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. HHS Vulnerability Disclosure, Help For example, are certain foods harder to swallow than others? In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview (answer e) (Figure 2). Lembo AJ. JAMA Otolaryngol Head Neck Surg. Scerrino G, Inviati A, di Giovanni S, et al. Pak J Med Sci 30(5):11191122. National Library of Medicine Surgery 166(1):6974. Total thyroidectomy. Importance: The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). J Clin Endocrinol Metab 98(7):27012708. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. 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. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. 2014;207(6):974979. Privacy Policy World J Surg 32(3):381385. A speech-language pathologist performing head. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. Objective: Clinical practice guideline: improving voice outcomes after thyroid surgery. Surgery. Careers. We're not in there very long. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. PMC 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. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. Swallowing dysfunction following surgery for well-differentiated Head Neck 30(1):2127. Eur Arch Otorhinolaryngol 276(10):26612671. https://doi.org/10.1016/j.ijsu.2017.03.078, Pradeep PV, Ragavan M, Ramakrishna BA et al (2011) Surgery in Hashimotos thyroiditis: indications, complications, and associated cancers. For the partial thyroidectomy groups, dysphagia symptoms decreased from 8 % to 5 % after surgical treatment. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. 2013 Nov;20(12):3869-76. doi: 10.1245/s10434-013-3163-7. Arch Otolaryngol Head Neck Surg. A systematic review. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Postoperative swallowing disorder after thyroid and parathyroid resect Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. Careers. doi: 10.7759/cureus.32836. Disclaimer. An open thyroid biopsy - a rarely used operation where a nodule is excised directly; A hemi-thyroidectomy or thyroid lobectomy - where one lobe (one half) of the thyroid is removed; An isthmusectomy - removal of just the bridge of thyroid tissue between the two lobes; used specifically for small tumors that are located in the isthmus. Open access peer-reviewed scientific and medical journals. Swallowing disorders after thyroidectomy: What we know - ScienceDirect ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. A quantitative synthesis of the results followed. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. 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. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. 2015;72(7):583588. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. 2017 May 15;29(3):e20150294 European Archives of Oto-Rhino-Laryngology, https://doi.org/10.1007/s00405-022-07386-8, https://doi.org/10.1016/j.surg.2009.09.010, https://doi.org/10.1007/s00455-015-9628-z, https://doi.org/10.1007/s00405-019-05599-y, https://doi.org/10.1007/s00405-021-06661-4, https://doi.org/10.1007/s00268-015-3323-y, https://doi.org/10.1016/j.asjsur.2019.04.013, https://doi.org/10.1038/nrgastro.2015.199, https://doi.org/10.1016/j.ijsu.2017.03.078, https://doi.org/10.1001/jamaoto.2017.3378, https://doi.org/10.1371/journal.pmed.1000097, https://doi.org/10.1046/j.1445-2197.2003.02748.x, https://doi.org/10.1007/s12070-011-0319-2, https://doi.org/10.1590/2317-1782/20172016294, https://doi.org/10.1007/s00268-008-9837-9, https://doi.org/10.1007/s00268-012-1562-8, https://doi.org/10.1017/S0022215106002465, https://doi.org/10.1258/002221505775010760, https://doi.org/10.1007/s00464-016-4814-0, https://doi.org/10.1007/s00455-019-10020-1, https://doi.org/10.1007/s00464-002-8830-x, https://doi.org/10.1007/s00268-013-2269-1, https://doi.org/10.1245/s10434-014-4361-7, https://doi.org/10.1007/s00464-015-4386-4, https://doi.org/10.1097/SLE.0000000000000743, https://doi.org/10.1007/s00464-010-1113-z, https://doi.org/10.1007/s00464-011-2116-0, https://doi.org/10.1007/s00464-017-5929-7, https://doi.org/10.1007/s00455-020-10180-5, https://doi.org/10.1007/s00455-018-9949-9, https://doi.org/10.1007/s00464-013-3413-6, https://doi.org/10.1245/s10434-013-3163-7, https://doi.org/10.1007/s00268-015-2995-7, https://doi.org/10.1007/s00268-013-1908-x, https://doi.org/10.1111/j.1399-6576.2012.02768.x, https://doi.org/10.1097/SLE.0000000000000582, https://doi.org/10.1016/j.surg.2019.01.034, https://doi.org/10.22038/ijorl.2019.36233.2193, https://doi.org/10.1177/000348940411300914, https://doi.org/10.1007/s00268-003-6903-1, https://doi.org/10.1007/s00268-007-9375-x, https://doi.org/10.1007/s00464-014-3658-8, https://doi.org/10.1097/00129689-200608000-00006. Registered in England and Wales. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". All authors have contributed to the paper and have read and approved the final submitted version. Chapter 8: Assessing risk of bias in included studies. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Keywords: Laryngoscope Investig Otolaryngol. eCollection 2021. sharing sensitive information, make sure youre on a federal government site. Thyroid 28(1):104109. F1000Research. We have included 16 studies of which 15 are prospective and one are retrospective. Accessed Sept. 24, 2021. 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. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? There was . All surgical procedures were performed or supervised by an experienced endocrine surgeon. 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. https://doi.org/10.1159/000350854, Elzahaby IA, Fathi A, Abdelwahab K et al (2018) Endoscopic thyroidectomy using the unilateral axillo-breast approach versus the modified anterior chest wall approach: a prospective comparative study. The results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. Federal government websites often end in .gov or .mil. Audit of Neurological Complications After Thyroid Surgery Eur Thyroid J 2(2):102109. The group of patients who did not respond to the questionnaire did not differ significantly from the 219 included patients in terms of age, sex, proportion with cancer, or mass of resected thyroid. Main outcomes and measures: 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. 8600 Rockville Pike https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? Allscripts EPSi. Web Design by Adhesion. The type of surgical treatment depends on the cause of dysphagia. Epub 2018 Sep 7. We did not detect objectively measurable alterations in these patients. In: Ferri's Clinical Advisor 2022. https://doi.org/10.2147/POR.S172059, Gumus T, Makay O, Eyigor S et al (2020) Objective analysis of swallowing and functional voice outcomes after thyroidectomy: a prospective cohort study. Keywords: Dsphagia, Thyroid surgery Epub 2022 Apr 19. Do you bring food back up (regurgitate) after swallowing it? Dysphagia - Diagnosis and treatment - Mayo Clinic Antacids that you can get without a prescription also might help temporarily. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. 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. PubMed Post-thyroidectomy Dysphagia: An International Multicentric CONSORT The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2004. Figure 3 Frequency of dysphagia depending on diagnosis. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Thyroid nodules: A thyroid nodule is a growth . These symptoms typically last for only a short time. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. (PDF) Speech therapy after thyroidectomy - ResearchGate This content does not have an English version. https://doi.org/10.4103/0022-3859.81867, Article PubMed World J Surg 37(4):786791. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. 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. https://gi.org/topics/dysphagia/. World J Surg. BMJ 372:n71. 2006;140(6):10261034. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Epub 2020 Nov 4. 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. Corticosteroids might be recommended for eosinophilic esophagitis. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. https://doi.org/10.1007/s00464-014-3658-8, Yoon JH, Park CH, Chung WY (2006) Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. 2018 The Author(s). Greenblatt et al. Bookshelf DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. 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. Lombardi CP, Raffaelli M, DAlatri L, et al. Apart from that, dysphagia is common especially in elderly patients. I'm going to be helping out with the evaluation today. MeSH Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. American Thyroid Association Statement on Optimal Surgical Management 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. https://doi.org/10.1001/archoto.2009.16, Gal TJ, Streeter M, Burris J et al (2013) Quality of life impact of external beam radiotherapy for advanced thyroid carcinoma. Purpose: 8600 Rockville Pike A randomized controlled study. FOIA Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Asian J Surg 43(1):116123. Do you ever vomit or bring up blood or black material? Scerrino G, Inviati A, di Giovanni S, et al. MeSH Conclusions: Surg Endosc 29(1):192201. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. . Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . You can move your head a little bit. 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. Dysphagia. After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. A qualitative analysis of data extracted was conducted. . The https:// ensures that you are connecting to the You have sudden abdominal pain. Figure 1 Frequency and duration of postoperative dysphagia complaints. ORL J Otorhinolaryngol Relat Spec 82(5):274284. JAMA Otolaryngol Head Neck Surg. 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. Dysphagia after Thyroid Surgery Rare complication after thyroidectomy-cervical esophageal stenosis: a official website and that any information you provide is encrypted volume279,pages 42134227 (2022)Cite this article. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. National Center for Biotechnology Information -, Ann Surg Oncol. Unauthorized use of these marks is strictly prohibited. They found a decreased pressure in the upper esophageal sphincter in postoperative esophageal manometry by an average of 25% after uncomplicated thyroidectomy, recovering to original values after 2 years.5,17 In case of radical central neck dissection, the inferior laryngeal nerve and the nerve branches destined for esophageal region are dissected; an extended dissection of the nerves could predispose to risk. Carrie: Go ahead and take a couple more for me. In the evaluation, 219 returns could be included. Notes: aIncluded two patients with parathyroidectomy. Carrie: Your other hand. https://doi.org/10.1007/s00464-015-4386-4, Jian CX, Wu LM, Zheng ZF et al (2020) How should the surgical approach in thyroidectomy be selected? 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. The duration of the follow-up ranges from 1 month to 4 years. PubMed Central Curr Opin Otolaryngol Head Neck Surg. 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. Bethesda, MD 20894, Web Policies https://doi.org/10.1111/j.1399-6576.2012.02768.x, Exarchos ST, Lachanas VA, Tsiouvaka S et al (2016) The impact of perioperative dexamethasone on swallowing impairment score after thyroidectomy: a retrospective study of 118 total thyroidectomies. Swallowing disorders after thyroidectomy: What we know and - PubMed Lombardi CP, Raffaelli M, DAlatri L, et al. Reasons for dysphagia could be, among others, postoperative scarring, modification in the vascular supply, or damage to tiny branches of the recurrent laryngeal nerve going to the cricopharyngeal muscle.6 The extent of the operative intervention seems to affect the probability of postoperative dysphagia. Langenbecks Arch Surg. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Dan Med J 65(4):B5472, PubMed 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. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. Nat Rev Gastroenterol Hepatol 13(1):4959. Clin Otolaryngol 41(5):615618. CAS Surgical Management of Graves' Disease - American Thyroid Association Javascript is currently disabled in your browser. Bookshelf Epub 2019 Aug 14. We give you different consistencies of food items to swallow and watch you swallow those. Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate Drafting: CV, AP. Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. Accessibility A systematic review. Cureus. You may have follow-up appointments once or twice a year for several years after treatment ends. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. Critical revision of the work: AP, ST, KS. Accessibility We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. Ryu JH, Yom CK, Park DJ, et al. Your health care provider can then see changes in the shape of your esophagus and can assess the muscular activity. PLoS Med 6(7):e1000097. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. The type of surgical treatment depends on the cause of dysphagia. 2008 May;32(5):693-700 How can I best manage them together? Top, Copyright 2023 Dove Press Ltd 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. Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. Rosato L, Avenia N, Bernante P, et al. In the case of toxic goiters, it also shuts down abnormal. World J Surg. Dysphagia following uncomplicated thyroidectomy: a systematic review reported a qualitative improvement of swallowing function after thyroidectomy . Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Total Thyroidectomy (Discharge Care) - Drugs.com Most of these were transient and recovered spontaneously within weeks. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. Ferri FF. Correspondence to Dysphagia reverted to pre-operative levels 2-3 months later. Clipboard, Search History, and several other advanced features are temporarily unavailable. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. One treatment for both toxic and non-toxic goiters is radioiodine therapy. Pragmat Obs Res 9:6368. eCollection 2021. 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. Swallowing disorders after thyroidectomy: a systematic - Springer Eur Arch Otorhinolaryngol. You might need to take these medications for a long time. Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. For low-risk patients showing an excellent response after treatment, . 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. 8600 Rockville Pike Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. https://doi.org/10.1007/s00464-011-2116-0, Kim WW, Jung JH, Lee J et al (2016) Comparison of the quality of life for thyroid cancer survivors who had open versus robotic thyroidectomy. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. 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. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. 2022 Dec 22;14(12):e32836. 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. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. https://www.nidcd.nih.gov/health/dysphagia. Surg Endosc 28(6):19141920. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy.
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