dysphagia after thyroidectomy treatment

An association between surgical insult following thyroid surgery and LPR needs further investigation. Registered in England and Wales. Surg Laparosc Endosc Percutan Tech 16(4):226231. Dysphagia 30:496-505. So the different items we're going to be swallowing. 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. The more invasive the operation was, the more patients suffered from dysphagia. These are normal sensations. World J Surg. The .gov means its official. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. Conclusions: Dan Med J 65(4):B5472, PubMed Eur Arch Otorhinolaryngol 276(10):26612671. A randomized controlled study. https://gi.org/topics/dysphagia/. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. Unauthorized use of these marks is strictly prohibited. Surg Endosc 29(1):192201. 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. Is this condition temporary or long lasting? Cramon P, Winther KH, Watt T, et al. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. The articles retrieved by database searches were classified and screened for relevance by using EndNote. Critical revision of the work: AP, ST, KS. J Clin Endocrinol Metab 98(7):27012708. 2009;33(2):255260. In this retrospective cohort study, we sent questionnaires to 372 consecutive patients whose thyroid or parathyroid glands were operated on between May 2013 and October 2014 at Ulm University Hospital. 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. Your doctor will take this out a few days after your surgery. Sousa F, Santos M, Azevedo S, Pinto A, Vaz Freitas S, Coutinho M, Almeida E Sousa C, Moreira da Silva . Cureus. 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. https://doi.org/10.1177/1054773817729074, Martins N, Novalo-Goto ES, Diz-Leme ICM et al (2020) Patient perception of swallowing after thyroidectomy in the absence of laryngeal nerve injury. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Allscripts EPSi. Please enable it to take advantage of the complete set of features! Literature search: CV. 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. Six weeks and 6 months after thyroidectomy, 42% (n = 11) and 17% (n = 4) of participants, respectively, reported continued swallowing symptoms using the prompts; 12% (n = 3) discussed symptoms without prompting cards at both time points. 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. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Dysphagia 35(2):253260. Disclaimer. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. The site is secure. 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. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. 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. 2005 Jun;29(6):780-4 https://doi.org/10.1007/s00464-016-4814-0, Pereira JA, Girvent M, Sancho JJ et al (2003) Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Epub 2014 Apr 13. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. This site needs JavaScript to work properly. Contact Us However, our study also has several limitations. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. 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. 2013 Nov;20(12):3869-76 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. World J Surg 28(3):271276. 2011;396(8):11571163. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. Unauthorized use of these marks is strictly prohibited. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Your scar will be most visible for the first 1-2 months after surgery, improve Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. 2022 Dec 22;14(12):e32836. Your voice probably will be hoarse, and you may have trouble talking. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. 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. Ann Surg Oncol 22(9):30143021. PLoS Med 6(7):e1000097. 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. A randomized controlled study. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Antacids that you can get without a prescription also might help temporarily. Please enable it to take advantage of the complete set of features! Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. Eur Arch Otorhinolaryngol. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. https://doi.org/10.1002/lary.27297, Ikeda Y, Takami H, Sasaki Y et al (2002) Comparative study of thyroidectomies. Clin Nurs Res 28(5):615635. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . The https:// ensures that you are connecting to the Head Neck 38(6):811819. All rights reserved. J Clin Med. 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). I'm a speech pathologist. https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. Results: I'm Carrie. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. Accessibility Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. https://doi.org/10.1159/000508683, Ryu JH, Yom CK, Park DJ et al (2014) Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. A two year prospective trial. 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. 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. 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. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Vojnosanit Pregl. Thyroid. HHS Vulnerability Disclosure, Help 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). Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. The duration of the follow-up ranges from 1 month to 4 years. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. doi: 10.1177/0194599813487301. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. government site. Dysphagia 34(2):161169. Cookies You may have follow-up appointments once or twice a year for several years after treatment ends. National Library of Medicine A feeding tube provides nutrients without the need to swallow. JAMA Otolaryngol Head Neck Surg. ANZ J Surg 73(9):712716. 2009;24(1):16. Methods: Surgery 146(6):11741181. Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). 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. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. 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. JAMA. Carrie: Your other hand. Cureus. Introduction: Dysphagia is frequently reported after thyroidectomy. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Lombardi CP, Raffaelli M, DAlatri L, et al. World J Surg. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. The site is secure. 2017 May;41 Suppl 1:S94-S102. PubMed Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. By accessing the work you hereby accept the Terms. PubMedGoogle Scholar. Head Neck 30(1):2127. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). All rights reserved. Clin Otolaryngol 42(6):12591266. Accessed Sept. 21, 2001. We give you different consistencies of food items to swallow and watch you swallow those. 2015;72(7):583588. The more invasive the operation was, the more patients suffered from dysphagia. Thyroidectomy is a well-described procedure used to excise the thyroid gland. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Some examples are: Laparoscopic Heller myotomy. Athanasia Printza. Ferri FF. Dysphagia 30(5):496505. World J Surg. R01 CA176911/CA/NCI NIH HHS/United States, T32 DC009401/DC/NIDCD NIH HHS/United States, K23 DC013559/DC/NIDCD NIH HHS/United States, P30 CA014520/CA/NCI NIH HHS/United States. 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.

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