Chen PH, Golub JS, Hapner ER, Johns MM. Your health care provider can then see changes in the shape of your esophagus and can assess the muscular activity. Please enable it to take advantage of the complete set of features! J Laryngol Otol 121(3):242245. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. Multinodular goiter: Overview, causes, and treatment - Medical News Today Sabaretnam M, Mishra A, Chand G, et al. Quality of life is not influenced by the extent of surgery in patients with benign goiter. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions 2013 Jan;83(1-2):15-21 Careers. 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). Mayo Clinic. Thyroid 22(8):814819. Careers. Results: In the evaluation, 219 questionnaires could be included. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). https://doi.org/10.1089/thy.2012.0083, Sahli Z, Canner JK, Najjar O et al (2019) Association between age and patient-reported changes in voice and swallowing after thyroidectomy. Dysphagia 30(5):496505. 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. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. Laryngoscope Investig Otolaryngol. Introduction: Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. 2011;396(8):11571163. 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 . Thyroidectomy is a well-described procedure used to excise the thyroid gland. World J Surg 37(4):786791. Greenblatt et al. 2004. 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. Which tests you need will depend on your situation. Some examples are: Laparoscopic Heller myotomy. 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. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study | Endocrine Surgery | JAMA Otolaryngology-Head & Neck Surgery | JAMA Network This patient open-interview study attempts to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and related [Skip to Navigation] In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. Elsevier; 2022. https://www.clinicalkey.com. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. It is normal to have these problems for up to 6 months after a total thyroidectomy. Idea for the study: AP, CV. F1000Research. Further, there was no dependency of dysphagia on gender. Fass R. Approach to the evaluation of dysphagia in adults. 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. Part of Springer Nature. Dove Medical Press is a member of the OAI. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). A two year prospective trial. Bethesda, MD 20894, Web Policies The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. Bookshelf 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. Number 3099067. Lombardi CP, Raffaelli M, DAlatri L, et al. for voice restoration after thyroidectomy". 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. 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. You can move your head a little bit. government site. 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. (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. 1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, Chrysoula Vardaxi,Stefanos Triaridis&Athanasia Printza, Department of Otorhinolaryngology, G. The authors report no conflicts of interest in this work. Privacy Policy Thyroid 28(1):104109. https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. HHS Vulnerability Disclosure, Help For low-risk patients showing an excellent response after treatment, . A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. ESTIMation of the ABiLity of prophylactic central compartment neck Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . In the case of toxic goiters, it also shuts down abnormal. Disclaimer. We give you different consistencies of food items to swallow and watch you swallow those. 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. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. Bookshelf Dysphagia reverted to pre-operative levels 23months later. 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. Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. A quantitative synthesis of the results followed. See this image and copyright information in PMC. 2022 Dec 22;14(12):e32836. 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. A quantitative synthesis of the results followed. Patient-Reported Dysphagia After Thyroidectomy - PMC This content does not have an Arabic version. HHS Vulnerability Disclosure, Help Good. Antacids that you can get without a prescription also might help temporarily. 2004;28(3):271276. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. Ann Surg Oncol. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. All participants were age 21 to 73 years with a diagnosis of papillary thyroid cancer without cervical or distant metastases and had undergone total thyroidectomy. open access to scientific and medical research. Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. . Main outcomes and measures: Recommend this site The .gov means its official. 2003;133(3):318322. 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. https://www.nidcd.nih.gov/health/dysphagia. 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 . Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . This content does not have an English version. Eur Arch Otorhinolaryngol 279, 42134227 (2022). All the included trials documented postoperative dysphagia, 12 of which have detected it in the early postoperative period. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. HHS Vulnerability Disclosure, Help 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. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. 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. Chapter 8: Assessing risk of bias in included studies. A systematic review. However, our study also has several limitations. Table 2 Demographic-, disease-, and treatment-related variables for the study cohort. 2005 Jun;29(6):780-4 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. Surgery. Dysphagia. This site needs JavaScript to work properly. 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. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. 2015;72(7):583588. Please enable it to take advantage of the complete set of features! https://doi.org/10.1097/00129689-200608000-00006, Yu ST, Chen WZ, Xu DB et al (2019) Minimally invasive video-assisted surgical management for parapharyngeal metastases from papillary thyroid carcinoma: a case series report. Depending on the suspected cause, your health care provider might refer you to an ear, nose and throat specialist, a doctor who specializes in treating digestive disorders (gastroenterologist), or a doctor who specializes in diseases of the nervous system (neurologist). 2014;207(6):974979. Rare complication after thyroidectomy-cervical esophageal stenosis: a https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. Associations & Partners Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. https://doi.org/10.1007/s00464-010-1113-z, Tae K, Kim KY, Yun BR et al (2012) Functional voice and swallowing outcomes after robotic thyroidectomy by a gasless unilateral axillo-breast approach: comparison with open thyroidectomy. eCollection 2022. Epub 2014 Apr 13. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. https://doi.org/10.1007/s00405-021-06661-4 (Epub ahead of print 2021/02/18), Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. (PDF) Effects of Dysphagia Therapy on Swallowing Dysfunction after A systematic review. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Carrie: That's the absolute worst part right there. This could be a major limitation. 2009;24(1):16. Clipboard, Search History, and several other advanced features are temporarily unavailable. ANZ J Surg 73(9):712716. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Wentworth MA. more. 2017 May;41 Suppl 1:S94-S102. Eur Arch Otorhinolaryngol. Since these symptoms can reduce patie We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. https://doi.org/10.1007/s00455-019-10020-1, Almeida JP, Vartanian JG, Kowalski LP (2009) Clinical predictors of quality of life in patients with initial differentiated thyroid cancers. Sousa F, Santos M, Azevedo S, Pinto A, Vaz Freitas S, Coutinho M, Almeida E Sousa C, Moreira da Silva . Cureus. PubMed 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. 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. Lombardi CP, Raffaelli M, DAlatri L, et al. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. 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. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Does anything seem to improve your symptoms? Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. 501-509 Review Article Speech therapy after thyroidectomy Start Here. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. official website and that any information you provide is encrypted Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. American Thyroid Association Statement on Optimal Surgical Management 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. Athanasia Printza. 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. For example, are certain foods harder to swallow than others? Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. The site is secure. Surg Endosc 24(12):31863194. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Dysphagia 30(5):496505. Introduction: Dysphagia is frequently reported after thyroidectomy. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Have your symptoms been continuous or occasional? Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Learn more about Institutional subscriptions, Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. Thyroid. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Back to Journals Pragmatic and Observational Research Volume 9, Authors Hillenbrand A, Cammerer G, Dankesreiter L, Lemke J, Henne-Bruns D, Published 16 October 2018 DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. Speech therapy after thyroidectomy - PubMed World J Surg. Ann Otol Rhinol Laryngol 127(3):171177. Surg Endosc 29(1):192201. Unauthorized use of these marks is strictly prohibited. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Bookshelf All rights reserved. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. We did not detect objectively measurable alterations in these patients. 2021 May 27:S0892-1997(21)00093-X. Advertising revenue supports our not-for-profit mission. Results: 8600 Rockville Pike . The common post-thyroidectomy neurological complications noted were hoarseness of voice (6 patients), loss of voice pitch (7), breathy voice (8), respiratory stridor (2), and dysphagia to liquids (8). official website and that any information you provide is encrypted Your arm or leg feels warm, tender, and painful. 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.
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