An official website of the United States government. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. 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. A quantitative synthesis of the results followed. FOIA Dysphagia. 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. 2013 Nov;20(12):3869-76. doi: 10.1245/s10434-013-3163-7. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Athanasia Printza. 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. A systematic review. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. Web Design by Adhesion. ORL J Otorhinolaryngol Relat Spec 82(5):274284. All authors have contributed to the paper and have read and approved the final submitted version. 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. In contrast, few patients (8%; n = 2) had any abnormalities found by clinical assessment or instrumental swallowing evaluation that warranted further follow-up, and these few . 2013;148(6):926932. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in No disclosures were reported. Nat Rev Gastroenterol Hepatol 13(1):4959. Surgery 166(1):6974. Have your symptoms been continuous or occasional? HHS Vulnerability Disclosure, Help What websites do you recommend? Fass R. Approach to the evaluation of dysphagia in adults. Design, setting, and participants: Surg Endosc 30(11):47214730. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. https://doi.org/10.2147/POR.S172059, Gumus T, Makay O, Eyigor S et al (2020) Objective analysis of swallowing and functional voice outcomes after thyroidectomy: a prospective cohort study. Patients were questioned at least 6 months postoperatively. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. A qualitative analysis of data extracted was conducted. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. 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 Surgery 133(3):318322. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns Scerrino G, Inviati A, di Giovanni S, et al. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. reported a qualitative improvement of swallowing function after thyroidectomy . It is a common procedure in modern medicine and may be used to treat malignancy, benign disease, or hormonal disease that is not responsive to medical management. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. We have included 16 studies of which 15 are prospective and one are retrospective. Surgery might be needed to relieve swallowing problems caused by throat narrowing or blockages, including bony outgrowths, vocal cord paralysis, pharyngoesophageal diverticula, GERD and achalasia, or to treat esophageal cancer. 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. Federal government websites often end in .gov or .mil. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. bOne patient failed to complete the smoking field. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. 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 . 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. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. Our results are in line with two other studies, which also reported postoperative swallowing impairment in about 20% of patients after thyroidectomy, and where patients with carcinoma were excluded in both studies.57 Compared with preoperative symptoms, Scerrino et al reported that dysphagia improves in the majority of patients after operative therapy, but swallowing disorders appeared de novo or worsened in 20% of patients.5 However, there are also contradictory results regarding dysphagia after thyroid operations. The https:// ensures that you are connecting to the CAS 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. Careers. 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). Dysphagia 35(2):253260. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. and transmitted securely. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. World J Surg 32(3):381385. One treatment for both toxic and non-toxic goiters is radioiodine therapy. Speech and swallowing therapy is usually helpful after surgery. 2017 May;41 Suppl 1:S94-S102. Ryu JH, Yom CK, Park DJ, et al. Neurological Sciences. Eur Arch Otorhinolaryngol 276(10):26612671. All surgical procedures were performed or supervised by an experienced endocrine surgeon. Ann Otol Rhinol Laryngol 127(3):171177. Dysphagia 34(2):161169. 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. In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Dysphagia 30(5):496505. Ann Surg Oncol. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Bulk reprints for the pharmaceutical industry. We offer real benefits to our authors, including fast-track processing of papers. Accessed Sept. 25, 2021. 2014;207(6):974979. Copyright 2017 Informa PLC. PubMed PubMed Central https://doi.org/10.3342/ceo.2015.8.1.76, Article 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. You can move your head a little bit. MeSH 2017;39(11):22322240. 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 https:// ensures that you are connecting to the Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. Incidence of Dysphonia and Dysphagia Exceeds Recurrent Laryngeal Nerve Injury During Thyroid Surgery. We give you different consistencies of food items to swallow and watch you swallow those. 2016;26(8):10101018. open access to scientific and medical research. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. A quantitative synthesis of the results followed. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Do you bring food back up (regurgitate) after swallowing it? Data analysis: CV, NT, AK, AP. for voice restoration after thyroidectomy". For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Before World J Surg 39(7):17131720. 1976;235(1):5859. Unable to load your collection due to an error, Unable to load your delegates due to an error. Otolaryngol Head Neck Surg. Cureus. Dysphagia. PubMedGoogle Scholar. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. 2013;123(9):23192323. 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. Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. Careers. All rights reserved. Epub 2018 Sep 7. All patients underwent conventional surgery. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. 2020; doi:10.1007/s10072-020-04495-2. Dysphagia 30:496-505. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Results: Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). http://www.entnet.org/content/swallowing-trouble. https://doi.org/10.12669/pjms.305.4767, Article 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. 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. https://doi.org/10.1016/j.ijsu.2017.03.078, Pradeep PV, Ragavan M, Ramakrishna BA et al (2011) Surgery in Hashimotos thyroiditis: indications, complications, and associated cancers. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. Keywords: Accessibility and transmitted securely. Epub 2022 Apr 19. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. 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. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. 2015;39(7):17131720. 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. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. 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. 2017 May;41 Suppl 1:S94-S102. Post Total Thyroidectomy Deglutition Syncope. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. 2004;28(3):271276. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. https://doi.org/10.1007/s00268-015-2995-7, Ryu JH, Han SS, Do SH et al (2013) Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications: prospective, randomized, and controlled trial. Bookshelf Int J Surg 41(Suppl 1):S94S102. See this image and copyright information in PMC. World J Surg 38(2):378384. Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. The objective of this statement article is to discuss optimal surgical management of goiter. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. sharing sensitive information, make sure youre on a federal eCollection 2021. PMC ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. J Laryngol Otol 119(12):973975. 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. Accessed Sept. 24, 2021. Chapter 8: Assessing risk of bias in included studies. Google Scholar, Wasserman JM, Sundaram K, Alfonso AE et al (2008) Determination of the function of the internal branch of the superior laryngeal nerve 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. 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. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. This content does not have an Arabic version. 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? Rosato L, Avenia N, Bernante P, et al. 2019; doi:10.12688/f1000research.18900.1. Prospective comparative analysis of open vs. endoscopic thyroidectomy. Some examples are: Laparoscopic Heller myotomy. Dysphagia. Also at high risk of dysphagia are patients with Graves disease. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. The site is secure. The .gov means its official. Dysphagia. Laryngoscope. 2008;32(5):693700. Clin Nurs Res 28(5):615635. 2017 May;41 Suppl 1:S94-S102. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . The more invasive the operation was, the more patients suffered from dysphagia. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). 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. American Academy of Otolaryngology Head and Neck Surgery. 2022 Dec 22;14(12):e32836. This site needs JavaScript to work properly. World J Surg. https://www.nidcd.nih.gov/health/dysphagia. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. 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. Javascript is currently disabled in your browser. 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. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. World J Surg 33(2):255260. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Unauthorized use of these marks is strictly prohibited. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. Part of Springer Nature. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. PubMed Central Federal government websites often end in .gov or .mil. 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. Tax calculation will be finalised during checkout. 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). Testimonials The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. BMJ. 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? Drafting: CV, AP. government site. Carrie: That's the absolute worst part right there. J Clin Med. The site is secure. 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. 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.
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