PubMed We're not in there very long. Comparison Between Patient-Perceived Voice Changes and Quantitative Voice Measures in the First Postoperative Year After Thyroidectomy: A Secondary Analysis of a Randomized Clinical Trial. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. In the group of smokers, 5 out of 24 (20.8%) patients reported dysphagia and 34 out of 194 (17.5%) non-smokers patients reported dysphagia (no significant difference; chi-squared test=0.2). 2021 May 27:S0892-1997(21)00093-X. In: Ferri's Clinical Advisor 2022. Epub 2014 Jan 24. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Dysphagia. ANZ J Surg 73(9):712716. Since these symptoms can reduce patie In the case of toxic goiters, it also shuts down abnormal. It is normal to have these problems for up to 6 months after a total thyroidectomy. Dysphagia is a possible complication that can be observed in patients undergoing thyroidectomy, and can be related to superior and inferior laryngeal nerves dysfunction, but it usually appears after an uncomplicated surgical procedure. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Notes: aIncluded two patients with parathyroidectomy. Federal government websites often end in .gov or .mil. 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. European Archives of Oto-Rhino-Laryngology Eur Arch Otorhinolaryngol. World J Surg 38(2):378384. 2003;133(3):318322. Prospective comparative analysis of open vs. endoscopic thyroidectomy. days after surgery. By accessing the work you hereby accept the Terms. The duration of the follow-up ranges from 1 month to 4 years. eCollection 2021. Parathyroid surgery was performed without a routine four-gland exploration. Lembo AJ. https://doi.org/10.1007/s00455-015-9628-z, Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. Incidence of Dysphonia and Dysphagia Exceeds Recurrent Laryngeal Nerve Injury During Thyroid Surgery. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Written informed consent was obtained from all participating patients. For low-risk patients showing an excellent response after treatment, . 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 Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Of the 936 articles retrieved, 18 discussed "voice assessment and thyroidectomy", 3 discussed "voice therapy and thyroidectomy", and 11 discussed "surgical interventions for voice restoration after thyroidectomy". Figure 1 Frequency and duration of postoperative dysphagia complaints. Do you bring food back up (regurgitate) after swallowing it? Arch Otolaryngol Head Neck Surg. Clin Otolaryngol 42(6):12591266. doi: 10.1016/j.ijsu.2017.03.078. Before One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). HHS Vulnerability Disclosure, Help https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. All right. Start Here. Conclusions and relevance: Front Oncol 9:1226. https://doi.org/10.3389/fonc.2019.01226, Zhang Z (2014) Efficacy comparison of the anterior low small incision and the traditional incision for treatment of thyroid adenoma. 2020; doi:10.1007/s10072-020-04495-2. government site. JAMA Otolaryngol Head Neck Surg 144(4):342348. bOne patient failed to complete the smoking field. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Interventions: Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. FOIA Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. PubMed Central Bookshelf Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. Epub 2013 Aug 2. Are there brochures or other printed material I can have? 8600 Rockville Pike official website and that any information you provide is encrypted 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). If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). https://www.nidcd.nih.gov/health/dysphagia. Careers. https://doi.org/10.1177/0194599813482299, Sorensen JR (2018) The impact of surgery on quality of life, esophageal motility, and tracheal anatomy and airflow in patients with benign nodular goiter. Keywords: Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Open access peer-reviewed scientific and medical journals. Surgery. and transmitted securely. Trippe BS, Shaprio JR, Doppman JL. Okay. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. World J Surg. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. 2005 Jun;29(6):780-4 No disclosures were reported. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. 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). Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. This site needs JavaScript to work properly. Would you like email updates of new search results? Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. You may have follow-up appointments once or twice a year for several years after treatment ends. 2017 May 15;29(3):e20150294 Google Scholar. Epub 2014 Apr 13. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. Surg Endosc 32(5):23402344. The objective of this statement article is to discuss optimal surgical management of goiter. What, if anything, appears to worsen your symptoms? Curr Opin Otolaryngol Head Neck Surg. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. and transmitted securely. Would you like email updates of new search results? Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations doi: 10.1016/j.jvoice.2021.02.030. The authors did not receive any funding or support for the submitted work. 2011;396(8):11571163. 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. 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. Of 372 questionnaires, 222 were returned. Figure 2 Frequency of dysphagia depending on the operative therapy. A two year prospective trial. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. 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. Most of these were transient and recovered spontaneously within weeks. Wentworth MA. The type of surgical treatment depends on the cause of dysphagia. PMC HHS Vulnerability Disclosure, Help However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. Surg Endosc. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Six weeks and 6 months after thyroidectomy, 42% (n = 11) and 17% (n = 4) of participants, respectively, reported continued swallowing symptoms using the prompts; 12% (n = 3) discussed symptoms without prompting cards at both time points. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Speech and swallowing therapy is usually helpful after surgery. Using rigorous qualitative methodology, this study set out to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and swallowing-related outcomes. Pragmat Obs Res 9:6368. 2017;39(11):22322240. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Disclaimer. An official website of the United States government. Would you like email updates of new search results? 2013 Jun;148(6 Suppl):S1-37. 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). Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. https://doi.org/10.1111/j.1399-6576.2012.02768.x, Exarchos ST, Lachanas VA, Tsiouvaka S et al (2016) The impact of perioperative dexamethasone on swallowing impairment score after thyroidectomy: a retrospective study of 118 total thyroidectomies. Dysphagia. PMC 8600 Rockville Pike Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. PubMed CAS Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Ann Otol Rhinol Laryngol 127(3):171177. Drafting: CV, AP. Neurological Sciences. Conclusions: Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. American College of Gastroenterology. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. ORL J Otorhinolaryngol Relat Spec 82(5):274284. 8600 Rockville Pike Dysphagia 34(2):161169. government site. MeSH reported a qualitative improvement of swallowing function after thyroidectomy . Just long enough to take a look around at the anatomy, give you a couple of things to eat and drink, watch you swallow those and then we come out, okay. eCollection 2021. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns, Mayo Clinic Healthcare expert explains when swallowing issues are more than an accident, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). for voice restoration after thyroidectomy". 2008;32(5):693700. Careers. 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. MeSH The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Ann Surg Oncol. 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. https://doi.org/10.1097/SLE.0000000000000582, Goswami S, Peipert BJ, Mongelli MN et al (2019) Clinical factors associated with worse quality-of-life scores in United States thyroid cancer survivors. Fass R. Approach to the evaluation of dysphagia in adults. 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. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. Sept. 29, 2021. BMJ. Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. and transmitted securely. https://doi.org/10.1097/00129689-200608000-00006, Yu ST, Chen WZ, Xu DB et al (2019) Minimally invasive video-assisted surgical management for parapharyngeal metastases from papillary thyroid carcinoma: a case series report. National Library of Medicine eCollection 2023 Jan. Front Surg. Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis. Main outcomes and measures: 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. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. JAMA Otolaryngol Head Neck Surg. Dysphagia. A systematic review. -, Codas. Vojnosanit Pregl. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. Arch Otolaryngol Head Neck Surg 135(4):342346. A randomized controlled study. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. The results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). Impaired swallowing and neck strangling following uncomplicated operative thyroid or parathyroid resection are frequently complained of by patients.3,4 Intraoperative nerve injury regularly causes postoperative dysphagia, but dysphagia is also complained of after uncomplicated thyroidectomies.2,5 These symptoms are usually dismissed by the clinicians or attributed to orotracheal intubation.6 In many patients, correlations for these swallowing disorders cannot be found in objective test results.6 Reasons for dysphagia and esophageal motility changes after uncomplicated thyroidectomy could be lesions of the perithyroidal neural plexus, changes in the laryngeal vascular supply, postoperative adhesions, decreased pressure of the upper esophageal sphincter, or changed position after thyroidectomy.5 Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. It goes in your nose about this far, just a little bit past that white line. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Several features of Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Laryngoscope Investig Otolaryngol. Accessibility Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Idea for the study: AP, CV. This content does not have an English version. 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. Keywords: Dsphagia, Thyroid surgery https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. https://doi.org/10.1159/000350854, Elzahaby IA, Fathi A, Abdelwahab K et al (2018) Endoscopic thyroidectomy using the unilateral axillo-breast approach versus the modified anterior chest wall approach: a prospective comparative study. An official website of the United States government. FOIA Cureus. I'm going to be helping out with the evaluation today. All participants were age 21 to 73 years with a diagnosis of papillary thyroid cancer without cervical or distant metastases and had undergone total thyroidectomy. Triggs J, et al. 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. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Front Endocrinol (Lausanne). Do you ever vomit or bring up blood or black material? 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. The systematic review of the literature resulted in 35 articles, which met the inclusion criteria and were analyzed regarding their type, sample, follow-up and results regarding post-thyroidectomy dysphagia in multiple follow-up times. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. -. Please enable it to take advantage of the complete set of features! Results This retrospective review included 45,539. You may have some trouble chewing and swallowing after you go home. What websites do you recommend? A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Learn more about Institutional subscriptions, Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. J Clin Med. Dan Med J 65(4):B5472, PubMed Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. 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. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. The https:// ensures that you are connecting to the Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy J Laparoendosc Adv Surg Tech A 26(8):618624. Head Neck. We did not detect objectively measurable alterations in these patients. Dysphagia. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. 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. Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. Treatment for dysphagia depends on the type or cause of your swallowing disorder. Your arm or leg feels warm, tender, and painful. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. This injection will help any leftover thyroid tissue absorb the radioactive iodine. That's it. 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. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. An association between surgical insult following thyroid surgery and LPR needs further investigation. 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). http://www.entnet.org/content/swallowing-trouble.
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