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2013 Nov;20(12):3869-76. doi: 10.1245/s10434-013-3163-7. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. Figure 3 Frequency of dysphagia depending on diagnosis. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. This should not lead to underestimation of symptoms, since the patients' quality of life is negatively affected by the symptomatology. 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 type of surgical treatment depends on the cause of dysphagia. 2016;26(8):10101018. Also at high risk of dysphagia are patients with Graves disease. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. A quantitative synthesis of the results followed. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. Langenbecks Arch Surg. There's not much space between your nose and your throat, so it doesn't have to go in very far. PubMed ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Corticosteroids might be recommended for eosinophilic esophagitis. Dysphagia in neurological diseases: A literature review. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. Bookshelf Dysphagia - Diagnosis and treatment - Mayo Clinic 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. https://doi.org/10.1177/000348940411300914, Nouraei SAR, Allen J, Kaddour H et al (2017) Vocal palsy increases the risk of lower respiratory tract infection in low-risk, low-morbidity patients undergoing thyroidectomy for benign disease: a big data analysis. Swallowing disorders after thyroidectomy: a systematic - Springer 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. Otolaryngol Head Neck Surg. Dysphagia after Thyroid Surgery Validating the SF-36 health survey questionnaire: new outcome measure for primary care. 2013 Jan;83(1-2):15-21 government site. https://doi.org/10.1007/s00464-010-1113-z, Tae K, Kim KY, Yun BR et al (2012) Functional voice and swallowing outcomes after robotic thyroidectomy by a gasless unilateral axillo-breast approach: comparison with open thyroidectomy. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Prospective comparative analysis of open vs. endoscopic thyroidectomy. 2004;28(3):271276. 2015;39(7):17131720. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Sorensen JR, Watt T, Cramon P, et al. 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. Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. We offer real benefits to our authors, including fast-track processing of papers. Oncologist. BMJ. Total Thyroidectomy (Discharge Care) - Drugs.com 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. We found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma and a decreased risk for patients operated on for hyperparathyroidism. Epub 2022 Apr 19. sharing sensitive information, make sure youre on a federal World J Surg 33(2):255260. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. Introduction: Dysphagia is frequently reported after thyroidectomy. Your doctor will take this out a few days after your surgery. World J Surg. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study Front Endocrinol (Lausanne). doi: 10.1016/j.ijsu.2017.03.078. Keywords: dysphagia, thyroidectomy, parathyroidectomy. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. eCollection 2022. Results This retrospective review included 45,539. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. 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. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. MeSH Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. 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. Dysphagia 34(2):161169. No disclosures were reported. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. 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. Swallowing symptoms after thyroidectomy are underreported in the literature. Surg Endosc 32(5):23402344. Keywords: Eur Arch Otorhinolaryngol 279, 42134227 (2022). Carrie: That's the absolute worst part right there. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. 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. Head Neck 38(6):811819. This content does not have an English version. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. open access to scientific and medical research. 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. 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 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. ORL J Otorhinolaryngol Relat Spec 82(5):274284. https://www.uptodate.com/contents/search. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. Objective: 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 . FOIA Please enable it to take advantage of the complete set of features! Laryngoscope Investig Otolaryngol. https://doi.org/10.1089/lap.2015.0546, Bellotti C, Capponi MG, Cinquepalmi M et al (2018) MIVAT: the last 2 years experience, tips and techniques after more than 10 years. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Bethesda, MD 20894, Web Policies Accessibility 2023 Springer Nature Switzerland AG. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Data analysis: CV, NT, AK, AP. Surg Endosc 26(7):18711877. World J Surg. Part of Springer Nature. The authors did not receive any funding or support for the submitted work. The pain and swallowing discomfort suffered by patients following thyroid surgery may be reduced by PPIs given postoperatively. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. Here's some information to help you prepare for your appointment. 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. Surg Endosc 30(11):47214730. Scerrino G, Inviati A, di Giovanni S, et al. Ann Otol Rhinol Laryngol 127(3):171177. PubMed Online ahead of print. Epub 2020 Nov 4. Hoarseness and Voice Problems 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 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. We give you different consistencies of food items to swallow and watch you swallow those. Ferri FF. World J Surg. Nat Rev Gastroenterol Hepatol 13(1):4959. We found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma and a decreased risk for patients operated on for hyperparathyroidism. Epub 2022 Apr 19. These are normal sensations. Speech therapy after thyroidectomy - Yu - Gland Surgery 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). Clipboard, Search History, and several other advanced features are temporarily unavailable. Careers. Dysphagia 30(5):496505. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. Privacy Policy Bukvi B, ivaljevi V, ipeti S, Dikli A, Tauanovi K, Paunovi I. Validation and cross-cultural adaptation of the questionnaire ThyPRO in thyroid patients in Serbia. Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. G Chir. Hi, Addie. Ann Otol Rhinol Laryngol 127(3):171177. Accessed Sept. 21, 2021. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. https://doi.org/10.3390/jcm8111787, Xu YJ, Wang SL, Ren Y et al (2012) A smaller endotracheal tube combined with intravenous lidocaine decreases post-operative sore throat - a randomized controlled trial. Epub 2019 Aug 14. Results: Surgery 146(6):11741181. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Does anything seem to improve your symptoms? For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate Management of compression symptoms of thyroid goiters - ResearchGate 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. Surg Endosc 28(6):19141920. Bookshelf Antacids that you can get without a prescription also might help temporarily. . We did not detect objectively measurable alterations in these patients. 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. FOIA 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. Chapter 8: Assessing risk of bias in included studies. J Postgrad Med 57(2):120122. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. doi: 10.1177/0194599813487301. HHS Vulnerability Disclosure, Help Clipboard, Search History, and several other advanced features are temporarily unavailable. Dysphagia is a typical symptom complained of preoperatively by patients with enlarged thyroid due to a direct compression of the swallowing organs.1 In these patients, uncomplicated thyroidectomy often leads to improvements in perceptions of swallowing function.2 But impaired swallowing and neck strangling also occur postoperatively. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Surg Laparosc Endosc Percutan Tech 16(4):226231. 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. An official website of the United States government. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. Pragmat Obs Res 9:6368. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Conflicts of Interest: The authors have no conflicts of interest to declare. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Figure 1 Frequency and duration of postoperative dysphagia complaints. Head Neck. One treatment for both toxic and non-toxic goiters is radioiodine therapy. Dysphagia. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Which tests you need will depend on your situation. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. And one more. Copyright 2017 Informa PLC. The more invasive the operation was, the more patients suffered from dysphagia. 2004. Iran J Otorhinolaryngol 31(107):329334. 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. How can I best manage them together? In: Higgins JPT, Churchill R, Chandler J, Cumpston MS (eds), Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0 (updated June 2017), Cochrane, 2017. www.training.cochrane.org/handbook. Clin Nurs Res 28(5):615635. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Rare complication after thyroidectomy-cervical esophageal stenosis: a 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. These symptoms typically last for only a short time. Thyroid. Of 372 questionnaires, 222 were returned. Dysphagia. A quantitative synthesis of the results followed. This site needs JavaScript to work properly. 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. A speech-language pathologist performing head positioning on a patient. 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? Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP.