A thyroidectomy is the surgical removal of all (total thyroidectomy) or part (partial thyroidectomy) of your thyroid gland the butterfly-shaped organ in your neck. The authors did not receive any funding or support for the submitted work. 2022 Dec 22;14(12):e32836. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Clin Nurs Res 28(5):615635. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. 2009;24(1):16. Multinodular goiter: Overview, causes, and treatment - Medical News Today 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. This work is published and licensed by Dove Medical Press Limited. One treatment for both toxic and non-toxic goiters is radioiodine therapy. National Library of Medicine A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Please enable it to take advantage of the complete set of features! We're going to be doing a type of swallowing evaluation where we put a camera in your nose. government site. Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. doi: 10.1016/j.ijsu.2017.03.078. 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. 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. The .gov means its official. PubMed Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. 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However, only 8% of participants in this study (n = 2) qualified for a follow-up dysphagia evaluation, indicating that the majority of reported symptoms were subjective in nature. 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. Epub 2022 Apr 19. 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. Start Here. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations This site needs JavaScript to work properly. The .gov means its official. 2017 May;41 Suppl 1:S94-S102. This could be a major limitation. Swallowing disorders after thyroidectomy: What we know and where we are. The type of surgical treatment depends on the cause of dysphagia. Postthyroidectomy Throat Pain and Swallowing: Do Proton Pump Inhibitors . Accessed Sept. 21, 2021. 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. In the early postoperative weeks after thyroidectomy, swallowing impairment is self-explanatory and is reported by most patients.6 Symptoms are often self-limiting, are not related to impaired nerve function and improve spontaneously. This injection will help any leftover thyroid tissue absorb the radioactive iodine. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Surg Endosc Other Interv Tech 16(12):17411745. 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. Post-thyroidectomy Dysphagia: An International Multicentric CONSORT For esophageal spasm, smooth muscle relaxants might help. Management of compression symptoms of thyroid goiters Bookshelf Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Clipboard, Search History, and several other advanced features are temporarily unavailable. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. The https:// ensures that you are connecting to the The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Eur Arch Otorhinolaryngol. Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Kraemer J, Benninger MS, Blumin JH, Dennis G, Hanks J, Haymart MR, Kloos RT, Seals B, Schreibstein JM, Thomas MA, Waddington C, Warren B, Robertson PJ; American Academy of Otolaryngology-Head and Neck Surgery. This involves cutting the muscle at the lower end of the esophagus (sphincter) when it fails to open and release food into the stomach in people who have achalasia. Cookies You might need to take these medications for a long time. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. Just long enough to take a look around at the anatomy, give you a couple of things to eat and drink, watch you swallow those and then we come out, okay. Scerrino G, Inviati A, Di Giovanni S, Paladino NC, Di Paola V, Lo Re G, Almasio PL, Cupido F, Gulotta G, Bonventre S. Otolaryngol Head Neck Surg. 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. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Literature search: CV. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. World J Surg 28(3):271276. Epub 2014 Jan 24. 2017;39(11):22322240. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. A two year prospective trial. Surgery 166(1):6974. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. I have other health conditions. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. this site will not function whilst javascript is disabled. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Copyright 2017 Informa PLC. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. Patient-Reported Dysphagia After Thyroidectomy - JAMA 2. Sabaretnam M, Mishra A, Chand G, et al. Surg Endosc 30(4):15991606. 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. 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. Dysphagia 30:496-505. 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. https://doi.org/10.1007/s00464-002-8830-x, Article World J Surg. Gland Surg. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Several features of 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. 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. 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. Ann Otol Rhinol Laryngol 127(3):171177. They found a decreased pressure in the upper esophageal sphincter in postoperative esophageal manometry by an average of 25% after uncomplicated thyroidectomy, recovering to original values after 2 years.5,17 In case of radical central neck dissection, the inferior laryngeal nerve and the nerve branches destined for esophageal region are dissected; an extended dissection of the nerves could predispose to risk. Lombardi CP, Raffaelli M, DAlatri L, et al. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. Epub 2014 Apr 13. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Bethesda, MD 20894, Web Policies 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 2013 Nov;20(12):3869-76 eCollection 2021. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. PubMed It is a common procedure in modern medicine and may be used to treat malignancy, benign disease, or hormonal disease that is not responsive to medical management. 2013 Jun;148(6 Suppl):S1-37. Before Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Dysphagia is a typical symptom complained of preoperatively by patients with enlarged thyroid due to a direct compression of the swallowing organs.1 In these patients, uncomplicated thyroidectomy often leads to improvements in perceptions of swallowing function.2 But impaired swallowing and neck strangling also occur postoperatively. days after surgery. The https:// ensures that you are connecting to the 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. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. Quality of life is not influenced by the extent of surgery in patients with benign goiter. Objective: Trippe BS, Shaprio JR, Doppman JL. official website and that any information you provide is encrypted Of 372 questionnaires, 222 were returned. Disclaimer. Am J Surg. Thyroidectomy is the most commonly performed surgical procedure on endocrine glands and its effect on swallowing is common, following both complicated and uncomplicated surgery [1,2,3].Swallowing disorders after a recurrent laryngeal nerve injury are expected, because of the movement dysfunction caused on the larynx, and the damage of the superior laryngeal nerve can affect the sensory . The .gov means its official. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 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. Thyroid Surgery | American Thyroid Association 2014;207(6):974979. 2016;26(8):10101018. 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. 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. eCollection 2022. Swallowing disorders after thyroidectomy: a systematic - Springer PMC 2009;33(2):255260. eCollection 2023 Jan. Front Surg. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. HHS Vulnerability Disclosure, Help Clipboard, Search History, and several other advanced features are temporarily unavailable. Do you have difficulty swallowing solids, liquids or both? This site needs JavaScript to work properly. Symptoms of dysphagia and related effects on quality of life elicited through grounded theory analysis of semistructured interviews with patients after thyroidectomy designed to foster an open-ended, patient-driven discussion. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. A quantitative synthesis of the results followed. Do you bring food back up (regurgitate) after swallowing it? Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. Audit of Neurological Complications After Thyroid Surgery https://doi.org/10.1089/thy.2011.0118, Gohrbandt AE, Aschoff A, Gohrbandt B et al (2016) Changes of laryngeal mobility and symptoms following thyroid surgery: 6-month follow-up. You drink a barium solution that coats your esophagus, making it easier to see on X-rays. 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. World J Surg. Federal government websites often end in .gov or .mil. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Iran J Otorhinolaryngol 31(107):329334. https://doi.org/10.1001/archoto.2009.16, Gal TJ, Streeter M, Burris J et al (2013) Quality of life impact of external beam radiotherapy for advanced thyroid carcinoma. Neurological Sciences. BMJ. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Keywords: Associations & Partners What websites do you recommend? Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis. Unauthorized use of these marks is strictly prohibited. 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. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. These symptoms typically last for only a short time. 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. 2018 The Author(s). 8600 Rockville Pike Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Tax calculation will be finalised during checkout. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 2020; doi:10.1007/s10072-020-04495-2. Wentworth MA. This should not lead to underestimation of symptoms, since the patients' quality of life is negatively affected by the symptomatology. The objective of this statement article is to discuss optimal surgical management of goiter. Careers. This is the camera we're going to use. 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. Curr Opin Otolaryngol Head Neck Surg. Mayo Clinic. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. MeSH Are there brochures or other printed material I can have? When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. Google Scholar. J Clin Endocrinol Metab 98(7):27012708. Dysphagia reverted to pre-operative levels 2-3 months later. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Careers. HHS Vulnerability Disclosure, Help Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. World J Surg 32(3):381385. https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? Epub 2018 Sep 7. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Would you like email updates of new search results? 2012;36(6):12931299. Chen PH, Golub JS, Hapner ER, Johns MM. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. Careers. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 2004. 2008;32(5):693700. 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. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Surgery. Keywords: Dsphagia, Thyroid surgery Ann Otol Rhinol Laryngol 113(9):749753. Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 volume279,pages 42134227 (2022)Cite this article. This is a preview of subscription content, access via your institution. The options for medical treatment of euthyroid goiter are short-lived and are limited to thyroxine hormone suppression and radioactive iodine ablation. Antacids that you can get without a prescription also might help temporarily. https://doi.org/10.1007/s00268-015-3323-y, Hillenbrand A, Cammerer G, Dankesreiter L et al (2018) Postoperative swallowing disorder after thyroid and parathyroid resection. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. Carrie: That's the absolute worst part right there. Dysphagia 34(2):161169. Acta Anaesthesiol Scand 56(10):13141320. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. The more invasive the operation was, the more patients suffered from dysphagia. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Introduction: Dysphagia is frequently reported after thyroidectomy. Asian J Surg 43(1):116123. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Laryngoscope. Prospective comparative analysis of open vs. endoscopic thyroidectomy. Thyroid. A quantitative synthesis of the results followed. Ryu JH, Yom CK, Park DJ, et al. FOIA You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. 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. (PDF) Effects of Dysphagia Therapy on Swallowing Dysfunction after Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate You have muscle spasms in your legs and feet that do not go away. Conclusions: Greenblatt et al report a significant improvement in postoperative swallowing using the standardized SWAL-QOL questionnaire, designed to find out how swallowing problems affect quality of life.2 With the same questionnaire, Sabaretnam et al8 reported a significant improvement in quality of life in patients with benign goiters after thyroidectomy and Pinchot et al reported a significant improvement in quality of life in patients with parathyroid disease after thyroidectomy.9. Clipboard, Search History, and several other advanced features are temporarily unavailable. Thyroidectomy should be considered for anyone with Graves' disease (GD) and moderate-to-severe eye disease, or smokers with GD due to increased risk of exacerbation of eye disease after radioactive iodine. Epub 2013 Mar 22. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Notes: The more invasive the operation was, the more patients suffered from dysphagia. An official website of the United States government. Introduction: Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. doi: 10.7759/cureus.34078. 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 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. Dysphagia after Thyroid Surgery In: Ferri's Clinical Advisor 2022. Surg Endosc 32(5):23402344. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy The site is secure. -, World J Surg. Thyroidectomy: What to Expect at Home - Alberta Interventions: Ferri FF. Eating soft foods for the first few days can be helpful. The questionnaire was sent at least 6 months postoperatively, since mild symptoms may occur in most patients within the first 3 months.6 The patients age, body mass index, diagnosis, and type of operation were analyzed from patients records.

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