Swallowing disorders after thyroidectomy: What we know and - PubMed This site needs JavaScript to work properly. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. We're not in there very long. https://doi.org/10.1371/journal.pmed.1000097, Page MJ, McKenzie JE, Bossuyt PM et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Would you like email updates of new search results? Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Prospective comparative analysis of open vs. endoscopic thyroidectomy. We hypothesize that the rate of complete remission after thyroidectomy alone is not inferior to the rate of complete remission after thyroidectomy with PND by more than 5% at 1 year. A speech-language pathologist performing head positioning on a patient. Surg Endosc 26(7):18711877. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 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. Gland Surg. JAMA Otolaryngol Head Neck 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. Otolaryngol Head Neck Surg. Dysphagia in neurological diseases: A literature review. eCollection 2022. doi: 10.1016/j.ijsu.2017.03.078. Results: A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. 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. Epub 2020 Nov 4. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. Exclusion criteria were preexisting vocal fold abnormalities (eg, polyps, nodules), neurological conditions affecting the voice or swallowing ability, and/or development of new-onset vocal fold paresis or paralysis (lasting longer than 6 months) after total thyroidectomy. 2013 Nov;20(12):3869-76 Thyroidectomy - Mayo Clinic By accessing the work you hereby accept the Terms. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. The site is secure. 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. Epub 2018 Sep 7. Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. Cookies World J Surg. Pak J Med Sci 30(5):11191122. ORL J Otorhinolaryngol Relat Spec 82(5):274284. Follow-up tests may include: Physical exam of . Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis. All patients underwent conventional surgery. 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. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns Speech and swallowing therapy is usually helpful after surgery. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Keywords: Eur Thyroid J 2(2):102109. 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. Arch Otolaryngol Head Neck Surg. They may be due to irritation from the breathing tube inserted into the windpipe during surgery, or the result of nerve irritation caused by the procedure. 2015;72(7):583588. (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Surg Laparosc Endosc Percutan Tech 30(1):2225. In the case of toxic goiters, it also shuts down abnormal. 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. Audit of Neurological Complications After Thyroid Surgery Lembo AJ. Surgical Management of Graves' Disease - American Thyroid Association Conclusions and relevance: software development by maffey.com Bethesda, MD 20894, Web Policies Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Ann Surg Oncol. Speech therapy after thyroidectomy - PubMed The articles retrieved by database searches were classified and screened for relevance by using EndNote. Good. Acta Anaesthesiol Scand 56(10):13141320. The medication helps reduce the size of thyroid tissue. All the included trials documented postoperative dysphagia, 12 of which have detected it in the early postoperative period. G Chir. for voice restoration after thyroidectomy". 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. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. BMJ 372:n71. Lombardi CP, Raffaelli M, DAlatri L, et al. eCollection 2022. Clinical practice guideline: improving voice outcomes after thyroid surgery. A systematic review. Hi, Addie. Associations & Partners https://doi.org/10.1016/j.surg.2019.01.034, Hashemian M, Khorasani B, Tarameshlu M et al (2019) Effects of dysphagia therapy on swallowing dysfunction after total thyroidectomy. J Laparoendosc Adv Surg Tech A 26(8):618624. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. Disclaimer. All authors have contributed to the paper and have read and approved the final submitted version. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Mayo Clinic does not endorse companies or products. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Do you cough or gag when you try to swallow? Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Accessed Sept. 21, 2001. 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. Surg Endosc Other Interv Tech 16(12):17411745. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Please enable it to take advantage of the complete set of features! 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. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Clin Exp Otorhinolaryngol 8(1):7680. Accessed Sept. 21, 2021. Data analysis: CV, NT, AK, AP. and transmitted securely. This should not lead to underestimation of symptoms, since the patients quality of life is negatively affected by the symptomatology. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Curr Opin Otolaryngol Head Neck Surg. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . Dysphagia. 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. 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. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 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). 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. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? World J Surg 39(7):17131720. 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. Thyroidectomy (surgical removal of all or part of the thyroid gland) may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. 2022 Dec 22;14(12):e32836. Accessibility The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. 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. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. 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. 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. Accessed Sept. 25, 2021. Which tests you need will depend on your situation. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. 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.

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