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 . 2017;37(5):193199. Data analysis: CV, NT, AK, AP. Dysphagia. All surgical procedures were performed or supervised by an experienced endocrine surgeon. Please enable it to take advantage of the complete set of features! For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) Volume 2018:9 Pages 6368, Editor who approved publication: PubMed Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. 2009;24(1):16. 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. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Trippe BS, Shaprio JR, Doppman JL. Which tests you need will depend on your situation. MeSH 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. J Laparoendosc Adv Surg Tech A 26(8):618624. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Conclusions: 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Bethesda, MD 20894, Web Policies Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Back to Journals Pragmatic and Observational Research Volume 9, Authors Hillenbrand A, Cammerer G, Dankesreiter L, Lemke J, Henne-Bruns D, Published 16 October 2018 Clin Exp Otorhinolaryngol 8(1):7680. Speech therapy after thyroidectomy - PubMed Most studies find that quality of life improves after thyroidectomy, although there are also some contradictory results.1013 Assessment of dysphagia is presumably insufficient in these studies, because the item dysphagia is underrepresented. No disclosures were reported. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. PMC Dysphagia 35(2):253260. Background: The objective of this study was to compare the postoperative neck pain and discomfort, swallowing difficulty, and voice change after conventional open thyroidectomy (COT), endoscopic thyroidectomy (ET), or robotic thyroidectomy (RT) performed by a single surgeon.Methods: From January 2013 to December 2017, 254 patients underwent COT, ET, or RT performed by a single surgeon and . Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. Importance: Recent advances in dysphagia management [version 1; peer review: 3 approved]. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. 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. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. The site is secure. BMJ 372:n71. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. 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. Epub 2013 Aug 2. 8600 Rockville Pike 2017 May;41 Suppl 1:S94-S102. Thyroid Surgery | American Thyroid Association or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. 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. Swallowing disorders after thyroidectomy: a systematic - Springer Dysphagia. 1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, Chrysoula Vardaxi,Stefanos Triaridis&Athanasia Printza, Department of Otorhinolaryngology, G. Speech therapy after thyroidectomy - Yu - Gland Surgery https://doi.org/10.12669/pjms.305.4767, Article 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. A randomized controlled study. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). J Clin Endocrinol Metab 98(7):27012708. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? In literature, we found no comparable study regarding Graves disease, although Cramon et al report that Graves disease causes severe disease-specific and generic health-related quality of life impairments, and deficits persist after treatment.15 One particular aspect of Graves disease could be inflammation, which can favor postoperative scarring. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Laryngoscope Investig Otolaryngol. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. and transmitted securely. HHS Vulnerability Disclosure, Help Bethesda, MD 20894, Web Policies Arch Otolaryngol Head Neck Surg. You have sudden abdominal pain. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Methods: Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. They found a decreased pressure in the upper esophageal sphincter in postoperative esophageal manometry by an average of 25% after uncomplicated thyroidectomy, recovering to original values after 2 years.5,17 In case of radical central neck dissection, the inferior laryngeal nerve and the nerve branches destined for esophageal region are dissected; an extended dissection of the nerves could predispose to risk. Accessibility Post Total Thyroidectomy Deglutition Syncope. Speech and swallowing therapy is usually helpful after surgery. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. 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. https://doi.org/10.1136/bmj.n71, Slim K, Nini E, Forestier D et al (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Swallowing dysfunction after thyroid surgery is characterized by . Dysphagia. American Academy of Otolaryngology Head and Neck Surgery. One treatment for both toxic and non-toxic goiters is radioiodine therapy. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. 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. 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). 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). This injection will help any leftover thyroid tissue absorb the radioactive iodine. 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. 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). Thyroid 23(1):6469. Since these symptoms can reduce patie -, Codas. official website and that any information you provide is encrypted and transmitted securely. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Clipboard, Search History, and several other advanced features are temporarily unavailable. Head Neck. Langenbecks Arch Surg. CAS Clinical practice guideline: improving voice outcomes after thyroid surgery. Athanasia Printza. Conflicts of Interest: The authors have no conflicts of interest to declare. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Epub 2014 Jan 24. Javascript is currently disabled in your browser. 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. In the evaluation, 219 returns could be included. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. Surg Endosc 30(11):47214730. 8600 Rockville Pike 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. Pragmat Obs Res 9:6368. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic 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 . doi: 10.1177/0194599813487301. Conclusions and relevance: Surgical Management of Graves' Disease - American Thyroid Association Corticosteroids might be recommended for eosinophilic esophagitis. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Lembo AJ. 2014;207(6):974979. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Idea for the study: AP, CV. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Unable to load your collection due to an error, Unable to load your delegates due to an error. Elsevier; 2022. https://www.clinicalkey.com. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. Swallowing disorders after thyroidectomy: What we know and where we are. 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. 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. JAMA Otolaryngol Head Neck Surg. Though various causes have been hypothesized, it remains not completely understood. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. Dysphagia - Diagnosis and treatment - Mayo Clinic 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. Excluded from the evaluation were 27 patients with preoperatively existing (n=10) or postoperative (n=17) temporary or permanent paralysis of the recurrent nerve, since swallowing complaints and vocal changes are to be expected in these patients.2 Patients were questioned between 6 and 18 months postoperatively (median 14 months). ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. software development by maffey.com government site. Testimonials Epub 2022 Apr 19. Acta Anaesthesiol Scand 56(10):13141320. Accessibility 2017 May;41 Suppl 1:S94-S102. MeSH Epub 2018 Sep 7. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Dysphagia. Epub 2018 Sep 7. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 2008 May;32(5):693-700 Thyroidectomy is a largely performed procedure [].Dysphonia and dysphagia are common after thyroidectomy and can cause huge impact on the patient's quality of life [2, 3].Voice and swallowing complaints occur between 15 and 90 days after surgery [4-6].Though spontaneous complaints of swallowing are not common, it has been observed that when questioned about this specific aspect, the . Swallowing disorders after thyroidectomy: What we know and - PubMed 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. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. Further, there was no dependency of dysphagia on gender. 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 . Parathyroid surgery was performed without a routine four-gland exploration. Keywords: dysphagia, thyroidectomy, parathyroidectomy. Design, setting, and participants: 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. official website and that any information you provide is encrypted 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. Databases used for the literature review in this study included, PubMed, MEDLINE, Academic Search Primer, ERIC, CINAHL Plus, and EBSCO. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study Multinodular goiter: Overview, causes, and treatment - Medical News Today World J Surg 38(2):378384. A quantitative synthesis of the results followed. HHS Vulnerability Disclosure, Help Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. A systematic review. Figure 2 Frequency of dysphagia depending on the operative therapy. Thyroid cancer - Diagnosis and treatment - Mayo Clinic Otolaryngol Head Neck Surg. https://doi.org/10.1002/lary.27297, Ikeda Y, Takami H, Sasaki Y et al (2002) Comparative study of thyroidectomies. Accessed Sept. 21, 2021. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. A systematic review. Accessed Sept. 24, 2021. 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. Thyroidectomy: What to Expect at Home - Alberta Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. 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. The site is secure. Clin Nurs Res 28(5):615635. Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate Surg Laparosc Endosc Percutan Tech 16(4):226231. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . Cramon P, Winther KH, Watt T, et al. https://doi.org/10.1007/s12070-011-0319-2, Scerrino G, Inviati A, Di Giovanni S et al (2013) Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Mayo Clinic does not endorse companies or products. Rare complication after thyroidectomy-cervical esophageal stenosis: a World J Surg. Dysphagia 30:496-505. https://doi.org/10.1089/thy.2017.0524, Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. 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? 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. Eating soft foods for the first few days can be helpful. official website and that any information you provide is encrypted PubMed Central Vocal cord paralysis that resolved within 6 months of surgery was considered transient; those that did not resolve in 6 months were classified as permanent. government site. The https:// ensures that you are connecting to the 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. Thyroidectomy should be considered for anyone with Graves' disease (GD) and moderate-to-severe eye disease, or smokers with GD due to increased risk of exacerbation of eye disease after radioactive iodine. 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. 2. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. 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). Surg Endosc 26(7):18711877. Front Surg. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. So the different items we're going to be swallowing. 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. 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. The more invasive the operation was, the more patients suffered from dysphagia. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. World J Surg 32(3):381385. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. The medication helps reduce the size of thyroid tissue. Lombardi CP, Raffaelli M, DAlatri L, et al. Management of compression symptoms of thyroid goiters - ResearchGate 2006;140(6):10261034. Careers. 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.
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