dysphagia after thyroidectomy treatment
Results: In the evaluation, 219 questionnaires could be included. Acta Anaesthesiol Scand 56(10):13141320. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. Mayo Clinic does not endorse companies or products. Do you bring food back up (regurgitate) after swallowing it? The site is secure. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. PMC Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. 2022 Dec 22;14(12):e32836. 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. 2015;72(7):583588. So the different items we're going to be swallowing. World J Surg. Thyroid 22(8):814819. HHS Vulnerability Disclosure, Help Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Bethesda, MD 20894, Web Policies One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. 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. Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. Design, setting, and participants: Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. 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). Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Laryngoscope Investig Otolaryngol. Panebianco M., et al. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. Dysphagia 30:496-505. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Post Total Thyroidectomy Deglutition Syncope. Am J Surg. 2015;39(7):17131720. JAMA Otolaryngol Head Neck Surg 144(4):342348. J Laryngol Otol 121(3):242245. 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. https://doi.org/10.1007/s00405-019-05599-y, Printza A, Triaridis S (2021) Is the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration in patients with dysphagia depending on the patients disease? This site needs JavaScript to work properly. https://www.uptodate.com/contents/search. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Accessibility open access to scientific and medical research. 2009;33(2):255260. This content does not have an Arabic version. Figure 2 Frequency of dysphagia depending on the operative therapy. The authors report no conflicts of interest in this work. Cookies One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Int J Surg 41(Suppl 1):S94S102. 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). Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Careers. For esophageal spasm, smooth muscle relaxants might help. https://doi.org/10.1007/s00268-013-2269-1, Chung EJ, Park MW, Cho JG et al (2015) A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. Drafting: CV, AP. 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. Federal government websites often end in .gov or .mil. https://doi.org/10.1007/s00464-002-8830-x, Article However, our study also has several limitations. You may have follow-up appointments once or twice a year for several years after treatment ends. All patients underwent conventional surgery. Accessed Sept. 21, 2001. Proceduralist: We can show you afterwards too. Scerrino G, Inviati A, di Giovanni S, et al. The more invasive the operation was, the more patients suffered from dysphagia. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. A two year prospective trial. Correspondence to Written informed consent was obtained from all participating patients. Accessed Sept. 21, 2021. Web Design by Adhesion. Surg Endosc 29(1):192201. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. https://doi.org/10.1136/bmj.n71, Slim K, Nini E, Forestier D et al (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. Careers. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Eur Arch Otorhinolaryngol. Swallowing disorders after thyroidectomy: What we know and where we are. In the evaluation, 219 returns could be included. In literature, we found no comparable study regarding Graves disease, although Cramon et al report that Graves disease causes severe disease-specific and generic health-related quality of life impairments, and deficits persist after treatment.15 One particular aspect of Graves disease could be inflammation, which can favor postoperative scarring. Your voice probably will be hoarse, and you may have trouble talking. Dysphagia reverted to pre-operative levels 2-3 months later. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Surgery. The medication helps reduce the size of thyroid tissue. 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 Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. You might need to take these medications for a long time. These symptoms typically last for only a short time. Here's some information to help you prepare for your appointment. 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. MeSH Do you ever vomit or bring up blood or black material? 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 . Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. National Library of Medicine A quantitative synthesis of the results followed. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? What, if anything, appears to worsen your symptoms? In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. 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 . https://doi.org/10.3342/ceo.2015.8.1.76, Article Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. J Clin Med. Okay. Dysphagia; Swallowing disorders; Thyroidectomy; Uncomplicated. 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. A speech-language pathologist performing head positioning on a patient. Keywords: Dsphagia, Thyroid surgery Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns, Mayo Clinic Healthcare expert explains when swallowing issues are more than an accident, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Purpose: Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. 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. Online ahead of print. Does anything seem to improve your symptoms? MeSH Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. Article Google Scholar Grover G, Sadler GP, Mihai R . Epub 2022 Apr 19. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. This site needs JavaScript to work properly. 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. 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 . 2017 May;41 Suppl 1:S94-S102. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Clin Otolaryngol 41(5):615618. Quality of life is not influenced by the extent of surgery in patients with benign goiter. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. All the included trials documented postoperative dysphagia, 12 of which have detected it in the early postoperative period. 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. Please enable it to take advantage of the complete set of features! There was . Eur Arch Otorhinolaryngol. In: Ferri's Clinical Advisor 2022. For low-risk patients showing an excellent response after treatment, . Before A speech-language pathologist performing head. Greenblatt et al. All tests of significance were at the P<0.05 level. 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? Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Clin Otolaryngol 42(6):12591266. Aging and swallowing. The https:// ensures that you are connecting to the
dysphagia after thyroidectomy treatment