No disclosures were reported. Front Endocrinol (Lausanne). Volume 2018:9 Pages 6368, Editor who approved publication: Unable to load your collection due to an error, Unable to load your delegates due to an error. National Center for Biotechnology Information However, our study also has several limitations. Clin Exp Otorhinolaryngol 8(1):7680. CAS J Laparoendosc Adv Surg Tech A 26(8):618624. Keywords: Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. 2016;26(8):10101018. Management of compression symptoms of thyroid goiters Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Epub 2013 Aug 2. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Neurological Sciences. Surg Endosc Other Interv Tech 16(12):17411745. Swallowing disorders after thyroidectomy: a systematic - Springer Some examples are: Laparoscopic Heller myotomy. reported a qualitative improvement of swallowing function after thyroidectomy . 2004. 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. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. Lombardi CP, Raffaelli M, DAlatri L, et al. Otolaryngol Head Neck Surg. Head Neck 30(1):2127. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. Accessibility Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Contact Us A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Two weeks after thyroidectomy, 80% of participants (n = 20) reported at least 1 swallowing-related symptom when prompted by the interview cards; during the open interview, 53% of participants (n = 14) volunteered discussion of swallowing-related symptoms unprompted. You can move your head a little bit. Article Google Scholar Grover G, Sadler GP, Mihai R . Please enable it to take advantage of the complete set of features! Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. 2022. 2005 Jun;29(6):780-4 I'm Carrie. Data were collected from an ongoing clinical trial (NCT02138214), and outpatient interviews were conducted at the University of Wisconsin Hospital and Clinics. 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. Front Surg. 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. Speech and swallowing therapy is usually helpful after surgery. Epub 2022 Apr 19. Cureus. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Clin Nurs Res 28(5):615635. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. Surg Endosc 28(6):19141920. F1000Research. Trippe BS, Shaprio JR, Doppman JL. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) doi: 10.1016/j.jvoice.2021.02.030. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). Unauthorized use of these marks is strictly prohibited. Carrie: That's the absolute worst part right there. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. Dysphagia after Thyroid Surgery One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 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. 2017 May;41 Suppl 1:S94-S102. 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. We did not detect objectively measurable alterations in these patients. Bethesda, MD 20894, Web Policies BMJ 372:n71. Accessed Sept. 21, 2001. 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. Surg Endosc 30(4):15991606. Do you cough or gag when you try to swallow? What's the likeliest cause of my symptoms? 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. Number 3099067. 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. JAMA Otolaryngol Head Neck Surg. Of the 936 articles retrieved, 18 discussed "voice assessment and thyroidectomy", 3 discussed "voice therapy and thyroidectomy", and 11 discussed "surgical interventions for voice restoration after thyroidectomy". Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Javascript is currently disabled in your browser. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Though various causes have been hypothesized, it remains not completely understood. JAMA Otolaryngol Head Neck Surg. Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. There's not much space between your nose and your throat, so it doesn't have to go in very far. Surg Endosc 32(5):23402344. Bookshelf Mayo Clinic does not endorse companies or products. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. government site. This is the camera we're going to use. 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. 2. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. 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. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC 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. Quality of life after thyroidectomy in patients with nontoxic nodular goiter: A prospective cohort study. An official website of the United States government. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. Otolaryngol Head Neck Surg 148(6):926932. 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. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. (PDF) Effects of Dysphagia Therapy on Swallowing Dysfunction after Of 372 questionnaires, 222 were returned. 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 . HHS Vulnerability Disclosure, Help Google Scholar, Atasayar S, Guler Demir S (2019) Determination of the problems experienced by patients post-thyroidectomy. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. eCollection 2022. Copyright 2017 Informa PLC. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. A systematic review. In: Ferri's Clinical Advisor 2022. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. Dysphagia 30(5):496505. PLoS Med 6(7):e1000097. 2012;36(6):12931299. 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. Before https://doi.org/10.1007/s00268-015-2995-7, Ryu JH, Han SS, Do SH et al (2013) Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications: prospective, randomized, and controlled trial.