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. software development by maffey.com Triggs J, et al. Do you have difficulty swallowing solids, liquids or both? 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. 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. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). The questionnaire was sent at least 6 months postoperatively, since mild symptoms may occur in most patients within the first 3 months.6 The patients age, body mass index, diagnosis, and type of operation were analyzed from patients records. Data analysis: CV, NT, AK, AP. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Mayo Clinic. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. eCollection 2021. Before Ann Surg Oncol. Speech and swallowing therapy is usually helpful after surgery. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. Swallowing disorders after thyroidectomy: What we know and where we are. You have muscle spasms in your legs and feet that do not go away. -, World J Surg. An official website of the United States government. open access to scientific and medical research. Good. Laryngoscope Investig Otolaryngol. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. F1000Research. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. and transmitted securely. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. Also at high risk of dysphagia are patients with Graves disease. 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. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. Of 372 questionnaires, 222 were returned. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview (answer e) (Figure 2). Clipboard, Search History, and several other advanced features are temporarily unavailable. Scerrino G, Inviati A, di Giovanni S, et al. And one more. I'm going to be helping out with the evaluation today. Unable to load your collection due to an error, Unable to load your delegates due to an error. Article Google Scholar Grover G, Sadler GP, Mihai R . Carrie: Your other hand. In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). 2013 Jan;83(1-2):15-21 The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. doi: 10.1016/j.ijsu.2017.03.078. 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. 2018 Nov 1;144(11):995-1003. doi: 10.1001/jamaoto.2018.0309. JAMA Otolaryngol Head Neck Surg. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. FOIA eCollection 2023 Jan. Front Surg. National Institute on Deafness and Other Communication Disorders. By accessing the work you hereby accept the Terms. R01 CA176911/CA/NCI NIH HHS/United States, T32 DC009401/DC/NIDCD NIH HHS/United States, K23 DC013559/DC/NIDCD NIH HHS/United States, P30 CA014520/CA/NCI NIH HHS/United States. 1976;235(1):5859. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. This site needs JavaScript to work properly. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Results: In the evaluation, 219 questionnaires could be included. Conclusions and relevance: J Postgrad Med 57(2):120122. Parathyroid surgery was performed without a routine four-gland exploration. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. government site. Epub 2019 Aug 14. You might need to take these medications for a long time. 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. Langenbecks Arch Surg. Please enable it to take advantage of the complete set of features! Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. Open access peer-reviewed scientific and medical journals. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. J Clin Endocrinol Metab 98(7):27012708. A feeding tube provides nutrients without the need to swallow. https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? Panebianco M., et al. Accessed Sept. 21, 2021. World J Surg 36(6):12931299. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. World J Surg. Do you ever vomit or bring up blood or black material? 2011;396(8):11571163. Careers. Go ahead and take a bite of one of those. World J Surg. So the different items we're going to be swallowing. Databases used for the literature review in this study included, PubMed, MEDLINE, Academic Search Primer, ERIC, CINAHL Plus, and EBSCO. Disclaimer. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Surgery. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Surg Laparosc Endosc Percutan Tech 16(4):226231. 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. 8600 Rockville Pike days after surgery. Bethesda, MD 20894, Web Policies Some examples are: Laparoscopic Heller myotomy. Isr Med Assoc J 8(2):106109, Wang C, Sun P, Li J et al (2016) Strategies of laparoscopic thyroidectomy for treatment of substernal goiter via areola approach. The https:// ensures that you are connecting to the Patients and methods: A questionnaire was sent to 372 consecutive patients whose thyroid or parathyroid glands were operated on between May 2013 and October 2014 at Ulm University Hospital. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Though various causes have been hypothesized, it remains not completely understood. Epub 2018 Sep 7. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. Pak J Med Sci 30(5):11191122. European Archives of Oto-Rhino-Laryngology Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. Dysphagia. Interventions: 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. 2023 Springer Nature Switzerland AG. Thyroid. 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. This is a preview of subscription content, access via your institution. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. Head Neck 38(6):811819. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Of 26 patients surveyed, 80% (n = 20) perceived dysphagia 2 weeks after thyroidectomy; 42% (n = 11) at 6 weeks; and 17% (n = 4) at 6 months after total thyroidectomy. 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. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Most of these were transient and recovered spontaneously within weeks. What's the likeliest cause of my symptoms? The type of surgical treatment depends on the cause of dysphagia. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Introduction: Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. The .gov means its official. PMC Scerrino G, Inviati A, Di Giovanni S, Paladino NC, Di Paola V, Lo Re G, Almasio PL, Cupido F, Gulotta G, Bonventre S. Otolaryngol Head Neck Surg. 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. A speech-language pathologist performing head positioning on a patient. Otolaryngol Head Neck Surg 148(6):926932. 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. Would you like email updates of new search results? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. government site. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. See this image and copyright information in PMC. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. This site needs JavaScript to work properly. Testimonials This work is published and licensed by Dove Medical Press Limited. After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. Clin Nurs Res 28(5):615635. 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 . Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. Eur Arch Otorhinolaryngol. 2006;140(6):10261034. -, Ann Surg Oncol. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. . 2020; doi:10.1007/s10072-020-04495-2. 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. The group of patients who did not respond to the questionnaire did not differ significantly from the 219 included patients in terms of age, sex, proportion with cancer, or mass of resected thyroid. Methods: Associations & Partners Unable to load your collection due to an error, Unable to load your delegates due to an error. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. 2013;148(6):926932. 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). Papanikolaou General Hospital, 57010, Thessaloniki, Greece, Chrysoula Vardaxi,Nikolaos Tsetsos&Alexandros Poutoglidis, Department of Food Science and Technology, International Hellenic University, Sindos Campus, 57400, Thessaloniki, Greece, 3rd Department of Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, You can also search for this author in Correspondence to No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. Clipboard, Search History, and several other advanced features are temporarily unavailable. Keywords: 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. Further, there was no dependency of dysphagia on gender. J Laparoendosc Adv Surg Tech A 26(8):618624. https://doi.org/10.1007/s00464-015-4386-4, Jian CX, Wu LM, Zheng ZF et al (2020) How should the surgical approach in thyroidectomy be selected? This content does not have an English version. doi: 10.7759/cureus.32836. Drafting: CV, AP. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. National Library of Medicine 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. The medication helps reduce the size of thyroid tissue. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Would you like email updates of new search results? Written informed consent was obtained from all participating patients. Iran J Otorhinolaryngol 31(107):329334. 2022 Dec 22;14(12):e32836. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). Would you like email updates of new search results? Surg Endosc Other Interv Tech 16(12):17411745. Professor David Price, Andreas Hillenbrand, Gregor Cammerer, Lisa Dankesreiter, Johannes Lemke, Doris Henne-Bruns Department of General and Visceral Surgery, Ulm University Medical Center, 89081 Ulm, Germany Introduction: Dysphagia is frequently reported after thyroidectomy. Chen PH, Golub JS, Hapner ER, Johns MM. Unable to load your collection due to an error, Unable to load your delegates due to an error. JAMA Otolaryngol Head Neck Surg 144(4):342348. HHS Vulnerability Disclosure, Help Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Kraemer J, Benninger MS, Blumin JH, Dennis G, Hanks J, Haymart MR, Kloos RT, Seals B, Schreibstein JM, Thomas MA, Waddington C, Warren B, Robertson PJ; American Academy of Otolaryngology-Head and Neck Surgery. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Eating soft foods for the first few days can be helpful. 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. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. Swallowing disorders after thyroidectomy: What we know and where we are. Hoarseness and Voice Problems Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. 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. eCollection 2022. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . Ann Otol Rhinol Laryngol 127(3):171177. These symptoms typically last for only a short time. Have your symptoms been continuous or occasional? Unauthorized use of these marks is strictly prohibited. Do you bring food back up (regurgitate) after swallowing it? Dysphagia in neurological diseases: A literature review. World J Surg. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. We have included 16 studies of which 15 are prospective and one are retrospective. A systematic review. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. The results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. Lombardi CP, Raffaelli M, DAlatri L, et al. Clipboard, Search History, and several other advanced features are temporarily unavailable. Accessed Sept. 24, 2021. All tests of significance were at the P<0.05 level. Chapter 8: Assessing risk of bias in included studies. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). MeSH 1992;305(6846):160164. Eur Arch Otorhinolaryngol 276(10):26612671. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. 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). https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? 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. Results: Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. A systematic review. Copyright 2017 Informa PLC. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Surgery 146(6):11741181. doi: 10.1016/j.ijsu.2017.03.078. government site. CAS Vocal cord paralysis that resolved within 6 months of surgery was considered transient; those that did not resolve in 6 months were classified as permanent. BMJ. This could be a major limitation. Top, Copyright 2023 Dove Press Ltd Surgery 146(6):11741181. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. 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. 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. We're not in there very long. 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). The external branch of the superior laryngeal nerve is not exposed routinely. https://doi.org/10.1007/s00268-013-1908-x, Koo CH, Sohn HM, Choi ES et al (2019) The effect of adjustment of endotracheal tube cuff pressure during scarless remote access endoscopic and robotic thyroidectomy on Laryngo-Pharyngeal complications: prospective randomized and controlled trial. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. Epub 2022 May 30. 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. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma.
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