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. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. Careers. 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. The site is secure. 1992;305(6846):160164. 2017 May;41 Suppl 1:S94-S102. We did not detect objectively measurable alterations in these patients. 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. -, World J Surg. Before PubMed Table 2 Demographic-, disease-, and treatment-related variables for the study cohort. 2013 Jan;83(1-2):15-21 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. Results: In the evaluation, 219 questionnaires could be included. 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 Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. 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. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Accessed Sept. 21, 2021. Eur Arch Otorhinolaryngol. This site needs JavaScript to work properly. Bethesda, MD 20894, Web Policies Neurological Sciences. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. Careers. this site will not function whilst javascript is disabled. Front Surg. In contrast, few patients (8%; n = 2) had any abnormalities found by clinical assessment or instrumental swallowing evaluation that warranted further follow-up, and these few . That's it. 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. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations Post Total Thyroidectomy Deglutition Syncope. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. BMJ 372:n71. Your arm or leg feels warm, tender, and painful. Speech therapy after thyroidectomy - PubMed This content does not have an Arabic version. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. reported a qualitative improvement of swallowing function after thyroidectomy . In the case of toxic goiters, it also shuts down abnormal. Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. Thyroid Surgery Recovery, Side Effects, and Complications - Verywell Health For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. Interventions: 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. Data analysis: CV, NT, AK, AP. Comparison of Postoperative Neck Pain and Discomfort, Swallowing Quality of life is not influenced by the extent of surgery in patients with benign goiter. Results: The medication helps reduce the size of thyroid tissue. JAMA Otolaryngol Head Neck Surg. There's not much space between your nose and your throat, so it doesn't have to go in very far. Results This retrospective review included 45,539. All tests of significance were at the P<0.05 level. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. Dysphagia reverted to pre-operative levels 23months later. 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. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Excluded from the evaluation were 27 patients with preoperatively existing (n=10) or postoperative (n=17) temporary or permanent paralysis of the recurrent nerve, since swallowing complaints and vocal changes are to be expected in these patients.2 Patients were questioned between 6 and 18 months postoperatively (median 14 months). A systematic review. Furthermore, we report a foreign body/sticky sensation in the throat as an . It goes in your nose about this far, just a little bit past that white line. Would you like email updates of new search results? 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. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. PubMed Central Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. 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. Background: The objective of this study was to compare the postoperative neck pain and discomfort, swallowing difficulty, and voice change after conventional open thyroidectomy (COT), endoscopic thyroidectomy (ET), or robotic thyroidectomy (RT) performed by a single surgeon.Methods: From January 2013 to December 2017, 254 patients underwent COT, ET, or RT performed by a single surgeon and . Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Go ahead and take a bite of one of those. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? ORL J Otorhinolaryngol Relat Spec 82(5):274284. Please enable it to take advantage of the complete set of features! Is this condition temporary or long lasting? Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. Clin Otolaryngol 42(6):12591266. https://doi.org/10.1007/s00405-019-05599-y, Printza A, Triaridis S (2021) Is the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration in patients with dysphagia depending on the patients disease? Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. 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. I'm Carrie. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. An official website of the United States government. Start Here. Cramon P, Winther KH, Watt T, et al. Treatment for dysphagia depends on the type or cause of your swallowing disorder. eCollection 2022. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. 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. All right. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Audit of Neurological Complications After Thyroid Surgery The external branch of the superior laryngeal nerve is not exposed routinely. and transmitted securely. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. This should not lead to underestimation of symptoms, since the patients quality of life is negatively affected by the symptomatology. The .gov means its official. Before Swallowing dysfunction following surgery for well-differentiated Dysphagia 30:496-505. Thyroid Surgery | American Thyroid Association Dysphagia 30(5):496505. 2006;140(6):10261034. Arch Otolaryngol Head Neck Surg 135(4):342346. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . All patients were examined pre- and postoperatively by an ear, nose, and throat physician. World J Surg 32(3):381385. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Main outcomes and measures: This should not lead to underestimation of symptoms, since the patients' quality of life is negatively affected by the symptomatology. 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. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. J Clin Endocrinol Metab 98(7):27012708. National Library of Medicine doi: 10.1016/j.jvoice.2021.02.030. Dysphagia. Nat Rev Gastroenterol Hepatol 13(1):4959. The authors report no conflicts of interest in this work. This site needs JavaScript to work properly. Eur Arch Otorhinolaryngol 276(10):26612671. 2012;36(6):12931299. 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. Figure 3 Frequency of dysphagia depending on diagnosis. Otolaryngol Head Neck Surg 148(6):926932. 2017;37(5):193199. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. Allscripts EPSi. Thyroid 23(1):6469. World J Surg. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 2017;39(11):22322240. Idea for the study: AP, CV. Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. National Center for Biotechnology Information Accessed Sept. 21, 2021. Dysphagia. Methods: 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. PubMed Central 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. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. 2019; doi:10.12688/f1000research.18900.1. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. A systematic review. Top, Copyright 2023 Dove Press Ltd 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Your scar will be most visible for the first 1-2 months after surgery, improve Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Correspondence to 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. 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. PMC Ferri FF. 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. 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). Accessed Sept. 24, 2021. 2023 Jan 23;15(1):e34078. You can move your head a little bit. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. 2016;26(8):10101018. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. Of 372 questionnaires, 222 were returned. For example, are certain foods harder to swallow than others? If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Quality of life after thyroidectomy in patients with nontoxic nodular goiter: A prospective cohort study. https://gi.org/topics/dysphagia/. Keywords: PMC Accessibility 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. 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. Federal government websites often end in .gov or .mil. official website and that any information you provide is encrypted 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Panebianco M., et al. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Disclaimer. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. HHS Vulnerability Disclosure, Help Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Epub 2019 Aug 14. It is normal to have these problems for up to 6 months after a total thyroidectomy. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. An official website of the United States government. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). doi: 10.7759/cureus.34078. 8600 Rockville Pike 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 authors did not receive any funding or support for the submitted work. doi: 10.1016/j.ijsu.2017.03.078. Federal government websites often end in .gov or .mil. 8600 Rockville Pike Epub 2022 May 30. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. What, if anything, appears to worsen your symptoms? World J Surg 38(2):378384. The authors have no conflicts of interest to declare, relevant to the content of this article. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. This is the camera we're going to use. Multinodular goiter: Overview, causes, and treatment - Medical News Today World J Surg. G Chir. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Unauthorized use of these marks is strictly prohibited. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Unable to load your collection due to an error, Unable to load your delegates due to an error. -, Ann Surg Oncol. All rights reserved. Cookies 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). However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. https://www.nidcd.nih.gov/health/dysphagia. This work is published and licensed by Dove Medical Press Limited. Prospective comparative analysis of open vs. endoscopic thyroidectomy. Importance: Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. The type of surgical treatment depends on the cause of dysphagia. Am J Surg. Chen PH, Golub JS, Hapner ER, Johns MM. 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. Surg Endosc 24(12):31863194. 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. https://doi.org/10.1002/hed.20648, Silva ICM, Netto IdP, Vartanian JG et al (2012) Prevalence of upper aerodigestive symptoms in patients who underwent thyroidectomy with and without the use of intraoperative laryngeal nerve monitoring. The https:// ensures that you are connecting to the Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. eCollection 2021. Would you like email updates of new search results? 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. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. A quantitative synthesis of the results followed. 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). Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy.
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