So the different items we're going to be swallowing. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2017 May;41 Suppl 1:S94-S102. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. The .gov means its official. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. Surg Laparosc Endosc Percutan Tech 16(4):226231. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. 2015;72(7):583588. And one more. Top, Copyright 2023 Dove Press Ltd 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. Do you have difficulty swallowing solids, liquids or both? Proceduralist: We can show you afterwards too. 1976;235(1):5859. Thyroidectomy - Mayo Clinic One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. Part of Springer Nature. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. 8600 Rockville Pike https://www.uptodate.com/contents/search. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Surg Endosc 29(1):192201. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. https://doi.org/10.1007/s00268-013-2269-1, Chung EJ, Park MW, Cho JG et al (2015) A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. Unable to load your collection due to an error, Unable to load your delegates due to an error. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. 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. Triggs J, et al. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. https://doi.org/10.1371/journal.pmed.1000097, Page MJ, McKenzie JE, Bossuyt PM et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. 2008;32(5):693700. Dysphagia in neurological diseases: A literature review. https://doi.org/10.1007/s00455-018-9949-9, Hyun K, Byon W, Park HJ et al (2014) Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. Bethesda, MD 20894, Web Policies Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. Have your symptoms been continuous or occasional? Epub 2022 May 30. World J Surg 38(2):378384. - 173.82.84.250. 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. 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. MeSH 2009;33(2):255260. Surg Laparosc Endosc Percutan Tech 30(1):2225. Iran J Otorhinolaryngol 31(107):329334. Keywords: dysphagia, thyroidectomy, parathyroidectomy. World J Surg 36(6):12931299. Hoarseness and Voice Problems Data analysis: CV, NT, AK, AP. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. https://doi.org/10.1177/0194599813482299, Sorensen JR (2018) The impact of surgery on quality of life, esophageal motility, and tracheal anatomy and airflow in patients with benign nodular goiter. Dan Med J 65(4):B5472, PubMed In the evaluation, 219 returns could be included. World J Surg. Epub 2022 Apr 19. Your voice probably will be hoarse, and you may have trouble talking. All right. Keywords: Dsphagia, Thyroid surgery Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. Disclaimer. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. This is the camera we're going to use. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Mayo Clinic. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. This content does not have an Arabic version. Ann Otol Rhinol Laryngol 113(9):749753. Critical revision of the work: AP, ST, KS. PMC Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. volume279,pages 42134227 (2022)Cite this article. Also at high risk of dysphagia are patients with Graves disease. Dysphagia. The more invasive the operation was, the more patients suffered from dysphagia. JAMA Otolaryngol Head Neck Surg. The site is secure. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. HHS Vulnerability Disclosure, Help The https:// ensures that you are connecting to the https://doi.org/10.1177/1054773817729074, Martins N, Novalo-Goto ES, Diz-Leme ICM et al (2020) Patient perception of swallowing after thyroidectomy in the absence of laryngeal nerve injury. Epub 2018 Sep 7. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. 2023 Jan 23;15(1):e34078. Clin Exp Otorhinolaryngol 8(1):7680. . Ann Otol Rhinol Laryngol 127(3):171177. Contact Us Total thyroidectomy. https://doi.org/10.1590/2317-1782/20172016294, Greenblatt DY, Sippel R, Leverson G et al (2009) Thyroid resection improves perception of swallowing function in patients with thyroid disease. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. Recommend this site Lembo AJ. Keywords: An official website of the United States government. 2009;24(1):16. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. Patient-Reported Dysphagia After Thyroidectomy - JAMA 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. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. 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. Dysphagia 34(2):161169. 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. 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 Elsevier; 2022. https://www.clinicalkey.com. Patient-Reported Dysphagia After Thyroidectomy - PMC This site needs JavaScript to work properly. See this image and copyright information in PMC. PubMed Central Number 3099067. No disclosures were reported. Unable to load your collection due to an error, Unable to load your delegates due to an error. A speech-language pathologist performing head positioning on a patient. Dysphagia reverted to pre-operative levels 2-3 months later. This injection will help any leftover thyroid tissue absorb the radioactive iodine. doi: 10.7759/cureus.32836. doi: 10.7759/cureus.34078. Testimonials The https:// ensures that you are connecting to the Interventions: Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. BMJ. Dysphagia 35(2):253260. HHS Vulnerability Disclosure, Help Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations The .gov means its official. 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. Dysphagia reverted to pre-operative levels 23months later. Clipboard, Search History, and several other advanced features are temporarily unavailable. official website and that any information you provide is encrypted Acta Anaesthesiol Scand 56(10):13141320. All surgical procedures were performed or supervised by an experienced endocrine surgeon. JAMA Otolaryngol Head Neck Surg. Dysphagia. Ryu JH, Yom CK, Park DJ, et al. Bookshelf Carrie: That's the absolute worst part right there. Please enable it to take advantage of the complete set of features! Is this condition temporary or long lasting? The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. 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. Notes: The more invasive the operation was, the more patients suffered from dysphagia. Volume 2018:9 Pages 6368, Editor who approved publication: This site needs JavaScript to work properly. Eur Arch Otorhinolaryngol 276(10):26612671. Would you like email updates of new search results? National Library of Medicine Before Sept. 29, 2021. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. Lombardi et al report that the incidence and the severity of dysphagia is significantly reduced in patients who undergo video-assisted surgery compared with conventional surgery.16 In most cases, correlations for these swallowing disorders do not translate into objective findings and a discordance between objective deterioration and subjective symptoms is reported.6 Altered objective test results were reported by Scerrino et al. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. days after surgery. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Apart from that, dysphagia is common especially in elderly patients. Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. What websites do you recommend? Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Disclaimer. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Scerrino G, Inviati A, di Giovanni S, et al. The authors report no conflicts of interest in this work. doi: 10.1016/j.ijsu.2017.03.078. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. 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. Results: 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. All patients underwent conventional surgery. 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. Keywords: Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. Impaired swallowing and neck strangling following uncomplicated operative thyroid or parathyroid resection are frequently complained of by patients.3,4 Intraoperative nerve injury regularly causes postoperative dysphagia, but dysphagia is also complained of after uncomplicated thyroidectomies.2,5 These symptoms are usually dismissed by the clinicians or attributed to orotracheal intubation.6 In many patients, correlations for these swallowing disorders cannot be found in objective test results.6 Reasons for dysphagia and esophageal motility changes after uncomplicated thyroidectomy could be lesions of the perithyroidal neural plexus, changes in the laryngeal vascular supply, postoperative adhesions, decreased pressure of the upper esophageal sphincter, or changed position after thyroidectomy.5 Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 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. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). Though various causes have been hypothesized, it remains not completely understood. https://www.nidcd.nih.gov/health/dysphagia. official website and that any information you provide is encrypted Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. FOIA Dysphagia 30(5):496505. Carrie: Your other hand. Written informed consent was obtained from all participating patients. Surg Endosc Other Interv Tech 16(12):17411745. 2008 May;32(5):693-700 this site will not function whilst javascript is disabled. A feeding tube provides nutrients without the need to swallow. What's the likeliest cause of my symptoms? 2013 Jun;148(6 Suppl):S1-37. After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. Otolaryngol Head Neck Surg. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Thyroid Surgery Recovery, Side Effects, and Complications - Verywell Health A speech-language pathologist performing head. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. HHS Vulnerability Disclosure, Help Clin Otolaryngol 41(5):615618. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. Accessed Sept. 21, 2021. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. government site. What, if anything, appears to worsen your symptoms? Several features of -, World J Surg. Drafting: CV, AP. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. https://doi.org/10.4103/0022-3859.81867, Article The duration of the follow-up ranges from 1 month to 4 years. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Swallowing disorders after thyroidectomy: a systematic - Springer 2017 May 15;29(3):e20150294 Conclusions: Corticosteroids might be recommended for eosinophilic esophagitis. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. Of the 26 patients included, 69% were women (n = 18); mean (SD) age, 46.4 (14.1) years; mean (SD) tumor diameter 2.2 (1.4) cm. CAS We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. Vojnosanit Pregl. 2020; doi:10.1007/s10072-020-04495-2. 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. Codas 29(3):e20150294. Lombardi CP, Raffaelli M, DAlatri L, et al. Thyroid 28(1):104109. Surg Laparosc Endosc Percutan Tech 28(6):366370. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? ORL J Otorhinolaryngol Relat Spec 82(5):274284. https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. 8600 Rockville Pike 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. Literature search: CV. Clipboard, Search History, and several other advanced features are temporarily unavailable. Would you like email updates of new search results? eCollection 2022. Carrie: Go ahead and take a couple more for me. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 2003;133(3):318322. 2022 Dec 22;14(12):e32836. Bookshelf The more invasive the operation was, the more patients suffered from dysphagia.
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