The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. 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. Cookies UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Chen PH, Golub JS, Hapner ER, Johns MM. Copyright 2017 Informa PLC. 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. Swallowing dysfunction following surgery for well-differentiated 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". The instrumental findings revealed non-specific alterations of swallowing. Accessed Sept. 21, 2001. https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. Thyroidectomy - Mayo Clinic sharing sensitive information, make sure youre on a federal Keywords: dysphagia, thyroidectomy, parathyroidectomy. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. This content does not have an English version. Accessibility Dysphagia after Thyroid Surgery You drink a barium solution that coats your esophagus, making it easier to see on X-rays. Written informed consent was obtained from all participating patients. Speech therapy after thyroidectomy - PubMed World J Surg. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. 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. 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). Thyroid 28(1):104109. Thyroid 22(8):814819. What websites do you recommend? Dysphagia. Notes: The more invasive the operation was, the more patients suffered from dysphagia. Article Google Scholar Grover G, Sadler GP, Mihai R . Accessed Sept. 24, 2021. This site needs JavaScript to work properly. Bethesda, MD 20894, Web Policies 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. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Laryngoscope Investig Otolaryngol. This study revealed that as many as 80% of patients who have thyroidectomy may experience swallowing-related symptoms after surgery, and many develop compensatory strategies to manage or reduce the burden of these symptoms. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Dysphagia. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Otolaryngol Head Neck Surg. (PDF) Effects of Dysphagia Therapy on Swallowing Dysfunction after All rights reserved. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. CAS The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. This content does not have an Arabic version. Introduction: Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. eCollection 2023 Jan. Front Surg. Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. You may have follow-up appointments once or twice a year for several years after treatment ends. Dan Med J 65(4):B5472, PubMed Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. official website and that any information you provide is encrypted And one more. In the case of toxic goiters, it also shuts down abnormal. Conflicts of Interest: The authors have no conflicts of interest to declare. Eur Arch Otorhinolaryngol. http://www.entnet.org/content/swallowing-trouble. 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 PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). MeSH A qualitative analysis of data extracted was conducted. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Methods: 2014;207(6):974979. Quality of life is not influenced by the extent of surgery in patients with benign goiter. 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. In: Ferri's Clinical Advisor 2022. Gland Surg. American College of Gastroenterology. Rosato L, Avenia N, Bernante P, et al. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. All the included trials documented postoperative dysphagia, 12 of which have detected it in the early postoperative period. 2017;37(5):193199. MeSH Keywords: Dsphagia, Thyroid surgery 2004;28(3):271276. The site is secure. Surg Endosc. Unauthorized use of these marks is strictly prohibited. A speech-language pathologist performing head. 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. 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). 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. Swallowing disorders after thyroidectomy: a systematic review - PubMed World J Surg 38(2):378384. 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. 2017 May 15;29(3):e20150294 Keywords: eCollection 2022. J Laparoendosc Adv Surg Tech A 26(8):618624. An association between surgical insult following thyroid surgery and LPR needs further investigation. Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 Dysphagia - Diagnosis and treatment - Mayo Clinic https://doi.org/10.12669/pjms.305.4767, Article Speech therapy after thyroidectomy Wing-Hei Viola Yu, Che-Wei Wu Abstract Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Your scar will be most visible for the first 1-2 months after surgery, improve 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. Thyroidectomy is a well-described procedure used to excise the thyroid gland. This work is published and licensed by Dove Medical Press Limited. Figure 2 Frequency of dysphagia depending on the operative therapy. 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. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. government site. and transmitted securely. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. World J Surg 36(6):12931299. 2021 May 27:S0892-1997(21)00093-X. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Dysphagia. Your voice probably will be hoarse, and you may have trouble talking. Dysphagia 34(2):161169. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. PubMed days after surgery. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. Multinodular goiter: Overview, causes, and treatment - Medical News Today and transmitted securely. 8600 Rockville Pike https://doi.org/10.1002/lary.27297, Ikeda Y, Takami H, Sasaki Y et al (2002) Comparative study of thyroidectomies. Dysphagia reverted to pre-operative levels 23months later. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. Terms & Conditions Price excludes VAT (USA) Surg Endosc 28(6):19141920. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. 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. Also at high risk of dysphagia are patients with Graves disease. F1000Research. For example, are certain foods harder to swallow than others? HHS Vulnerability Disclosure, Help Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. more. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. Front Endocrinol (Lausanne). Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. JAMA Otolaryngol Head Neck Surg 144(4):342348. 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This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. government site. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns, Mayo Clinic Healthcare expert explains when swallowing issues are more than an accident, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. See this image and copyright information in PMC. 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 significant increase of swallowing impairment compared to baseline was recorded shortly after 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. The articles retrieved by database searches were classified and screened for relevance by using EndNote. Results: In the evaluation, 219 questionnaires could be included. A speech-language pathologist performing head positioning on a patient. National Library of Medicine The authors have no conflicts of interest to declare, relevant to the content of this article. Does anything seem to improve your symptoms? https://doi.org/10.1210/jc.2013-1583, Lee J, Nah KY, Kim RM et al (2010) Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. Purpose: https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. Audit of Neurological Complications After Thyroid Surgery Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. sharing sensitive information, make sure youre on a federal 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. You can move your head a little bit. We have included 16 studies of which 15 are prospective and one are retrospective. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Dysphagia reverted to pre-operative levels 2-3 months later. 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. Eur Arch Otorhinolaryngol. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. The more invasive the operation was, the more patients suffered from dysphagia. Before World J Surg. Introduction: Dysphagia is frequently reported after thyroidectomy.

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