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This study revealed that as many as 80% of patients who have thyroidectomy may experience swallowing-related symptoms after surgery, and many develop compensatory strategies to manage or reduce the burden of these symptoms. Swallowing disorders after thyroidectomy: What we know and - PubMed Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). 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. Is this condition temporary or long lasting? 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). Introduction: Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Dan Med J 65(4):B5472, PubMed Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. 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. Unauthorized use of these marks is strictly prohibited. Start Here. 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. 2004. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. Sorensen JR, Watt T, Cramon P, et al. Speech therapy after thyroidectomy Wing-Hei Viola Yu, Che-Wei Wu Abstract Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Bethesda, MD 20894, Web Policies official website and that any information you provide is encrypted 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. PMC for voice restoration after thyroidectomy". Epub 2019 Aug 14. Correspondence to days after surgery. Lombardi CP, Raffaelli M, DAlatri L, et al. 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. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. sharing sensitive information, make sure youre on a federal Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Ann Otol Rhinol Laryngol 127(3):171177. Carrie: Go ahead and take a couple more for me. (2009) Symptoms and signs of swallowing changes after thyroidectomy, Wang C, Feng Z, Li J et al (2015) Endoscopic thyroidectomy via areola approach: summary of 1,250 cases in a single institution. 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. 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. Am J Surg. eCollection 2022. 2023 Jan 23;15(1):e34078. HHS Vulnerability Disclosure, Help Epub 2013 Mar 22. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. The .gov means its official. eCollection 2022. 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. 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. 2017 May 15;29(3):e20150294 This could be a major limitation. National Library of Medicine Laryngoscope 129(2):519524. Keywords: For low-risk patients showing an excellent response after treatment, . World J Surg. 2013;148(6):926932. 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. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. 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). You have muscle spasms in your legs and feet that do not go away. doi: 10.1016/j.ijsu.2017.03.078. Eating soft foods for the first few days can be helpful. Iran J Otorhinolaryngol 31(107):329334. 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. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. https://doi.org/10.1210/jc.2013-1583, Lee J, Nah KY, Kim RM et al (2010) Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. Total thyroidectomy. Audit of Neurological Complications After Thyroid Surgery The more invasive the operation was, the more patients suffered from dysphagia. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. Epub 2018 Sep 7. 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? 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). Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Your doctor will take this out a few days after your surgery. Comparison of Postoperative Neck Pain and Discomfort, Swallowing 2021 May 27:S0892-1997(21)00093-X. J Clin Endocrinol Metab 98(7):27012708. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. (Voice Handicap Index) and dysphagia (SWAL-QOL) (questionnaires in their validated . On the second day, you'll get another thyrotropin alfa injection. Pak J Med Sci 30(5):11191122. Further, there was no dependency of dysphagia on gender. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. 2006;140(6):10261034. Dysphagia in neurological diseases: A literature review. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Results This retrospective review included 45,539. F1000Research. software development by maffey.com 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. That's it. Objective: 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. This injection will help any leftover thyroid tissue absorb the radioactive iodine. https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. Your health care provider will likely ask you for a description and history of your swallowing difficulties, perform a physical examination, and use various tests to find the cause of your swallowing problem. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Surgery 146(6):11741181. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. The authors did not receive any funding or support for the submitted work. By accessing the work you hereby accept the Terms. This content does not have an English version. Pragmat Obs Res 9:6368. Would you like email updates of new search results? https://doi.org/10.1007/s00455-020-10180-5 (Epub ahead of print 2020/09/06), Im I, Jun JP, Crary MA et al (2019) Longitudinal kinematic evaluation of pharyngeal swallowing impairment in thyroidectomy patients. https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. 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 . Advertising revenue supports our not-for-profit mission. This should not lead to underestimation of symptoms, since the patients quality of life is negatively affected by the symptomatology. All authors have contributed to the paper and have read and approved the final submitted version. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. government site. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. You might need to take these medications for a long time. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. World J Surg. 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. Triggs J, et al. For esophageal spasm, smooth muscle relaxants might help. Aging and swallowing. Surg Endosc. World J Surg. Since these symptoms can reduce patie (PDF) Speech therapy after thyroidectomy - ResearchGate https://doi.org/10.1245/s10434-014-4361-7, Lee DY, Lim S, Kang SH et al (2016) A prospective 1-year comparative study of transaxillary total thyroidectomy regarding functional outcomes: is it really promising? Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy.