dysphagia after thyroidectomy treatment

Careers. Front Endocrinol (Lausanne). No disclosures were reported. Swallowing symptoms after thyroidectomy are underreported in the literature. World J Surg 28(3):271276. 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. Do you have difficulty swallowing solids, liquids or both? and transmitted securely. Ann Otol Rhinol Laryngol 113(9):749753. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. 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. Radioactive Iodine Therapy for Thyroid Cancer: Outpatient Treatment Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. Int J Surg 41(Suppl 1):S94S102. 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. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. Aging and swallowing. https://doi.org/10.1007/s00464-011-2116-0, Kim WW, Jung JH, Lee J et al (2016) Comparison of the quality of life for thyroid cancer survivors who had open versus robotic thyroidectomy. Antacids that you can get without a prescription also might help temporarily. 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. The site is secure. European Archives of Oto-Rhino-Laryngology American College of Gastroenterology. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. Unauthorized use of these marks is strictly prohibited. The authors have no conflicts of interest to declare, relevant to the content of this article. A two year prospective trial. Hoarseness and Voice Problems 2022 Dec 22;14(12):e32836. Here's some information to help you prepare for your appointment. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Swallowing disorders after thyroidectomy: What we know and where we are. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. Otolaryngol Head Neck Surg. https://gi.org/topics/dysphagia/. 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). Elsevier; 2022. https://www.clinicalkey.com. https://doi.org/10.1007/s00464-013-3413-6, Jung SP, Kim SH, Bae SY et al (2013) A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. The duration of the follow-up ranges from 1 month to 4 years. Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. Using rigorous qualitative methodology, this study set out to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and swallowing-related outcomes. 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. Speech and swallowing therapy is usually helpful after surgery. Dysphagia following uncomplicated thyroidectomy: a systematic review Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Some examples are: Laparoscopic Heller myotomy. This is the camera we're going to use. 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 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. These are normal sensations. Conflicts of Interest: The authors have no conflicts of interest to declare. 2005 Jun;29(6):780-4 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. All rights reserved. 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. 2009;33(2):255260. Before Go ahead and take a bite of one of those. Total Thyroidectomy (Discharge Care) - Drugs.com Post Total Thyroidectomy Deglutition Syncope. Arch Otolaryngol Head Neck Surg 135(4):342346. You might need to take these medications for a long time. Notes: aIncluded two patients with parathyroidectomy. 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. Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. Bookshelf 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Bookshelf Clin Otolaryngol 42(6):12591266. All right. government site. Figure 2 Frequency of dysphagia depending on the operative therapy. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). Unauthorized use of these marks is strictly prohibited. Swallowing disorders after thyroidectomy: What we know - ScienceDirect 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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 . Surg Endosc 24(12):31863194. 2008 May;32(5):693-700 Chen PH, Golub JS, Hapner ER, Johns MM. CAS Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Vojnosanit Pregl. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Dan Med J 65(4):B5472, PubMed Surgery. Postthyroidectomy Throat Pain and Swallowing: Do Proton Pump Inhibitors Thyroidectomy is a well-described procedure used to excise the thyroid gland. The articles retrieved by database searches were classified and screened for relevance by using EndNote. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Federal government websites often end in .gov or .mil. FOIA Thyroid Surgery Recovery, Side Effects, and Complications - Verywell Health Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. An official website of the United States government. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. Treatment for dysphagia depends on the type or cause of your swallowing disorder. 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. Surg Endosc. JAMA Otolaryngol Head Neck Surg. Surg Endosc 26(7):18711877. The medication helps reduce the size of thyroid tissue. An official website of the United States government. Please enable it to take advantage of the complete set of features! Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Eur Thyroid J 2(2):102109. Notes: The more invasive the operation was, the more patients suffered from dysphagia. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. Dysphagia 35(2):253260. https://doi.org/10.1245/s10434-013-3163-7, Sinclair CF, Bumpous JM, Haugen BR et al (2016) Laryngeal examination in thyroid and parathyroid surgery: an American Head and Neck Society consensus statement. 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. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. This could be a major limitation. The type of surgical treatment depends on the cause of dysphagia. Head Neck 38(6):811819. government site. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. MeSH Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. 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 . CAS 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. 501-509 Review Article Speech therapy after thyroidectomy Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. This should not lead to underestimation of symptoms, since the patients quality of life is negatively affected by the symptomatology. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. 2012;17(10):12711276. Surg Endosc 30(4):15991606. Dysphagia. Top, Copyright 2023 Dove Press Ltd 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. Article Google Scholar Grover G, Sadler GP, Mihai R . Okay. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. A feeding tube provides nutrients without the need to swallow. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC 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. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. Accessed Sept. 24, 2021. The https:// ensures that you are connecting to the Patient-Reported Dysphagia After Thyroidectomy - JAMA Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). 8600 Rockville Pike Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). The study was approved by the ethical committee of the University of Ulm (Nr 141/15). 2013 Nov;20(12):3869-76 Introduction: Dysphagia is frequently reported after thyroidectomy. doi: 10.1016/j.ijsu.2017.03.078. https://doi.org/10.1016/j.surg.2009.09.010, Article Clinical practice guideline: improving voice outcomes after thyroid 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. Epub 2018 Sep 7. 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). 2017 May 15;29(3):e20150294 An official website of the United States government. Epub 2022 Apr 19. eCollection 2021. and transmitted securely. Eur Arch Otorhinolaryngol. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. 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. A speech-language pathologist performing head positioning on a patient. FOIA 2015;39(7):17131720. Methods: Drafting: CV, AP. Epub 2013 Mar 22. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Thyroidectomy (surgical removal of all or part of the thyroid gland) may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. 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. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. An association between surgical insult following thyroid surgery and LPR needs further investigation. 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. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). open access to scientific and medical research. This site needs JavaScript to work properly. Part of Springer Nature. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? https://doi.org/10.1159/000350854, Elzahaby IA, Fathi A, Abdelwahab K et al (2018) Endoscopic thyroidectomy using the unilateral axillo-breast approach versus the modified anterior chest wall approach: a prospective comparative study. Eur Arch Otorhinolaryngol 276(10):26612671. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. Correspondence to Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Dysphagia. 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. BMJ 372:n71. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. A randomized controlled study. Postoperative swallowing disorder after thyroid and parathyroid resect PubMed Central Your scar will be most visible for the first 1-2 months after surgery, improve Results: Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 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/10.1590/2317-1782/20172016294, Greenblatt DY, Sippel R, Leverson G et al (2009) Thyroid resection improves perception of swallowing function in patients with thyroid disease. A systematic review. A quantitative synthesis of the results followed. Corticosteroids might be recommended for eosinophilic esophagitis. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. We found that patients in this group are at high risk of dysphagia, since bilateral thyroid surgery is performed in these patients, often with lymph node dissection. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. All tests of significance were at the P<0.05 level. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Epub 2022 Apr 19. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. 2022. https://doi.org/10.4103/0022-3859.81867, Article Patients and methods: A questionnaire was sent to 372 consecutive patients whose thyroid or parathyroid glands were operated on between May 2013 and October 2014 at Ulm University Hospital. Swallowing disorders after thyroidectomy: What we know and - PubMed Comparison of Postoperative Neck Pain and Discomfort, Swallowing Accessed Sept. 21, 2021. Disclaimer. Total thyroidectomy. National Library of Medicine Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Conclusions: Dysphagia is a possible complication that can be observed in patients undergoing thyroidectomy, and can be related to superior and inferior laryngeal nerves dysfunction, but it usually appears after an uncomplicated surgical procedure. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). PMC The site is secure. CAS Disclaimer. By accessing the work you hereby accept the Terms. 2016;26(8):10101018. The .gov means its official. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. 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. 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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