The .gov means its official. Dysphagia. Objective: Dan Med J 65(4):B5472, PubMed https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. Top, Copyright 2023 Dove Press Ltd sharing sensitive information, make sure youre on a federal Contact Us No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. 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. 8600 Rockville Pike Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. This content does not have an Arabic version. Front Surg. Swallowing disorders after thyroidectomy: What we know and - PubMed Terms & Conditions Eating soft foods for the first few days can be helpful. Figure 1 Frequency and duration of postoperative dysphagia complaints. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. 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. 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. A feeding tube provides nutrients without the need to swallow. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. Surgical Management of Graves' Disease - American Thyroid Association There's not much space between your nose and your throat, so it doesn't have to go in very far. Start Here. 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. Lembo AJ. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. 1976;235(1):5859. 2016;26(8):10101018. Quality of life is not influenced by the extent of surgery in patients with benign goiter. Speech and swallowing therapy is usually helpful after surgery. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Management of compression symptoms of thyroid goiters Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Dysphagia 30(5):496505. The site is secure. Accessed Sept. 21, 2021. An official website of the United States government. https://doi.org/10.1007/s00268-003-6903-1, Sasaki A, Nakajima J, Ikeda K et al (2008) Endoscopic thyroidectomy by the breast approach: a single institutions 9-year experience. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. eCollection 2022. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. 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. 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. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. PMC For example, are certain foods harder to swallow than others? The authors have no conflicts of interest to declare, relevant to the content of this article. 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. 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. 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. Pak J Med Sci 30(5):11191122. Accessibility volume279,pages 42134227 (2022)Cite this article. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? 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). Bookshelf HHS Vulnerability Disclosure, Help Surg Endosc 24(12):31863194. 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. Federal government websites often end in .gov or .mil. The type of surgical treatment depends on the cause of dysphagia. Multinodular goiter: Overview, causes, and treatment - Medical News Today Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. This injection will help any leftover thyroid tissue absorb the radioactive iodine. All surgical procedures were performed or supervised by an experienced endocrine surgeon. 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. Disclaimer. Codas 29(3):e20150294. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Ferri FF. World J Surg. The https:// ensures that you are connecting to the Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy Ann Otol Rhinol Laryngol 127(3):171177. Dysphagia 30:496-505. Dysphagia after Thyroid Surgery Dysphagia. JAMA Otolaryngol Head Neck Surg. This site needs JavaScript to work properly. Bookshelf PubMed Clin Exp Otorhinolaryngol 8(1):7680. The duration of the follow-up ranges from 1 month to 4 years. Google Scholar, Atasayar S, Guler Demir S (2019) Determination of the problems experienced by patients post-thyroidectomy. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. CAS 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. Indian J Otolaryngol Head Neck Surg 66(Suppl 1):7177. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. World J Surg 32(3):381385. Eur Thyroid J 2(2):102109. Literature search: CV. This site needs JavaScript to work properly. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy and dysphagia therapy) for improving dysphonia and dysphagia, but not specifically in patients who have received thyroidectomy. and transmitted securely. 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. Follow-up tests may include: Physical exam of . official website and that any information you provide is encrypted We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. Epub 2020 Nov 4. World J Surg. 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. [1] Warning:The NCBI web site requires JavaScript to function. https://doi.org/10.3342/ceo.2015.8.1.76, Article ANZ J Surg 73(9):712716. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. 2014;207(6):974979. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 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. Cookies government site. 1992;305(6846):160164. Do you cough or gag when you try to swallow? National Library of Medicine 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. and transmitted securely. National Library of Medicine 2. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. 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 Recent advances in dysphagia management [version 1; peer review: 3 approved]. Further, there was no dependency of dysphagia on gender. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. The https:// ensures that you are connecting to the Vojnosanit Pregl. Google Scholar. Since these symptoms can reduce patie Part of Springer Nature. G Chir. 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 . https://doi.org/10.1111/coa.12547, Aidan P, Pickburn H, Monpeyssen H et al (2013) Indications for the gasless transaxillary robotic approach to thyroid surgery: experience of forty-seven procedures at the American hospital of paris. What, if anything, appears to worsen your symptoms? 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. Audit of Neurological Complications After Thyroid Surgery JAMA. Conclusion Dysphagia occurs in patients after thyroidectomy operations (regardless of larynx mobility alteration) and characterized by delayed triggering and stasis of food in the oro and . 2023 Springer Nature Switzerland AG. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. Iran J Otorhinolaryngol 31(107):329334. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Clin Otolaryngol 42(6):12591266. Price excludes VAT (USA) https://doi.org/10.12669/pjms.305.4767, Article 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 . Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. Surgery. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. World J Surg. - 173.82.84.250. The .gov means its official. Unauthorized use of these marks is strictly prohibited. government site. Dysphagia. 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PubMed Central Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. 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). You can move your head a little bit. You have sudden abdominal pain. Head Neck 30(1):2127. 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. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. Keywords: 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. I put a little green food coloring in the liquid and the puree that just allows us to see it better when the cameras in place. (Voice Handicap Index) and dysphagia (SWAL-QOL) (questionnaires in their validated . What websites do you recommend? doi: 10.7759/cureus.34078. 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. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Careers. 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. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Proceduralist: We can show you afterwards too. FOIA Thyroid. The systematic review of the literature resulted in 35 articles, which met the inclusion criteria and were analyzed regarding their type, sample, follow-up and results regarding post-thyroidectomy dysphagia in multiple follow-up times. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. Accessed 1 Nov 2020, Alkan Z, Yigit O, Adatepe T et al (2014) Effect of anti-adhesive barrier use on laryngotracheal movement after total thyroidectomy: an electrophysiological study. Surgery 133(3):318322. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. 2014;38(2):378384. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. J Clin Endocrinol Metab 98(7):27012708. How can I best manage them together? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. Article Google Scholar Grover G, Sadler GP, Mihai R . The https:// ensures that you are connecting to the Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Dysphagia 30(5):496505. Disclaimer. Thyroid cancer - Diagnosis and treatment - Mayo Clinic I'm Carrie. BMJ 372:n71. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Carrie: That's the absolute worst part right there. An official website of the United States government. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? Idea for the study: AP, CV. https://doi.org/10.1016/j.surg.2019.01.034, Hashemian M, Khorasani B, Tarameshlu M et al (2019) Effects of dysphagia therapy on swallowing dysfunction after total thyroidectomy. Dysphagia. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Lombardi CP, Raffaelli M, DAlatri L, et al. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. Results This retrospective review included 45,539. Surg Laparosc Endosc Percutan Tech 16(4):226231. Results: Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. This site needs JavaScript to work properly. MeSH Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. Dysphagia in neurological diseases: A literature review. Cureus. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. National Center for Biotechnology Information The objective of this statement article is to discuss optimal surgical management of goiter. J Laryngol Otol 119(12):973975. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. For esophageal spasm, smooth muscle relaxants might help. Apart from that, dysphagia is common especially in elderly patients. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Antacids that you can get without a prescription also might help temporarily. Fass R. Approach to the evaluation of dysphagia in adults. 2015;72(7):583588. 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). 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. These symptoms typically last for only a short time. Gland Surg. 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. 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 results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. A speech-language pathologist performing head. Epub 2014 Jan 24. Epub 2013 Mar 22. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Web Design by Adhesion. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. 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. Drafting: CV, AP. A qualitative analysis of data extracted was conducted. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. Please enable it to take advantage of the complete set of features! Before One treatment for both toxic and non-toxic goiters is radioiodine therapy. Mayo Clinic does not endorse companies or products. Dove Medical Press is a member of the OAI. https://doi.org/10.1007/s00268-008-9837-9, Sabaretnam M, Mishra A, Chand G et al (2012) Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Before Swallowing disorders after thyroidectomy: What we know and where we are. Intubation is also in discussion as a cause of dysphagia,18,19 but Pereira et al report that, after comparing prevalence of dysphagia in patients after cholecystectomy and thyroidectomy, long-term symptoms are not related to orotracheal intubation.4. 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).
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