or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease (chi-squared test=4.6) and carcinoma (chi-squared test=8.0). For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Using rigorous qualitative methodology, this study set out to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and swallowing-related outcomes. Eur Arch Otorhinolaryngol. A systematic review. Lombardi CP, Raffaelli M, DAlatri L, et al. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC https://doi.org/10.1089/thy.2011.0118, Gohrbandt AE, Aschoff A, Gohrbandt B et al (2016) Changes of laryngeal mobility and symptoms following thyroid surgery: 6-month follow-up. 2017;39(11):22322240. 2014;38(2):378384. Oncologist. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. PubMed Central JAMA. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Go ahead and take a bite of one of those. J Clin Med. Accessibility 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. Would you like email updates of new search results? Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Nat Rev Gastroenterol Hepatol 13(1):4959. The https:// ensures that you are connecting to the 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. ESTIMation of the ABiLity of prophylactic central compartment neck The systematic review of the literature resulted in 35 articles, which met the inclusion criteria and were analyzed regarding their type, sample, follow-up and results regarding post-thyroidectomy dysphagia in multiple follow-up times. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Acta Anaesthesiol Scand 56(10):13141320. -, Codas. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. This site needs JavaScript to work properly. (PDF) Speech therapy after thyroidectomy - ResearchGate Mayo Clinic. Scerrino G, Inviati A, di Giovanni S, et al. PMC Front Endocrinol (Lausanne). Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Rosato L, Avenia N, Bernante P, et al. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Please enable it to take advantage of the complete set of features! Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. Learn more about Institutional subscriptions, Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Purpose: A quantitative synthesis of the results followed. (2009) Symptoms and signs of swallowing changes after thyroidectomy, Wang C, Feng Z, Li J et al (2015) Endoscopic thyroidectomy via areola approach: summary of 1,250 cases in a single institution. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. 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. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. What's the likeliest cause of my symptoms? 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. However, only 8% of participants in this study (n = 2) qualified for a follow-up dysphagia evaluation, indicating that the majority of reported symptoms were subjective in nature. We give you different consistencies of food items to swallow and watch you swallow those. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Epub 2013 Mar 22. Clipboard, Search History, and several other advanced features are temporarily unavailable. eCollection 2023 Jan. Front Surg. Terms & Conditions 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. We're not in there very long. Price excludes VAT (USA) Dysphagia after Thyroid Surgery 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. 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? Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. JAMA Otolaryngol Head Neck Surg. more. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Dysphagia is a possible complication that can be observed in patients undergoing thyroidectomy, and can be related to superior and inferior laryngeal nerves dysfunction, but it usually appears after an uncomplicated surgical procedure. Ferri FF. Triggs J, et al. 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. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. 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. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. 2013 Nov;20(12):3869-76 sharing sensitive information, make sure youre on a federal Unauthorized use of these marks is strictly prohibited. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. sharing sensitive information, make sure youre on a federal Otolaryngol Head Neck Surg. 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. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Surgery. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. and transmitted securely. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy and dysphagia therapy) for improving dysphonia and dysphagia, but not specifically in patients who have received thyroidectomy. Correspondence to https://doi.org/10.1245/s10434-013-3163-7, Sinclair CF, Bumpous JM, Haugen BR et al (2016) Laryngeal examination in thyroid and parathyroid surgery: an American Head and Neck Society consensus statement. Prospective comparative analysis of open vs. endoscopic thyroidectomy. 8600 Rockville Pike Dysphagia. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Cookies The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. Proceduralist: We can show you afterwards too. You might need to take these medications for a long time. Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. I'm going to be helping out with the evaluation today. MeSH Results: There was . Bookshelf After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Mayo Clinic does not endorse companies or products. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Bookshelf All authors have contributed to the paper and have read and approved the final submitted version. https://doi.org/10.1007/s00268-008-9837-9, Sabaretnam M, Mishra A, Chand G et al (2012) Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Clin Exp Otorhinolaryngol 8(1):7680. The authors report no conflicts of interest in this work. doi: 10.1016/j.ijsu.2017.03.078. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). Speech and swallowing therapy is usually helpful after surgery. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. . For esophageal spasm, smooth muscle relaxants might help. In this retrospective cohort study, we sent questionnaires to 372 consecutive patients whose thyroid or parathyroid glands were operated on between May 2013 and October 2014 at Ulm University Hospital. J Postgrad Med 57(2):120122. Surgery. 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. 8600 Rockville Pike Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . 2012;36(6):12931299. HHS Vulnerability Disclosure, Help Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. In: Ferri's Clinical Advisor 2022. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. 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. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. Number 3099067. 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 Swallowing disorders after thyroidectomy: What we know and - PubMed https://doi.org/10.1067/msy.2003.58, Cho JG, Byeon HK, Oh KH et al (2020) Objective assessment of postoperative swallowing difficulty through ultrasound in patients undergoing thyroidectomy. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. See this image and copyright information in PMC. Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. The more invasive the operation was, the more patients suffered from dysphagia. World J Surg. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. All surgical procedures were performed or supervised by an experienced endocrine surgeon. Ann Otol Rhinol Laryngol 127(3):171177. Of 372 questionnaires, 222 were returned. An official website of the United States government. and transmitted securely. Careers. Unable to load your collection due to an error, Unable to load your delegates due to an error. PubMedGoogle Scholar. Some examples are: Laparoscopic Heller myotomy. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. -, ANZ J Surg. 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. World J Surg. Six weeks and 6 months after thyroidectomy, 42% (n = 11) and 17% (n = 4) of participants, respectively, reported continued swallowing symptoms using the prompts; 12% (n = 3) discussed symptoms without prompting cards at both time points. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not .

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