https://gi.org/topics/dysphagia/. World J Surg 39(7):17131720. Bookshelf A randomized controlled study. 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. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. 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. Epub 2013 Aug 2. 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. Results: The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. https://doi.org/10.1016/j.ijsu.2017.03.078, Pradeep PV, Ragavan M, Ramakrishna BA et al (2011) Surgery in Hashimotos thyroiditis: indications, complications, and associated cancers. Dysphagia. Dysphagia 34(2):161169. Volume 2018:9 Pages 6368, Editor who approved publication: Surg Endosc 24(12):31863194. Would you like email updates of new search results? BMJ. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. 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 . The site is secure. Accessed Sept. 21, 2021. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. An official website of the United States government. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Eur Thyroid J 2(2):102109. [1] Warning:The NCBI web site requires JavaScript to function. JAMA Otolaryngol Head Neck Surg 144(4):342348. 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. 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. Front Endocrinol (Lausanne). The site is secure. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. Online ahead of print. Curr Opin Otolaryngol Head Neck Surg. PMC Are there brochures or other printed material I can have? Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. this site will not function whilst javascript is disabled. Surg Laparosc Endosc Percutan Tech 16(4):226231. doi: 10.1016/j.ijsu.2017.03.078. Hoarseness and Voice Problems Thyroidectomy is a well-described procedure used to excise the thyroid gland. The authors report no conflicts of interest in this work. Keywords: dysphagia, thyroidectomy, parathyroidectomy. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. You may have follow-up appointments once or twice a year for several years after treatment ends. 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. or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. and transmitted securely. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. A systematic review. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC 2023 Springer Nature Switzerland AG. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. A randomized controlled study. Scerrino G, Inviati A, di Giovanni S, et al. Ann Otol Rhinol Laryngol 127(3):171177. X-ray with a contrast material (barium X-ray). Conclusions: https://doi.org/10.1007/s00455-015-9628-z, Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Number 3099067. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Epub 2018 Sep 7. 2014;38(2):378384. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Open access peer-reviewed scientific and medical journals. Surgery. The authors have no conflicts of interest to declare, relevant to the content of this article. National Library of Medicine I'm going to be helping out with the evaluation today. Surg Endosc 32(5):23402344. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. software development by maffey.com https://doi.org/10.3390/jcm8111787, Xu YJ, Wang SL, Ren Y et al (2012) A smaller endotracheal tube combined with intravenous lidocaine decreases post-operative sore throat - a randomized controlled trial. Before 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. All authors have contributed to the paper and have read and approved the final submitted version. government site. Methods: A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. -, Ann Surg Oncol. https://doi.org/10.1007/s00455-019-10020-1, Almeida JP, Vartanian JG, Kowalski LP (2009) Clinical predictors of quality of life in patients with initial differentiated thyroid cancers. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Surgery. Ryu JH, Yom CK, Park DJ, et al. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. This content does not have an Arabic version. Carrie: Your other hand. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). Copyright 2017 Informa PLC. Sept. 29, 2021. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Bethesda, MD 20894, Web Policies 2018 Nov 1;144(11):995-1003. doi: 10.1001/jamaoto.2018.0309. https://doi.org/10.1111/coa.12913, Rosato L, Avenia N, Bernante P et al (2004) Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. The .gov means its official. https://doi.org/10.1007/s00464-015-4386-4, Jian CX, Wu LM, Zheng ZF et al (2020) How should the surgical approach in thyroidectomy be selected? eCollection 2021. Does anything seem to improve your symptoms? 8600 Rockville Pike The more invasive the operation was, the more patients suffered from dysphagia. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Accessibility Epub 2014 Jan 24. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . F1000Research. All right. Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. Eating soft foods for the first few days can be helpful. World J Surg 38(2):378384. The articles retrieved by database searches were classified and screened for relevance by using EndNote. Ann Otol Rhinol Laryngol 127(3):171177. https://doi.org/10.1097/SLE.0000000000000582, Goswami S, Peipert BJ, Mongelli MN et al (2019) Clinical factors associated with worse quality-of-life scores in United States thyroid cancer survivors. Dysphagia in neurological diseases: A literature review. 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. Bookshelf 2013;148(6):926932. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Chapter 8: Assessing risk of bias in included studies. Would you like email updates of new search results? In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. Lembo AJ. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. Eur Arch Otorhinolaryngol 276(10):26612671. official website and that any information you provide is encrypted Ann Surg Oncol 20(12):38693876. Carrie: Go ahead and take a couple more for me. 2014;207(6):974979. Clin Exp Otorhinolaryngol 8(1):7680. Most studies find that quality of life improves after thyroidectomy, although there are also some contradictory results.1013 Assessment of dysphagia is presumably insufficient in these studies, because the item dysphagia is underrepresented. https://doi.org/10.1007/s00464-014-3658-8, Yoon JH, Park CH, Chung WY (2006) Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. 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. Lombardi CP, Raffaelli M, DAlatri L, et al. Bookshelf Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. 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. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. CAS Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. 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. Surgery 166(1):6974. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Surg Endosc. 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. Article Google Scholar Grover G, Sadler GP, Mihai R . Unauthorized use of these marks is strictly prohibited. Laryngoscope. In the evaluation, 219 returns could be included. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Disclaimer. Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. 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. And one more. Please enable it to take advantage of the complete set of features! Advertising revenue supports our not-for-profit mission. 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. Drafting: CV, AP. FOIA Here's some information to help you prepare for your appointment. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. 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. 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. The medication helps reduce the size of thyroid tissue. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. Correspondence to Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. The purpose of the current systematic review is to investigate the prevalence of dysphagia at various time points after thyroidectomy, at the whole spectrum of it (total/partial, open/endoscopic, for benign/malignant disease). The objective of this statement article is to discuss optimal surgical management of goiter. 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. Results This retrospective review included 45,539. Papanikolaou General Hospital, 57010, Thessaloniki, Greece, Chrysoula Vardaxi,Nikolaos Tsetsos&Alexandros Poutoglidis, Department of Food Science and Technology, International Hellenic University, Sindos Campus, 57400, Thessaloniki, Greece, 3rd Department of Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, You can also search for this author in Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Iran J Otorhinolaryngol 31(107):329334. The site is secure. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns 2019; doi:10.12688/f1000research.18900.1. The https:// ensures that you are connecting to the Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Privacy Policy Lombardi et al report that the incidence and the severity of dysphagia is significantly reduced in patients who undergo video-assisted surgery compared with conventional surgery.16 In most cases, correlations for these swallowing disorders do not translate into objective findings and a discordance between objective deterioration and subjective symptoms is reported.6 Altered objective test results were reported by Scerrino et al. Sabaretnam M, Mishra A, Chand G, et al. Before 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. 2013;123(9):23192323. A systematic review. Associations & Partners 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. 2003;133(3):318322. 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. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. World J Surg. PubMed Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. doi: 10.1177/0194599813487301. doi: 10.7759/cureus.34078. Clinical practice guideline: improving voice outcomes after thyroid surgery. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Dysphagia. 2015;72(7):583588. -, World J Surg. 2013 Jun;148(6 Suppl):S1-37. It is normal to have these problems for up to 6 months after a total thyroidectomy. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 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. Triggs J, et al. 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. Accessibility This study revealed that as many as 80% of patients who have thyroidectomy may experience swallowing-related symptoms after surgery, and many develop compensatory strategies to manage or reduce the burden of these symptoms. 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. Ferri FF. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. FOIA https://www.uptodate.com/contents/search. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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. There's not much space between your nose and your throat, so it doesn't have to go in very far. 2017 May;41 Suppl 1:S94-S102. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. Epub 2022 May 30. sharing sensitive information, make sure youre on a federal Registered in England and Wales. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. Laryngoscope 129(2):519524. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Though various causes have been hypothesized, it remains not completely understood. Notes: The more invasive the operation was, the more patients suffered from dysphagia. Speech and swallowing therapy is usually helpful after surgery. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. 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. Langenbecks Arch Surg. If difficulty swallowing prevents you from eating and drinking enough and treatment doesn't allow you to swallow safely, your health care provider might recommend a feeding tube. Before 2009;33(2):255260. Do you bring food back up (regurgitate) after swallowing it? Bulk reprints for the pharmaceutical industry. I have other health conditions. Figure 3 Frequency of dysphagia depending on diagnosis. 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. For example, are certain foods harder to swallow than others? Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. https://doi.org/10.1097/SLE.0000000000000743, Lee J, Kwon IS, Bae EH et al (2013) Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. 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. 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 (Voice Handicap Index) and dysphagia (SWAL-QOL) (questionnaires in their validated . Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. Data analysis: CV, NT, AK, AP. 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. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. . Results: In the evaluation, 219 questionnaires could be included. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Post Total Thyroidectomy Deglutition Syncope. Elsevier; 2022. https://www.clinicalkey.com. 2013 Jan;83(1-2):15-21 Neurological Sciences. J Laryngol Otol 121(3):242245. Recommend this site Pak J Med Sci 30(5):11191122. Your arm or leg feels warm, tender, and painful. Front Surg. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. National Library of Medicine Accessed Sept. 21, 2001. World J Surg 37(4):786791. Accessed Sept. 21, 2021. Objective: Idea for the study: AP, CV. 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". Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . Front Endocrinol (Lausanne). 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? MeSH Excluded from the evaluation were 27 patients with preoperatively existing (n=10) or postoperative (n=17) temporary or permanent paralysis of the recurrent nerve, since swallowing complaints and vocal changes are to be expected in these patients.2 Patients were questioned between 6 and 18 months postoperatively (median 14 months). Thyroid surgery is one of the most commonly performed endocrine surgical procedures, the risk of complications is high due to the anatomical structure and physiological function of the RLN.. Epub 2020 Nov 4. Accessed Sept. 25, 2021. Rosato L, Avenia N, Bernante P, et al. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. Ann Surg Oncol 22(9):30143021. Dysphagia 30(5):496505. The pain and swallowing discomfort suffered by patients following thyroid surgery may be reduced by PPIs given postoperatively. An official website of the United States government. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. American Academy of Otolaryngology Head and Neck Surgery. bOne patient failed to complete the smoking field. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. Allscripts EPSi. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery.
Westward Tv Archives,
North Dakota Crime News,
Monica Padman Commercial 2021,
Ymca Pool Schedule 2020,
Articles D