They may be due to irritation from the breathing tube inserted into the windpipe during surgery, or the result of nerve irritation caused by the procedure. 2022. Idea for the study: AP, CV. JAMA Otolaryngol Head Neck Surg. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. 2014;207(6):974979. 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. Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. Sept. 29, 2021. A qualitative analysis of data extracted was conducted. 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. A feeding tube provides nutrients without the need to swallow. 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. Laryngoscope 129(2):519524. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. PubMed Critical revision of the work: AP, ST, KS. 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. eCollection 2023 Jan. Front Surg. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Data analysis: CV, NT, AK, AP. You have sudden abdominal pain. Postthyroidectomy Throat Pain and Swallowing: Do Proton Pump Inhibitors Epub 2013 Mar 22. Conflicts of Interest: The authors have no conflicts of interest to declare. 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! Brazier JE, Harper R, Jones NM, et al. Your voice probably will be hoarse, and you may have trouble talking. All rights reserved. PubMed Central Am J Surg. Ryu JH, Yom CK, Park DJ, et al. Dysphagia. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. Scerrino G, Inviati A, di Giovanni S, et al. Is this condition temporary or long lasting? Apart from that, dysphagia is common especially in elderly patients. JAMA Otolaryngol Head Neck Surg. Sousa F, Santos M, Azevedo S, Pinto A, Vaz Freitas S, Coutinho M, Almeida E Sousa C, Moreira da Silva . Cureus. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. https://doi.org/10.1002/hed.24409, Chun BJ, Bae JS, Lee SH et al (2015) 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. Please enable it to take advantage of the complete set of features! Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. Surg Laparosc Endosc Percutan Tech 16(4):226231. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. Keywords: Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Accessed Sept. 21, 2021. Accessibility Thyroid 22(8):814819. Two weeks after thyroidectomy, 80% of participants (n = 20) reported at least 1 swallowing-related symptom when prompted by the interview cards; during the open interview, 53% of participants (n = 14) volunteered discussion of swallowing-related symptoms unprompted. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. Do you bring food back up (regurgitate) after swallowing it? Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). The results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 2005 Jun;29(6):780-4 Disclaimer. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. An official website of the United States government. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions Otolaryngol Head Neck Surg 148(6):926932. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. 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). Professor David Price, Andreas Hillenbrand, Gregor Cammerer, Lisa Dankesreiter, Johannes Lemke, Doris Henne-Bruns Department of General and Visceral Surgery, Ulm University Medical Center, 89081 Ulm, Germany Introduction: Dysphagia is frequently reported after thyroidectomy. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Comparison Between Patient-Perceived Voice Changes and Quantitative Voice Measures in the First Postoperative Year After Thyroidectomy: A Secondary Analysis of a Randomized Clinical Trial. Accessed Sept. 21, 2021. Follow-up tests may include: Physical exam of . 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. Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. 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. 2018 The Author(s). Thyroidectomy is a well-described procedure used to excise the thyroid gland. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Bethesda, MD 20894, Web Policies Main outcomes and measures: software development by maffey.com Eur Arch Otorhinolaryngol 276(10):26612671. Dysphagia is a possible complication that can be observed in patients undergoing thyroidectomy, and can be related to superior and inferior laryngeal nerves dysfunction, but it usually appears after an uncomplicated surgical procedure. 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. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Your arm or leg feels warm, tender, and painful. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. JAMA. Compared to other studies concerning postoperative dysphagia, we included a large collective of patients and analyzed, in contrast to other studies, frequency of dysphagia according to patients diagnoses. Results: Further, there was no dependency of dysphagia on gender. Thyroidectomy - Mayo Clinic Good. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. Does anything seem to improve your symptoms? 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. However, our study also has several limitations. PubMed 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. A thyroidectomy is the surgical removal of all (total thyroidectomy) or part (partial thyroidectomy) of your thyroid gland the butterfly-shaped organ in your neck. 2023 Jan 23;15(1):e34078. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Clin Nurs Res 28(5):615635. Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. https://doi.org/10.1097/SLE.0000000000000582, Goswami S, Peipert BJ, Mongelli MN et al (2019) Clinical factors associated with worse quality-of-life scores in United States thyroid cancer survivors. FOIA PMC Postoperative swallowing disorder after thyroid and parathyroid resect Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. 2020; doi:10.1007/s10072-020-04495-2. MeSH Surgical Management of Graves' Disease - American Thyroid Association A quantitative synthesis of the results followed. Total Thyroidectomy (Discharge Care) - Drugs.com World J Surg 37(4):786791. Curr Opin Otolaryngol Head Neck Surg. Cramon P, Winther KH, Watt T, et al. doi: 10.1016/j.ijsu.2017.03.078. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. The authors did not receive any funding or support for the submitted work. Conclusions: Testimonials Keywords: dysphagia, thyroidectomy, parathyroidectomy. Unable to load your collection due to an error, Unable to load your delegates due to an error. Surg Endosc 26(7):18711877. 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. Unauthorized use of these marks is strictly prohibited. Dysphagia 30(5):496505. Chapter 8: Assessing risk of bias in included studies. 2. Recommend this site The https:// ensures that you are connecting to the Interventions: Dove Medical Press is a member of the OAI. 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 . We give you different consistencies of food items to swallow and watch you swallow those. Head Neck 30(1):2127. Also at high risk of dysphagia are patients with Graves disease. 2003;133(3):318322. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Unauthorized use of these marks is strictly prohibited. Google Scholar. ORL J Otorhinolaryngol Relat Spec 82(5):274284. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? 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. Drafting: CV, AP. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. Cookies Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Thyroid Surgery Recovery, Side Effects, and Complications - Verywell Health Surgery 166(1):6974. 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. 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. 501-509 Review Article Speech therapy after thyroidectomy The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. Objective: Swallowing dysfunction after thyroid surgery is characterized by . 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. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. The common post-thyroidectomy neurological complications noted were hoarseness of voice (6 patients), loss of voice pitch (7), breathy voice (8), respiratory stridor (2), and dysphagia to liquids (8). Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. World J Surg 40(3):636643. Vojnosanit Pregl. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. eCollection 2021. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . Frequency of swallowing disorder was similar in patients with sixth level dissection and patients with additionally lateral neck dissection (lateral neck dissection: 2 out of 6; sixth level dissection: 4 out of 12 patients). Results: Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In the group of smokers, 5 out of 24 (20.8%) patients reported dysphagia and 34 out of 194 (17.5%) non-smokers patients reported dysphagia (no significant difference; chi-squared test=0.2). JAMA Otolaryngol Head Neck Surg. https://doi.org/10.1067/msy.2003.58, Cho JG, Byeon HK, Oh KH et al (2020) Objective assessment of postoperative swallowing difficulty through ultrasound in patients undergoing thyroidectomy. government site. So the different items we're going to be swallowing. An official website of the United States government. Thyroidectomy: What to Expect at Home - Alberta Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. It is a common procedure in modern medicine and may be used to treat malignancy, benign disease, or hormonal disease that is not responsive to medical management. Design, setting, and participants: 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. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. 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. National Library of Medicine Accessibility 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. For low-risk patients showing an excellent response after treatment, . All surgical procedures were performed or supervised by an experienced endocrine surgeon. https://doi.org/10.1038/nrgastro.2015.199, Scerrino G, Tudisca C, Bonventre S et al (2017) Swallowing disorders after thyroidectomy: what we know and where we are. By accessing the work you hereby accept the Terms. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. It is normal to have these problems for up to 6 months after a total thyroidectomy. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. official website and that any information you provide is encrypted An association between surgical insult following thyroid surgery and LPR needs further investigation. official website and that any information you provide is encrypted Speech therapy after thyroidectomy - PubMed Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Please enable it to take advantage of the complete set of features! Isr Med Assoc J 8(2):106109, Wang C, Sun P, Li J et al (2016) Strategies of laparoscopic thyroidectomy for treatment of substernal goiter via areola approach. World J Surg. Of 26 patients surveyed, 80% (n = 20) perceived dysphagia 2 weeks after thyroidectomy; 42% (n = 11) at 6 weeks; and 17% (n = 4) at 6 months after total thyroidectomy. Dysphagia. The more invasive the operation was, the more patients suffered from dysphagia. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. We have included 16 studies of which 15 are prospective and one are retrospective. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Trippe BS, Shaprio JR, Doppman JL. Acta Anaesthesiol Scand 56(10):13141320. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. This should not lead to underestimation of symptoms, since the patients quality of life is negatively affected by the symptomatology. Clipboard, Search History, and several other advanced features are temporarily unavailable. https://doi.org/10.1089/thy.2012.0083, Sahli Z, Canner JK, Najjar O et al (2019) Association between age and patient-reported changes in voice and swallowing after thyroidectomy. FOIA Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. 2022 Dec 22;14(12):e32836. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. https://doi.org/10.1007/s00464-013-3413-6, Jung SP, Kim SH, Bae SY et al (2013) A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. 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. Web Design by Adhesion. All patients underwent conventional surgery. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. -, Ann Surg Oncol. Dysphagia 35(2):253260. Epub 2022 Apr 19. The options for medical treatment of euthyroid goiter are short-lived and are limited to thyroxine hormone suppression and radioactive iodine ablation. We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. J Clin Med. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. MeSH Bookshelf You may have some trouble chewing and swallowing after you go home. Post Total Thyroidectomy Deglutition Syncope. Accessed Sept. 24, 2021. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Accessed Sept. 21, 2001. CAS These symptoms typically last for only a short time. 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. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. Ferri FF. The objective of this statement article is to discuss optimal surgical management of goiter. Accessed Sept. 21, 2021. Hoarseness and Voice Problems and transmitted securely. https://doi.org/10.1007/s00268-015-2995-7, Ryu JH, Han SS, Do SH et al (2013) Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications: prospective, randomized, and controlled trial. Furthermore, we report a foreign body/sticky sensation in the throat as an . In: Ferri's Clinical Advisor 2022. The https:// ensures that you are connecting to the A systematic review. and transmitted securely. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. Purpose: These are normal sensations. Epub 2014 Apr 13. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Correspondence to Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. Unable to load your collection due to an error, Unable to load your delegates due to an error. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. This work is published and licensed by Dove Medical Press Limited. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). Conclusions and relevance: In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. Ann Surg Oncol. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. National Library of Medicine Sorensen JR, Watt T, Cramon P, et al. eCollection 2022. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). 2013 Jan;83(1-2):15-21 Do you have difficulty swallowing solids, liquids or both? On the second day, you'll get another thyrotropin alfa injection. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Dysphagia reverted to pre-operative levels 2-3 months later. Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Kraemer J, Benninger MS, Blumin JH, Dennis G, Hanks J, Haymart MR, Kloos RT, Seals B, Schreibstein JM, Thomas MA, Waddington C, Warren B, Robertson PJ; American Academy of Otolaryngology-Head and Neck Surgery. Swallowing disorders after thyroidectomy: What we know - ScienceDirect Greenblatt et al report a significant improvement in postoperative swallowing using the standardized SWAL-QOL questionnaire, designed to find out how swallowing problems affect quality of life.2 With the same questionnaire, Sabaretnam et al8 reported a significant improvement in quality of life in patients with benign goiters after thyroidectomy and Pinchot et al reported a significant improvement in quality of life in patients with parathyroid disease after thyroidectomy.9. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. This involves cutting the muscle at the lower end of the esophagus (sphincter) when it fails to open and release food into the stomach in people who have achalasia. Bookshelf 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. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed.
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