Testimonials World J Surg. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. Correspondence to Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". sharing sensitive information, make sure youre on a federal Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Carrie: Your other hand. Neurological Sciences. 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. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. Notes: The more invasive the operation was, the more patients suffered from dysphagia. Bookshelf Google Scholar. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. Keywords: These are normal sensations. 2022 Dec 22;14(12):e32836. 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 . Accessibility The common post-thyroidectomy neurological complications noted were hoarseness of voice (6 patients), loss of voice pitch (7), breathy voice (8), respiratory stridor (2), and dysphagia to liquids (8). Price excludes VAT (USA) -, Ann Surg Oncol. 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. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. Accessed Sept. 21, 2021. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. 2016;26(8):10101018. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. J Clin Med. Table 2 Demographic-, disease-, and treatment-related variables for the study cohort. The authors report no conflicts of interest in this work. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. PMC Vojnosanit Pregl. Good. Epub 2020 Nov 4. World J Surg. 2013;123(9):23192323. Careers. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. The type of surgical treatment depends on the cause of dysphagia. https://doi.org/10.1007/s00464-002-8830-x, Article 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. Patients were questioned at least 6 months postoperatively. Results: Carrie: Go ahead and take a couple more for me. 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. Allscripts EPSi. 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. Ann Otol Rhinol Laryngol 127(3):171177. 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. Here's some information to help you prepare for your appointment. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. doi: 10.1177/0194599813487301. PubMed Central Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Article Google Scholar Grover G, Sadler GP, Mihai R . PMC Before and transmitted securely. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Epub 2018 Sep 7. 2017 May;41 Suppl 1:S94-S102. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. A systematic review. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. Nat Rev Gastroenterol Hepatol 13(1):4959. Int J Surg 41(Suppl 1):S94S102. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. 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. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. https://www.uptodate.com/contents/search. doi: 10.1016/j.jvoice.2021.02.030. Bethesda, MD 20894, Web Policies We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. https://doi.org/10.1007/s00268-003-6903-1, Sasaki A, Nakajima J, Ikeda K et al (2008) Endoscopic thyroidectomy by the breast approach: a single institutions 9-year experience. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Accessed Sept. 24, 2021. Accessed Sept. 21, 2021. Surgery. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. 2015;39(7):17131720. Federal government websites often end in .gov or .mil. https://doi.org/10.1016/j.surg.2009.09.010, Article Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. MeSH 2011;396(8):11571163. Before Ann Otol Rhinol Laryngol 127(3):171177. The authors did not receive any funding or support for the submitted work. Sept. 29, 2021. eCollection 2023 Jan. Front Surg. official website and that any information you provide is encrypted Results This retrospective review included 45,539. All patients underwent conventional surgery. Dysphagia. Methods: Ann Otol Rhinol Laryngol 113(9):749753. 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 objective of this statement article is to discuss optimal surgical management of goiter. 1992;305(6846):160164. https://www.nidcd.nih.gov/health/dysphagia. Literature search: CV. The pain and swallowing discomfort suffered by patients following thyroid surgery may be reduced by PPIs given postoperatively. 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. MeSH 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. Dysphagia in neurological diseases: A literature review. Thyroidectomy is a well-described procedure used to excise the thyroid gland. 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. This injection will help any leftover thyroid tissue absorb the radioactive iodine. Do you cough or gag when you try to swallow? World J Surg 28(3):271276. 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. Compared to other studies concerning postoperative dysphagia, we included a large collective of patients and analyzed, in contrast to other studies, frequency of dysphagia according to patients diagnoses. 8600 Rockville Pike The authors have no conflicts of interest to declare, relevant to the content of this article. FOIA Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Front Endocrinol (Lausanne). Accessibility Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Rosato L, Avenia N, Bernante P, et al. A systematic review. Total thyroidectomy. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. Quality of life after thyroidectomy in patients with nontoxic nodular goiter: A prospective cohort study. 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. eCollection 2021. Conclusions: 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. National Library of Medicine European Archives of Oto-Rhino-Laryngology 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. Please enable it to take advantage of the complete set of features! Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. All surgical procedures were performed or supervised by an experienced endocrine surgeon. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Head Neck 38(6):811819. All rights reserved. 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". Have your symptoms been continuous or occasional? Thyroid. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). 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). All rights reserved. The duration of the follow-up ranges from 1 month to 4 years. Cookies Surgery 146(6):11741181. eCollection 2022. 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. sharing sensitive information, make sure youre on a federal eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Number 3099067. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. We have included 16 studies of which 15 are prospective and one are retrospective. Indian J Otolaryngol Head Neck Surg 66(Suppl 1):7177. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Contact Us JAMA Otolaryngol Head Neck Surg 144(4):342348. Clipboard, Search History, and several other advanced features are temporarily unavailable. Surg Laparosc Endosc Percutan Tech 30(1):2225. 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). 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Lembo AJ. Eur Arch Otorhinolaryngol 276(10):26612671. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. 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. 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? 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. What websites do you recommend? Swallowing disorders after thyroidectomy: What we know and where we are. 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. In: Higgins JPT, Churchill R, Chandler J, Cumpston MS (eds), Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0 (updated June 2017), Cochrane, 2017. www.training.cochrane.org/handbook. J Postgrad Med 57(2):120122. Bookshelf 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. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. The type of surgical treatment depends on the cause of dysphagia. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. An association between surgical insult following thyroid surgery and LPR needs further investigation. sharing sensitive information, make sure youre on a federal Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . We offer real benefits to our authors, including fast-track processing of papers. Data analysis: CV, NT, AK, AP. Copyright 2017 Informa PLC. Proceduralist: We can show you afterwards too. 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. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Would you like email updates of new search results? Surg Endosc 28(6):19141920. 2017 May;41 Suppl 1:S94-S102. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. 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? 2003;133(3):318322. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. 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. 2012;17(10):12711276. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. The .gov means its official. eCollection 2021. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). and transmitted securely. Surg Endosc 24(12):31863194. The .gov means its official. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). FOIA Laryngoscope 129(2):519524. The https:// ensures that you are connecting to the Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery.
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