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. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. Swallowing disorders after thyroidectomy: What we know and where we are. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. Mayo Clinic does not endorse companies or products. All rights reserved. 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. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Speech therapy after thyroidectomy - Yu - Gland Surgery 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 Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. World J Surg 38(2):378384. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. doi: 10.7759/cureus.34078. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. 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. World J Surg 33(2):255260. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Clipboard, Search History, and several other advanced features are temporarily unavailable. Conclusions: Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease (chi-squared test=4.6) and carcinoma (chi-squared test=8.0). Sept. 29, 2021. https://doi.org/10.1007/s00455-015-9628-z, Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Head Neck 38(6):811819. Article Google Scholar Grover G, Sadler GP, Mihai R . Accessed Sept. 21, 2021. 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. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions PubMed Central Carrie: Go ahead and take a couple more for me. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 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. Your arm or leg feels warm, tender, and painful. government site. Federal government websites often end in .gov or .mil. World J Surg. government site. On the second day, you'll get another thyrotropin alfa injection. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. Dysphagia 30(5):496505. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. doi: 10.1016/j.ijsu.2017.03.078. 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. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. Advertising revenue supports our not-for-profit mission. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? doi: 10.1016/j.jvoice.2021.02.030. Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . Thyroid. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. You might need to take these medications for a long time. A quantitative synthesis of the results followed. An association between surgical insult following thyroid surgery and LPR needs further investigation. 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. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Are there brochures or other printed material I can have? This work is published and licensed by Dove Medical Press Limited. Unable to load your collection due to an error, Unable to load your delegates due to an error. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. Postthyroidectomy Throat Pain and Swallowing: Do Proton Pump Inhibitors Thyroidectomy-related Swallowing Difficulties: Review of the Literature. The site is secure. Recent advances in dysphagia management [version 1; peer review: 3 approved]. Before 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. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. 2013 Nov;20(12):3869-76. doi: 10.1245/s10434-013-3163-7. 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. MeSH Arch Otolaryngol Head Neck Surg 135(4):342346. American Thyroid Association Statement on Optimal Surgical Management G Chir. Epub 2013 Mar 22. 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. reported a qualitative improvement of swallowing function after thyroidectomy . For the partial thyroidectomy groups, dysphagia symptoms decreased from 8 % to 5 % after surgical treatment. Scerrino G, Inviati A, di Giovanni S, et al. Is this condition temporary or long lasting? Brazier JE, Harper R, Jones NM, et al. Otolaryngol Head Neck Surg 148(6):926932. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Start Here. FOIA Epub 2019 Aug 14. Dove Medical Press is a member of the OAI. 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. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. Epub 2014 Jan 24. The objective of this statement article is to discuss optimal surgical management of goiter. Dan Med J 65(4):B5472, PubMed 8600 Rockville Pike sharing sensitive information, make sure youre on a federal After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Speech therapy after thyroidectomy - PubMed Bethesda, MD 20894, Web Policies One treatment for both toxic and non-toxic goiters is radioiodine therapy. World J Surg. Swallowing disorders after thyroidectomy: a systematic - Springer National Library of Medicine Do you ever vomit or bring up blood or black material? An official website of the United States government. I'm a speech pathologist. JAMA Otolaryngol Head Neck Surg. Dysphagia following uncomplicated thyroidectomy: a systematic review 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. Treatment for dysphagia depends on the type or cause of your swallowing disorder. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Surgery 146(6):11741181. 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. 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. 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. Please enable it to take advantage of the complete set of features! 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. and transmitted securely. A qualitative analysis of data extracted was conducted. Careers. sharing sensitive information, make sure youre on a federal 2012;36(6):12931299. Just long enough to take a look around at the anatomy, give you a couple of things to eat and drink, watch you swallow those and then we come out, okay. official website and that any information you provide is encrypted I'm going to be helping out with the evaluation today. The authors have no conflicts of interest to declare, relevant to the content of this article. 2016;26(8):10101018. eCollection 2022. 2008 May;32(5):693-700 The instrumental findings revealed non-specific alterations of swallowing. Eur Arch Otorhinolaryngol. Thyroidectomy - Mayo Clinic 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. Patient-Reported Dysphagia After Thyroidectomy - PMC Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 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. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). Quality of life is not influenced by the extent of surgery in patients with benign goiter. Surgical Management of Graves' Disease - American Thyroid Association The .gov means its official. Though various causes have been hypothesized, it remains not completely understood. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Would you like email updates of new search results? Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. Epub 2018 Sep 7. This injection will help any leftover thyroid tissue absorb the radioactive iodine. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Aging and swallowing. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. The medication helps reduce the size of thyroid tissue. Am J Surg. Idea for the study: AP, CV. BMJ. 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. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Disclaimer. https://doi.org/10.1097/SLE.0000000000000743, Lee J, Kwon IS, Bae EH et al (2013) Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. Keywords: Some examples are: Laparoscopic Heller myotomy. Cramon P, Winther KH, Watt T, et al. . BMJ 372:n71. Which tests you need will depend on your situation. Indian J Otolaryngol Head Neck Surg 66(Suppl 1):7177. Sousa F, Santos M, Azevedo S, Pinto A, Vaz Freitas S, Coutinho M, Almeida E Sousa C, Moreira da Silva . Cureus. -, Ann Surg Oncol. Follow-up tests may include: Physical exam of . So the different items we're going to be swallowing. ESTIMation of the ABiLity of prophylactic central compartment neck Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Introduction: Dysphagia is frequently reported after thyroidectomy. Patient-Reported Dysphagia After Thyroidectomy - JAMA An official website of the United States government. Figure 3 Frequency of dysphagia depending on diagnosis. Bethesda, MD 20894, Web Policies 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. Ryu JH, Yom CK, Park DJ, et al. PMC 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. A two year prospective trial. Dysphagia; Swallowing disorders; Thyroidectomy; Uncomplicated. 2017 May;41 Suppl 1:S94-S102. JAMA Otolaryngol Head Neck Surg 144(4):342348. World J Surg 37(4):786791. 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. sharing sensitive information, make sure youre on a federal 2019; doi:10.12688/f1000research.18900.1. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. This site needs JavaScript to work properly. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . JAMA Otolaryngol Head Neck Surg. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. Privacy Policy government site. 2023 Jan 23;15(1):e34078. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. Ferri FF. 2018 Nov 1;144(11):995-1003. doi: 10.1001/jamaoto.2018.0309. Epub 2022 Apr 19. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Accessibility Testimonials Head Neck 30(1):2127. F1000Research. https://gi.org/topics/dysphagia/. -, Codas. 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. Online ahead of print. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. Otolaryngol Head Neck Surg. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. 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). Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. Surg Laparosc Endosc Percutan Tech 16(4):226231. Eur Arch Otorhinolaryngol 276(10):26612671. Bulk reprints for the pharmaceutical industry. The site is secure. All authors have contributed to the paper and have read and approved the final submitted version. Volume 2018:9 Pages 6368, Editor who approved publication: MeSH https://doi.org/10.1007/s00464-002-8830-x, Article https://doi.org/10.1007/s00268-015-3323-y, Hillenbrand A, Cammerer G, Dankesreiter L et al (2018) Postoperative swallowing disorder after thyroid and parathyroid resection. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. National Center for Biotechnology Information MeSH Federal government websites often end in .gov or .mil. software development by maffey.com Surg Endosc 30(11):47214730. Bookshelf 2004. CAS Thyroid 23(1):6469. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma.
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