and relevance: Most studies find that quality of life improves after thyroidectomy, although there are also some contradictory results.1013 Assessment of dysphagia is presumably insufficient in these studies, because the item dysphagia is underrepresented. I have other health conditions. Surg Endosc. Wentworth MA. Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Good. This content does not have an Arabic version. Would you like email updates of new search results? Online ahead of print. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Surgery 133(3):318322. https://doi.org/10.1111/coa.12547, Aidan P, Pickburn H, Monpeyssen H et al (2013) Indications for the gasless transaxillary robotic approach to thyroid surgery: experience of forty-seven procedures at the American hospital of paris. World J Surg 32(3):381385. Epub 2014 Apr 13. 2004;28(3):271276. sharing sensitive information, make sure youre on a federal Dysphagia. Acta Anaesthesiol Scand 56(10):13141320. Ann Surg Oncol. Lombardi CP, Raffaelli M, DAlatri L, et al. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). 2022. Dysphagia. Eur Arch Otorhinolaryngol. Swallowing dysfunction after thyroid surgery is characterized by . The often used questionnaire Thyroid-Related Quality of Life Measure ThyPRO reports 13 multi-item scales, and dysphagia is only a sub-item of one of the 13 items (goiter symptoms). We're not in there very long. J Postgrad Med 57(2):120122. Antacids that you can get without a prescription also might help temporarily. Neurological Sciences. Introduction: Dysphagia is frequently reported after thyroidectomy. A thyroidectomy is the surgical removal of all (total thyroidectomy) or part (partial thyroidectomy) of your thyroid gland the butterfly-shaped organ in your neck. Cureus. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. 8600 Rockville Pike https://doi.org/10.1038/nrgastro.2015.199, Scerrino G, Tudisca C, Bonventre S et al (2017) Swallowing disorders after thyroidectomy: what we know and where we are. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Frequency of swallowing disorder was similar in patients with sixth level dissection and patients with additionally lateral neck dissection (lateral neck dissection: 2 out of 6; sixth level dissection: 4 out of 12 patients). https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. The more invasive the operation was, the more patients suffered from dysphagia. https://doi.org/10.1007/s00464-017-5929-7, Costa B, Rodrigues DSB, Magalhaes DDD et al (2020) Quantitative ultrasound assessment of hyoid bone displacement during swallowing following thyroidectomy. World J Surg. The authors did not receive any funding or support for the submitted work. The objective of this statement article is to discuss optimal surgical management of goiter. Conclusion Dysphagia occurs in patients after thyroidectomy operations (regardless of larynx mobility alteration) and characterized by delayed triggering and stasis of food in the oro and . We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. Article Google Scholar Grover G, Sadler GP, Mihai R . We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. This site needs JavaScript to work properly. Your doctor will take this out a few days after your surgery. https://www.nidcd.nih.gov/health/dysphagia. A systematic review. Federal government websites often end in .gov or .mil. Lembo AJ. The duration of the follow-up ranges from 1 month to 4 years. https://doi.org/10.1007/s00455-019-10020-1, Almeida JP, Vartanian JG, Kowalski LP (2009) Clinical predictors of quality of life in patients with initial differentiated thyroid cancers. National Library of Medicine What websites do you recommend? Hoarseness and Voice Problems 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. Otolaryngol Head Neck Surg 148(6):926932. https://doi.org/10.1002/hed.24409, Chun BJ, Bae JS, Lee SH et al (2015) A prospective randomized controlled trial of the laryngeal mask airway versus the endotracheal intubation in the thyroid surgery: evaluation of postoperative voice, and laryngopharyngeal symptom. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Dysphagia after Thyroid Surgery Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. (PDF) Speech therapy after thyroidectomy - ResearchGate European Archives of Oto-Rhino-Laryngology, https://doi.org/10.1007/s00405-022-07386-8, https://doi.org/10.1016/j.surg.2009.09.010, https://doi.org/10.1007/s00455-015-9628-z, https://doi.org/10.1007/s00405-019-05599-y, https://doi.org/10.1007/s00405-021-06661-4, https://doi.org/10.1007/s00268-015-3323-y, https://doi.org/10.1016/j.asjsur.2019.04.013, https://doi.org/10.1038/nrgastro.2015.199, https://doi.org/10.1016/j.ijsu.2017.03.078, https://doi.org/10.1001/jamaoto.2017.3378, https://doi.org/10.1371/journal.pmed.1000097, https://doi.org/10.1046/j.1445-2197.2003.02748.x, https://doi.org/10.1007/s12070-011-0319-2, https://doi.org/10.1590/2317-1782/20172016294, https://doi.org/10.1007/s00268-008-9837-9, https://doi.org/10.1007/s00268-012-1562-8, https://doi.org/10.1017/S0022215106002465, https://doi.org/10.1258/002221505775010760, https://doi.org/10.1007/s00464-016-4814-0, https://doi.org/10.1007/s00455-019-10020-1, https://doi.org/10.1007/s00464-002-8830-x, https://doi.org/10.1007/s00268-013-2269-1, https://doi.org/10.1245/s10434-014-4361-7, https://doi.org/10.1007/s00464-015-4386-4, https://doi.org/10.1097/SLE.0000000000000743, https://doi.org/10.1007/s00464-010-1113-z, https://doi.org/10.1007/s00464-011-2116-0, https://doi.org/10.1007/s00464-017-5929-7, https://doi.org/10.1007/s00455-020-10180-5, https://doi.org/10.1007/s00455-018-9949-9, https://doi.org/10.1007/s00464-013-3413-6, https://doi.org/10.1245/s10434-013-3163-7, https://doi.org/10.1007/s00268-015-2995-7, https://doi.org/10.1007/s00268-013-1908-x, https://doi.org/10.1111/j.1399-6576.2012.02768.x, https://doi.org/10.1097/SLE.0000000000000582, https://doi.org/10.1016/j.surg.2019.01.034, https://doi.org/10.22038/ijorl.2019.36233.2193, https://doi.org/10.1177/000348940411300914, https://doi.org/10.1007/s00268-003-6903-1, https://doi.org/10.1007/s00268-007-9375-x, https://doi.org/10.1007/s00464-014-3658-8, https://doi.org/10.1097/00129689-200608000-00006. HHS Vulnerability Disclosure, Help Eur Arch Otorhinolaryngol. Clipboard, Search History, and several other advanced features are temporarily unavailable. Objective: MeSH Unauthorized use of these marks is strictly prohibited. Apart from that, dysphagia is common especially in elderly patients. We did not use a well-validated method or the swallowing quality of life validated outcomes assessment tool.2 Our questionnaire was not validated in the general population or in other studies. Are there brochures or other printed material I can have? Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Methods: 2023 Springer Nature Switzerland AG. Your arm or leg feels warm, tender, and painful. European Archives of Oto-Rhino-Laryngology Back to Journals Pragmatic and Observational Research Volume 9, Authors Hillenbrand A, Cammerer G, Dankesreiter L, Lemke J, Henne-Bruns D, Published 16 October 2018 In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously.
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