dysphagia after thyroidectomy treatment

For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Accessed Sept. 21, 2001. Ryu JH, Yom CK, Park DJ, et al. doi: 10.1016/j.ijsu.2017.03.078. You can move your head a little bit. 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. Bethesda, MD 20894, Web Policies Have your symptoms been continuous or occasional? Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. For low-risk patients showing an excellent response after treatment, . World J Surg 37(4):786791. Of 26 patients surveyed, 80% (n = 20) perceived dysphagia 2 weeks after thyroidectomy; 42% (n = 11) at 6 weeks; and 17% (n = 4) at 6 months after total thyroidectomy. 2012;36(6):12931299. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. The type of surgical treatment depends on the cause of dysphagia. Some examples are: Laparoscopic Heller myotomy. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. https://doi.org/10.1111/j.1399-6576.2012.02768.x, Exarchos ST, Lachanas VA, Tsiouvaka S et al (2016) The impact of perioperative dexamethasone on swallowing impairment score after thyroidectomy: a retrospective study of 118 total thyroidectomies. PubMedGoogle Scholar. eCollection 2023 Jan. Front Surg. 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. Unauthorized use of these marks is strictly prohibited. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. 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 . Javascript is currently disabled in your browser. Clin Nurs Res 28(5):615635. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. The articles retrieved by database searches were classified and screened for relevance by using EndNote. This work is published and licensed by Dove Medical Press Limited. A quantitative synthesis of the results followed. All rights reserved. Main outcomes and measures: Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. PubMed Ann Otol Rhinol Laryngol 113(9):749753. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. By accessing the work you hereby accept the Terms. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. Drafting: CV, AP. Careers. Rosato L, Avenia N, Bernante P, et al. 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. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. 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. 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. In the group of smokers, 5 out of 24 (20.8%) patients reported dysphagia and 34 out of 194 (17.5%) non-smokers patients reported dysphagia (no significant difference; chi-squared test=0.2). Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study | Endocrine Surgery | JAMA Otolaryngology-Head & Neck Surgery | JAMA Network This patient open-interview study attempts to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and related [Skip to Navigation] Objective: Trippe BS, Shaprio JR, Doppman JL. Methods: 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. https://doi.org/10.1089/lap.2015.0546, Bellotti C, Capponi MG, Cinquepalmi M et al (2018) MIVAT: the last 2 years experience, tips and techniques after more than 10 years. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. 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. Mayo Clinic does not endorse companies or products. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. doi: 10.7759/cureus.34078. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. eCollection 2022. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Iran J Otorhinolaryngol 31(107):329334. Swallowing disorders after thyroidectomy: What we know and where we are. sharing sensitive information, make sure youre on a federal Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Am J Surg. Treatment for dysphagia depends on the type or cause of your swallowing disorder. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. The .gov means its official. Would you like email updates of new search results? https://doi.org/10.1007/s00268-008-9837-9, Sabaretnam M, Mishra A, Chand G et al (2012) Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Dysphagia 30(5):496505. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. 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. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. 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. Acta Anaesthesiol Scand 56(10):13141320. Keywords: 2008;32(5):693700. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. 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 . ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. 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. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. Surg Endosc 30(11):47214730. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. 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. Vojnosanit Pregl. Pragmat Obs Res 9:6368. Thyroid 23(1):6469. What, if anything, appears to worsen your symptoms? Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. 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. Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. 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. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Article Google Scholar Grover G, Sadler GP, Mihai R . After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. Accessed Sept. 25, 2021. Conflicts of Interest: The authors have no conflicts of interest to declare. 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 Laparosc Endosc Percutan Tech 30(1):2225. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. Idea for the study: AP, CV. Please enable it to take advantage of the complete set of features! 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. World J Surg 39(7):17131720. Registered in England and Wales. 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. Privacy Policy Background: The objective of this study was to compare the postoperative neck pain and discomfort, swallowing difficulty, and voice change after conventional open thyroidectomy (COT), endoscopic thyroidectomy (ET), or robotic thyroidectomy (RT) performed by a single surgeon.Methods: From January 2013 to December 2017, 254 patients underwent COT, ET, or RT performed by a single surgeon and . Objective: https://doi.org/10.3342/ceo.2015.8.1.76, Article Bulk reprints for the pharmaceutical industry. Introduction: Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Neurological Sciences. An association between surgical insult following thyroid surgery and LPR needs further investigation. Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. 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. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. You may have follow-up appointments once or twice a year for several years after treatment ends. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. World J Surg. G Chir. Scerrino G, Inviati A, di Giovanni S, et al. Conclusions: more. Asian J Surg 43(1):116123. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Swallowing symptoms after thyroidectomy are underreported in the literature. 2009;24(1):16. Laryngoscope Investig Otolaryngol. 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. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. J Clin Med. Thyroidectomy is a well-described procedure used to excise the thyroid gland. 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. All authors have contributed to the paper and have read and approved the final submitted version. 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. Surg Endosc 24(12):31863194. This site needs JavaScript to work properly. Epub 2014 Jan 24. CAS You have muscle spasms in your legs and feet that do not go away. https://doi.org/10.1001/jamaoto.2017.3378, Tomoda C, Sugino K, Tanaka T et al (2018) Globus symptoms in patients undergoing thyroidectomy: relationships with psychogenic factors, thyroid disease, and surgical procedure. This site needs JavaScript to work properly. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. -, World J Surg. Conclusions: Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis.

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