Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. A speech-language pathologist performing head. All authors have contributed to the paper and have read and approved the final submitted version. Does anything seem to improve your symptoms? Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Thyroid nodules: A thyroid nodule is a growth . Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. A systematic review. 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. Good. Accessibility You have sudden abdominal pain. Notes: aIncluded two patients with parathyroidectomy. The site is secure. https://doi.org/10.1159/000508683, Ryu JH, Yom CK, Park DJ et al (2014) Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. 2004;28(3):271276. 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. The https:// ensures that you are connecting to the Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Dysphagia. sharing sensitive information, make sure youre on a federal Aging and swallowing. National Library of Medicine Objective: 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. A quantitative synthesis of the results followed. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. 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 . You may have follow-up appointments once or twice a year for several years after treatment ends. 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. There was . -. Methods: Acta Anaesthesiol Scand 56(10):13141320. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. 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. doi: 10.7759/cureus.34078. Chen PH, Golub JS, Hapner ER, Johns MM. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. https://doi.org/10.1007/s00405-021-06661-4 (Epub ahead of print 2021/02/18), Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Figure 3 Frequency of dysphagia depending on diagnosis. Ann Surg Oncol 22(9):30143021. HHS Vulnerability Disclosure, Help Would you like email updates of new search results? 2017;37(5):193199. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. Recent advances in dysphagia management [version 1; peer review: 3 approved]. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. for voice restoration after thyroidectomy". official website and that any information you provide is encrypted Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). 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. Cookies The articles retrieved by database searches were classified and screened for relevance by using EndNote. http://www.entnet.org/content/swallowing-trouble. 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. J Laryngol Otol 119(12):973975. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. An official website of the United States government. 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. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. All surgical procedures were performed or supervised by an experienced endocrine surgeon. 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. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Unable to load your collection due to an error, Unable to load your delegates due to an error. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. Keywords: dysphagia, thyroidectomy, parathyroidectomy. 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. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. 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 . A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Before Chapter 8: Assessing risk of bias in included studies. Ferri FF. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. Would you like email updates of new search results? One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. Critical revision of the work: AP, ST, KS. 2013 Nov;20(12):3869-76 doi: 10.7759/cureus.32836. open access to scientific and medical research. Bethesda, MD 20894, Web Policies Swallowing disorders after thyroidectomy: What we know and where we are. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. government site. Accessed Sept. 21, 2021. The https:// ensures that you are connecting to the 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). Langenbecks Arch Surg. Disclaimer. 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. Accessed Sept. 21, 2021. Unauthorized use of these marks is strictly prohibited. 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. Eur Arch Otorhinolaryngol 279, 42134227 (2022). Curr Opin Otolaryngol Head Neck Surg. Eur Arch Otorhinolaryngol. 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. (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Sept. 29, 2021. An association between surgical insult following thyroid surgery and LPR needs further investigation. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 2015;39(7):17131720. Allscripts EPSi. Drafting: CV, AP. Mayo Clinic does not endorse companies or products. 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. Carrie: Your other hand. Triggs J, et al. https://www.uptodate.com/contents/search. 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. . Would you like email updates of new search results? Dysphagia. https://doi.org/10.3342/ceo.2015.8.1.76, Article Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. 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. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. All right. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Laryngoscope 129(2):519524. World J Surg 39(7):17131720. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Eur Arch Otorhinolaryngol. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. 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 . Arch Otolaryngol Head Neck Surg. 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. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations Depending on the suspected cause, your health care provider might refer you to an ear, nose and throat specialist, a doctor who specializes in treating digestive disorders (gastroenterologist), or a doctor who specializes in diseases of the nervous system (neurologist). After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. Jung SP, Kim SH, Bae SY, Lee SK, Kim S, Choi MY, Kim J, Kim M, Kil WH, Choe JH, Kim JH, Nam SJ, Kim JS. Cramon P, Winther KH, Watt T, et al. 2004. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Dysphagia reverted to pre-operative levels 2-3 months later. https://doi.org/10.1007/s00268-015-3323-y, Hillenbrand A, Cammerer G, Dankesreiter L et al (2018) Postoperative swallowing disorder after thyroid and parathyroid resection. 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. Dysphagia. This site needs JavaScript to work properly. Surg Laparosc Endosc Percutan Tech 16(4):226231. eCollection 2022. eCollection 2021. CAS Dysphagia reverted to pre-operative levels 23months later. 2003;133(3):318322. 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. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Surgery 146(6):11741181. Accessibility 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. 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.
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