National Library of Medicine Dysphagia 30(5):496505. We offer real benefits to our authors, including fast-track processing of papers. sharing sensitive information, make sure youre on a federal 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. A randomized controlled study. Epub 2018 Sep 7. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. The .gov means its official. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. Postthyroidectomy Throat Pain and Swallowing: Do Proton Pump Inhibitors 2008;32(5):693700. 2004. Int J Surg 41(Suppl 1):S94S102. Speech and swallowing therapy is usually helpful after surgery. Dysphagia. In the early postoperative weeks after thyroidectomy, swallowing impairment is self-explanatory and is reported by most patients.6 Symptoms are often self-limiting, are not related to impaired nerve function and improve spontaneously. It is normal to have these problems for up to 6 months after a total thyroidectomy. Iran J Otorhinolaryngol 31(107):329334. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. CAS Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. 2020; doi:10.1007/s10072-020-04495-2. Clin Otolaryngol 41(5):615618. http://www.entnet.org/content/swallowing-trouble. https://doi.org/10.1002/hed.20648, Silva ICM, Netto IdP, Vartanian JG et al (2012) Prevalence of upper aerodigestive symptoms in patients who underwent thyroidectomy with and without the use of intraoperative laryngeal nerve monitoring. 2016;26(8):10101018. Dysphagia. Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic Front Endocrinol (Lausanne). 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. Good. sharing sensitive information, make sure youre on a federal Management of compression symptoms of thyroid goiters - ResearchGate The options for medical treatment of euthyroid goiter are short-lived and are limited to thyroxine hormone suppression and radioactive iodine ablation. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. 2017 May;41 Suppl 1:S94-S102. 2012;17(10):12711276. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Ann Surg Oncol. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Eur Arch Otorhinolaryngol 279, 42134227 (2022). Idea for the study: AP, CV. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. 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. Ferri FF. Thyroid. This could be a major limitation. 2013;123(9):23192323. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). Mayo Clinic does not endorse companies or products. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. 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. and transmitted securely. In the evaluation, 219 returns could be included. https://doi.org/10.4103/0022-3859.81867, Article . The often used questionnaire Thyroid-Related Quality of Life Measure ThyPRO reports 13 multi-item scales, and dysphagia is only a sub-item of one of the 13 items (goiter symptoms). Please enable it to take advantage of the complete set of features! Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). https://doi.org/10.1007/s00464-002-8830-x, Article -, Codas. Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. Recommend this site When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. Top, Copyright 2023 Dove Press Ltd Lembo AJ. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. 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. 8600 Rockville Pike A quantitative synthesis of the results followed. 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. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. (PDF) Speech therapy after thyroidectomy - ResearchGate https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Post Total Thyroidectomy Deglutition Syncope. Laryngoscope 129(2):519524. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. All right. One treatment for both toxic and non-toxic goiters is radioiodine therapy. Online ahead of print. 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. Careers. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Epub 2014 Jan 24. 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). Epub 2022 May 30. 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. Thyroid Surgery | American Thyroid Association Surg Endosc 32(5):23402344. J Postgrad Med 57(2):120122. -, Ann Surg Oncol. Are there brochures or other printed material I can have? Am J Surg. HHS Vulnerability Disclosure, Help PubMed Follow-up tests may include: Physical exam of . PubMed The more invasive the operation was, the more patients suffered from dysphagia. Have your symptoms been continuous or occasional? 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. Wentworth MA. Keywords: Dsphagia, Thyroid surgery Epub 2019 Aug 14. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after 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. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. World J Surg. Thyroid. 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. It goes in your nose about this far, just a little bit past that white line. Total Thyroidectomy (Discharge Care) - Drugs.com PLoS Med 6(7):e1000097. 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. Which tests you need will depend on your situation. Unauthorized use of these marks is strictly prohibited. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. Literature search: CV. 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. Conclusions: Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). 1976;235(1):5859. (PDF) Effects of Dysphagia Therapy on Swallowing Dysfunction after You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. What's the likeliest cause of my symptoms? 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. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. 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". Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. You have sudden abdominal pain. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). 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 . Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Surg Endosc. 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. Rare complication after thyroidectomy-cervical esophageal stenosis: a 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). Your health care provider will likely ask you for a description and history of your swallowing difficulties, perform a physical examination, and use various tests to find the cause of your swallowing problem. Bookshelf Quality of life is not influenced by the extent of surgery in patients with benign goiter. National Institute on Deafness and Other Communication Disorders. 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. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2022. Pragmat Obs Res 9:6368. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. Epub 2014 Apr 13. https://doi.org/10.1111/coa.12547, Aidan P, Pickburn H, Monpeyssen H et al (2013) Indications for the gasless transaxillary robotic approach to thyroid surgery: experience of forty-seven procedures at the American hospital of paris. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. A qualitative analysis of data extracted was conducted. Keywords: HHS Vulnerability Disclosure, Help government site. 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. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest.
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