2021 May 27:S0892-1997(21)00093-X. 2004;28(3):271276. Acta Anaesthesiol Scand 56(10):13141320. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. World J Surg. A systematic review. Your scar will be most visible for the first 1-2 months after surgery, improve If difficulty swallowing prevents you from eating and drinking enough and treatment doesn't allow you to swallow safely, your health care provider might recommend a feeding tube. The volume of the resected tissue was analyzed from the length/width/height data provided by the pathology report (longitudinal diameter of the lobetransverse diameterlobe thickness). https://doi.org/10.3342/ceo.2015.8.1.76, Article A systematic review. government site. 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. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. Careers. Your health care provider might also have you swallow solid food or a pill coated with barium to watch the muscles in your throat as you swallow or to look for blockages in your esophagus that the liquid barium solution might not identify. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). FOIA Notes: aIncluded two patients with parathyroidectomy. Conclusions: Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. 2023 Springer Nature Switzerland AG. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. 2017 May;41 Suppl 1:S94-S102. https://doi.org/10.1089/thy.2012.0083, Sahli Z, Canner JK, Najjar O et al (2019) Association between age and patient-reported changes in voice and swallowing after thyroidectomy. Careers. MeSH Accessibility Notes: The more invasive the operation was, the more patients suffered from dysphagia. software development by maffey.com Dysphagia is a typical symptom complained of preoperatively by patients with enlarged thyroid due to a direct compression of the swallowing organs.1 In these patients, uncomplicated thyroidectomy often leads to improvements in perceptions of swallowing function.2 But impaired swallowing and neck strangling also occur postoperatively. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. 2018 The Author(s). Bethesda, MD 20894, Web Policies Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. 2009;33(2):255260. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. Speech and swallowing therapy is usually helpful after surgery. Sorensen JR, Watt T, Cramon P, et al. For dysphagia, questions to ask your health care provider include: Your health care provider is likely to ask you a number of questions, including: Until your appointment, it might help to chew your food more slowly and thoroughly than usual. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. World J Surg. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. The objective of this statement article is to discuss optimal surgical management of goiter. PubMed Results: 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. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. Your voice probably will be hoarse, and you may have trouble talking. Please enable it to take advantage of the complete set of features! Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Ryu JH, Yom CK, Park DJ, et al. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. You have muscle spasms in your legs and feet that do not go away. This study revealed that as many as 80% of patients who have thyroidectomy may experience swallowing-related symptoms after surgery, and many develop compensatory strategies to manage or reduce the burden of these symptoms. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Ferri FF. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. https://doi.org/10.1002/lary.27297, Ikeda Y, Takami H, Sasaki Y et al (2002) Comparative study of thyroidectomies. Swallowing disorders after thyroidectomy: What we know and where we are. Proceduralist: We can show you afterwards too. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Federal government websites often end in .gov or .mil. The medication helps reduce the size of thyroid tissue. Federal government websites often end in .gov or .mil. https://doi.org/10.1007/s00464-014-3658-8, Yoon JH, Park CH, Chung WY (2006) Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. National Library of Medicine Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. Apart from that, dysphagia is common especially in elderly patients. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. 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). Otolaryngol Head Neck Surg. Please enable it to take advantage of the complete set of features! Further, there was no dependency of dysphagia on gender. Intubation is also in discussion as a cause of dysphagia,18,19 but Pereira et al report that, after comparing prevalence of dysphagia in patients after cholecystectomy and thyroidectomy, long-term symptoms are not related to orotracheal intubation.4. Swallowing dysfunction after thyroid surgery is characterized by . 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. There's not much space between your nose and your throat, so it doesn't have to go in very far. Two weeks after thyroidectomy, 80% of participants (n = 20) reported at least 1 swallowing-related symptom when prompted by the interview cards; during the open interview, 53% of participants (n = 14) volunteered discussion of swallowing-related symptoms unprompted. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Lombardi CP, Raffaelli M, DAlatri L, et al. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. FOIA Figure 3 Frequency of dysphagia depending on diagnosis. Lombardi CP, Raffaelli M, DAlatri L, et al. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. You drink a barium solution that coats your esophagus, making it easier to see on X-rays. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. Top, Copyright 2023 Dove Press Ltd We're not in there very long. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. What's the likeliest cause of my symptoms? 8600 Rockville Pike So the different items we're going to be swallowing. Please enable it to take advantage of the complete set of features! Associations & Partners Do you cough or gag when you try to swallow? You have sudden abdominal pain. Which tests you need will depend on your situation. Your health care provider can then see changes in the shape of your esophagus and can assess the muscular activity. The purpose of the current systematic review is to investigate the prevalence of dysphagia at various time points after thyroidectomy, at the whole spectrum of it (total/partial, open/endoscopic, for benign/malignant disease). PLoS Med 6(7):e1000097. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. G Chir. Head Neck. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). Speech therapy after thyroidectomy Wing-Hei Viola Yu, Che-Wei Wu Abstract Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). and transmitted securely. - 173.82.84.250. What, if anything, appears to worsen your symptoms? 2008;32(5):693700. 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. Dove Medical Press is a member of the OAI. MeSH Symptoms of dysphagia and related effects on quality of life elicited through grounded theory analysis of semistructured interviews with patients after thyroidectomy designed to foster an open-ended, patient-driven discussion. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Unauthorized use of these marks is strictly prohibited. 2022. 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. Dysphagia. -, Codas. 2017;37(5):193199. -, World J Surg. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 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. Thyroidectomy is the most commonly performed surgical procedure on endocrine glands and its effect on swallowing is common, following both complicated and uncomplicated surgery [1,2,3].Swallowing disorders after a recurrent laryngeal nerve injury are expected, because of the movement dysfunction caused on the larynx, and the damage of the superior laryngeal nerve can affect the sensory . World J Surg. 2003;133(3):318322. https://doi.org/10.1007/s12070-011-0319-2, Scerrino G, Inviati A, Di Giovanni S et al (2013) Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. eCollection 2021. 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. Epub 2022 Apr 19. 2014;207(6):974979. Accessibility Head Neck 30(1):2127. HHS Vulnerability Disclosure, Help Dysphagia reverted to pre-operative levels 23months later. Objective: https://doi.org/10.1245/s10434-013-3163-7, Sinclair CF, Bumpous JM, Haugen BR et al (2016) Laryngeal examination in thyroid and parathyroid surgery: an American Head and Neck Society consensus statement. 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. The .gov means its official. A systematic review. https://doi.org/10.3390/jcm8111787, Xu YJ, Wang SL, Ren Y et al (2012) A smaller endotracheal tube combined with intravenous lidocaine decreases post-operative sore throat - a randomized controlled trial. Clin Nurs Res 28(5):615635. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Wentworth MA. 1976;235(1):5859. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Dysphagia in neurological diseases: A literature review. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. These are normal sensations. Surgery 166(1):6974. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The https:// ensures that you are connecting to the Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease (chi-squared test=4.6) and carcinoma (chi-squared test=8.0). https://doi.org/10.1159/000508683, Ryu JH, Yom CK, Park DJ et al (2014) Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. Here's some information to help you prepare for your appointment. Your health care provider will likely ask you for a description and history of your swallowing difficulties, perform a physical examination, and use various tests to find the cause of your swallowing problem. Careers. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. Accessed Sept. 21, 2021. You might need to take these medications for a long time. 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 . Epub 2013 Mar 22. The https:// ensures that you are connecting to the Dysphagia. Open access peer-reviewed scientific and medical journals. government site. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Conclusions and relevance: https://doi.org/10.12669/pjms.305.4767, Article No disclosures were reported. 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. A speech-language pathologist performing head. 8600 Rockville Pike Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). days after surgery. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Bethesda, MD 20894, Web Policies World J Surg. Cookies Critical revision of the work: AP, ST, KS. 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. Article Google Scholar Grover G, Sadler GP, Mihai R . https://doi.org/10.1007/s00464-016-4814-0, Pereira JA, Girvent M, Sancho JJ et al (2003) Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Swallowing disorders after thyroidectomy: What we know and where we are. Some examples are: Laparoscopic Heller myotomy. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). PMC Two weeks after thyroidectomy, 80% of participants (n = 20) reported at least 1 swallowing-related symptom when prompted by the interview cards; during the open interview, 53% of participants (n = 14) volunteered discussion of swallowing-related symptoms unprompted. JAMA Otolaryngol Head Neck Surg. https://doi.org/10.1245/s10434-014-4361-7, Lee DY, Lim S, Kang SH et al (2016) A prospective 1-year comparative study of transaxillary total thyroidectomy regarding functional outcomes: is it really promising? Bethesda, MD 20894, Web Policies Furthermore, we report a foreign body/sticky sensation in the throat as an . PMC Web Design by Adhesion. National Institute on Deafness and Other Communication Disorders. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. https://doi.org/10.1210/jc.2013-1583, Lee J, Nah KY, Kim RM et al (2010) Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. All rights reserved. In the early postoperative weeks after thyroidectomy, swallowing impairment is self-explanatory and is reported by most patients.6 Symptoms are often self-limiting, are not related to impaired nerve function and improve spontaneously. Am J Surg. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2013;148(6):926932. PubMed Thyroid. J Laryngol Otol 121(3):242245. 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. Accessed Sept. 21, 2021. https://doi.org/10.1007/s00268-008-9837-9, Sabaretnam M, Mishra A, Chand G et al (2012) Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Google Scholar, Atasayar S, Guler Demir S (2019) Determination of the problems experienced by patients post-thyroidectomy. 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. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. sharing sensitive information, make sure youre on a federal Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. https://doi.org/10.1016/j.surg.2009.09.010, Article The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). I put a little green food coloring in the liquid and the puree that just allows us to see it better when the cameras in place. 2. Epub 2014 Jan 24. This is the camera we're going to use. Dysphagia reverted to pre-operative levels 2-3 months later. doi: 10.1177/0194599813487301. Surg Endosc 30(4):15991606. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. Surgery. And one more. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Thyroid nodules: A thyroid nodule is a growth . Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. https://doi.org/10.1097/SLE.0000000000000743, Lee J, Kwon IS, Bae EH et al (2013) Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. J Clin Endocrinol Metab 98(7):27012708. this site will not function whilst javascript is disabled. Carrie: That's the absolute worst part right there. Tax calculation will be finalised during checkout. Javascript is currently disabled in your browser. Keywords: Front Surg. https://doi.org/10.1007/s00405-021-06661-4 (Epub ahead of print 2021/02/18), Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Accessed Sept. 21, 2021. https://doi.org/10.1007/s00455-020-10180-5 (Epub ahead of print 2020/09/06), Im I, Jun JP, Crary MA et al (2019) Longitudinal kinematic evaluation of pharyngeal swallowing impairment in thyroidectomy patients. The .gov means its official. 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. doi: 10.1016/j.ijsu.2017.03.078. Asian J Surg 43(1):116123. 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. X-ray with a contrast material (barium X-ray). For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. 1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, Chrysoula Vardaxi,Stefanos Triaridis&Athanasia Printza, Department of Otorhinolaryngology, G. Unable to load your collection due to an error, Unable to load your delegates due to an error. Sabaretnam M, Mishra A, Chand G, et al. https://doi.org/10.1590/2317-1782/20172016294, Greenblatt DY, Sippel R, Leverson G et al (2009) Thyroid resection improves perception of swallowing function in patients with thyroid disease. The pain and swallowing discomfort suffered by patients following thyroid surgery may be reduced by PPIs given postoperatively. Thyroidectomy is a largely performed procedure [].Dysphonia and dysphagia are common after thyroidectomy and can cause huge impact on the patient's quality of life [2, 3].Voice and swallowing complaints occur between 15 and 90 days after surgery [4-6].Though spontaneous complaints of swallowing are not common, it has been observed that when questioned about this specific aspect, the .

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