Swallowing symptoms after thyroidectomy are underreported in the literature. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. Chen PH, Golub JS, Hapner ER, Johns MM. more. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. 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. Front Surg. Thyroid. Lembo AJ. Dysphagia 34(2):161169. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy and transmitted securely. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Dysphagia 30(5):496505. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. 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. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. doi: 10.1177/0194599813487301. Dysphagia. J Laryngol Otol 121(3):242245. -, ANZ J Surg. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? Scerrino G, Inviati A, di Giovanni S, et al. Surg Endosc 32(5):23402344. Corticosteroids might be recommended for eosinophilic esophagitis. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. [1] Warning:The NCBI web site requires JavaScript to function. Jung SP, Kim SH, Bae SY, Lee SK, Kim S, Choi MY, Kim J, Kim M, Kil WH, Choe JH, Kim JH, Nam SJ, Kim JS. Ferri FF. Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. -, Ann Surg Oncol. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. J Postgrad Med 57(2):120122. 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. 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? Post Total Thyroidectomy Deglutition Syncope. Epub 2022 May 30. It goes in your nose about this far, just a little bit past that white line. Lombardi CP, Raffaelli M, DAlatri L, et al. Careers. Thyroidectomy is a well-described procedure used to excise the thyroid gland. 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. for voice restoration after thyroidectomy". 2013 Jan;83(1-2):15-21 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. Results This retrospective review included 45,539. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Figure 3 Frequency of dysphagia depending on diagnosis. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. Epub 2013 Aug 2. Mayo Clinic does not endorse companies or products. An association between surgical insult following thyroid surgery and LPR needs further investigation. Unable to load your collection due to an error, Unable to load your delegates due to an error. The .gov means its official. You have muscle spasms in your legs and feet that do not go away. Parathyroid surgery was performed without a routine four-gland exploration. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. FOIA MeSH This is the camera we're going to use. Eur Arch Otorhinolaryngol 276(10):26612671. You may have follow-up appointments once or twice a year for several years after treatment ends. 2014;38(2):378384. Okay. I put a little green food coloring in the liquid and the puree that just allows us to see it better when the cameras in place. Several features of Epub 2014 Jan 24. World J Surg 33(2):255260. We did not use a well-validated method or the swallowing quality of life validated outcomes assessment tool.2 Our questionnaire was not validated in the general population or in other studies. Otolaryngol Head Neck Surg. 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. Disclaimer. http://www.entnet.org/content/swallowing-trouble. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. A systematic review. https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. 2017 May;41 Suppl 1:S94-S102. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. 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). Online ahead of print. 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 . 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. CAS 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. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 2. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . PMC doi: 10.1016/j.ijsu.2017.03.078. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. Your voice probably will be hoarse, and you may have trouble talking. 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. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns National Institute on Deafness and Other Communication Disorders. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. The https:// ensures that you are connecting to the You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. This work is published and licensed by Dove Medical Press Limited. National Library of Medicine A systematic review. American College of Gastroenterology. Accessibility Otolaryngol Head Neck Surg 148(6):926932. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. The authors have no conflicts of interest to declare, relevant to the content of this article. 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. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. I'm Carrie. Federal government websites often end in .gov or .mil. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. The https:// ensures that you are connecting to the Comparison Between Patient-Perceived Voice Changes and Quantitative Voice Measures in the First Postoperative Year After Thyroidectomy: A Secondary Analysis of a Randomized Clinical Trial. Would you like email updates of new search results? 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. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. And one more. Your health care provider might also have you swallow solid food or a pill coated with barium to watch the muscles in your throat as you swallow or to look for blockages in your esophagus that the liquid barium solution might not identify. Bookshelf 8600 Rockville Pike In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview (answer e) (Figure 2). Does anything seem to improve your symptoms? 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. That's it. 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. Written informed consent was obtained from all participating patients. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. The site is secure. 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. Cramon P, Winther KH, Watt T, et al. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. World J Surg. Laryngoscope Investig Otolaryngol. HHS Vulnerability Disclosure, Help The type of surgical treatment depends on the cause of dysphagia. The site is secure. 2005 Jun;29(6):780-4 One treatment for both toxic and non-toxic goiters is radioiodine therapy. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Price excludes VAT (USA) Speech and swallowing therapy is usually helpful after surgery. ORL J Otorhinolaryngol Relat Spec 82(5):274284. Epub 2019 Aug 14. Javascript is currently disabled in your browser. 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. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Conclusions and relevance: 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. Data were collected from an ongoing clinical trial (NCT02138214), and outpatient interviews were conducted at the University of Wisconsin Hospital and Clinics. BMJ. https://doi.org/10.1007/s00464-017-5929-7, Costa B, Rodrigues DSB, Magalhaes DDD et al (2020) Quantitative ultrasound assessment of hyoid bone displacement during swallowing following thyroidectomy. Interventions: 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. Eur Arch Otorhinolaryngol 279, 42134227 (2022). Sabaretnam M, Mishra A, Chand G, et al. Proceduralist: We can show you afterwards too. These are normal sensations. 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. Apart from that, dysphagia is common especially in elderly patients. Ann Surg Oncol 22(9):30143021. Epub 2022 Apr 19. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. A quantitative synthesis of the results followed. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. So the different items we're going to be swallowing. Testimonials For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) 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. Privacy Policy Epub 2018 Sep 7. 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. Nat Rev Gastroenterol Hepatol 13(1):4959. Carrie: Your other hand. Federal government websites often end in .gov or .mil. 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. Would you like email updates of new search results? Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. For example, are certain foods harder to swallow than others? 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. Lombardi CP, Raffaelli M, DAlatri L, et al. World J Surg 32(3):381385. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Frequency of swallowing disorder was similar in patients with sixth level dissection and patients with additionally lateral neck dissection (lateral neck dissection: 2 out of 6; sixth level dissection: 4 out of 12 patients). Unable to load your collection due to an error, Unable to load your delegates due to an error. BMJ 372:n71. World J Surg 40(3):636643. 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. Curr Opin Otolaryngol Head Neck Surg. 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. The https:// ensures that you are connecting to the Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. 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.

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