dysphagia after thyroidectomy treatment

Chapter 8: Assessing risk of bias in included studies. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. However, our study also has several limitations. Dysphagia. Some examples are: Laparoscopic Heller myotomy. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. . 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. Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 software development by maffey.com European Archives of Oto-Rhino-Laryngology 2012;17(10):12711276. 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? Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. 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. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Testimonials 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. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. World J Surg 37(4):786791. Panebianco M., et al. eCollection 2021. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. We have included 16 studies of which 15 are prospective and one are retrospective. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. Thyroid 22(8):814819. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. Unauthorized use of these marks is strictly prohibited. 1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, Chrysoula Vardaxi,Stefanos Triaridis&Athanasia Printza, Department of Otorhinolaryngology, G. Epub 2013 Mar 22. Javascript is currently disabled in your browser. Rare complication after thyroidectomy-cervical esophageal stenosis: a Accessibility Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. (PDF) Speech therapy after thyroidectomy - ResearchGate Using rigorous qualitative methodology, this study set out to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and swallowing-related outcomes. https://www.nidcd.nih.gov/health/dysphagia. The volume of the resected tissue was analyzed from the length/width/height data provided by the pathology report (longitudinal diameter of the lobetransverse diameterlobe thickness). eCollection 2022. All right. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. World J Surg. The results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. American Academy of Otolaryngology Head and Neck Surgery. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. 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. 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. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Design, setting, and participants: Iran J Otorhinolaryngol 31(107):329334. Carrie: Your other hand. You have sudden abdominal pain. 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 . 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Lombardi CP, Raffaelli M, DAlatri L, et al. The .gov means its official. 8600 Rockville Pike 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. 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? 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. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. 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. Surg Endosc 30(4):15991606. MeSH Oncologist. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. sharing sensitive information, make sure youre on a federal Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Web Design by Adhesion. No disclosures were reported. Before Our results are in line with two other studies, which also reported postoperative swallowing impairment in about 20% of patients after thyroidectomy, and where patients with carcinoma were excluded in both studies.57 Compared with preoperative symptoms, Scerrino et al reported that dysphagia improves in the majority of patients after operative therapy, but swallowing disorders appeared de novo or worsened in 20% of patients.5 However, there are also contradictory results regarding dysphagia after thyroid operations. Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. MeSH Patient-Reported Dysphagia After Thyroidectomy - PMC 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 . Swallowing disorders after thyroidectomy: What we know and - PubMed 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. 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. A quantitative synthesis of the results followed. For the partial thyroidectomy groups, dysphagia symptoms decreased from 8 % to 5 % after surgical treatment. Price excludes VAT (USA) government site. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Federal government websites often end in .gov or .mil. 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. 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. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 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). All patients underwent conventional surgery. 2022 Dec 22;14(12):e32836. days after surgery. Int J Surg 41(Suppl 1):S94S102. A feeding tube provides nutrients without the need to swallow. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Article Google Scholar Grover G, Sadler GP, Mihai R . CAS Ann Otol Rhinol Laryngol 127(3):171177. Surg Endosc 24(12):31863194. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Dysphagia. All authors have contributed to the paper and have read and approved the final submitted version. 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. Swallowing symptoms after thyroidectomy are underreported in the literature. Dove Medical Press is a member of the OAI. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. This should not lead to underestimation of symptoms, since the patients quality of life is negatively affected by the symptomatology. Arch Otolaryngol Head Neck Surg 135(4):342346. A randomized controlled study. Bukvi B, ivaljevi V, ipeti S, Dikli A, Tauanovi K, Paunovi I. Validation and cross-cultural adaptation of the questionnaire ThyPRO in thyroid patients in Serbia. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. Bethesda, MD 20894, Web Policies 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? Thyroid cancer - Diagnosis and treatment - Mayo Clinic Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. Bookshelf 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. 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. Please enable it to take advantage of the complete set of features! Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Epub 2019 Aug 14. For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) 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 . The common post-thyroidectomy neurological complications noted were hoarseness of voice (6 patients), loss of voice pitch (7), breathy voice (8), respiratory stridor (2), and dysphagia to liquids (8). 2013 Nov;20(12):3869-76 Mayo Clinic. The site is secure. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, 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 . For low-risk patients showing an excellent response after treatment, . Would you like email updates of new search results? The options for medical treatment of euthyroid goiter are short-lived and are limited to thyroxine hormone suppression and radioactive iodine ablation. 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. Asian J Surg 43(1):116123. doi: 10.7759/cureus.32836. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. 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. Bethesda, MD 20894, Web Policies Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. 2011;396(8):11571163. These are normal sensations. Unable to load your collection due to an error, Unable to load your delegates due to an error. World J Surg 28(3):271276. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. World J Surg. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Table 2 Demographic-, disease-, and treatment-related variables for the study cohort. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. The site is secure. American Thyroid Association Statement on Optimal Surgical Management 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. What's the likeliest cause of my symptoms? Eur Arch Otorhinolaryngol. Surgery. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. volume279,pages 42134227 (2022)Cite this article. doi: 10.1016/j.ijsu.2017.03.078. and transmitted securely. Bookshelf Clinical practice guideline: improving voice outcomes after thyroid surgery. I have other health conditions. We give you different consistencies of food items to swallow and watch you swallow those. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. sharing sensitive information, make sure youre on a federal Ann Surg Oncol 20(12):38693876. 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). Otolaryngol Head Neck Surg. Sept. 29, 2021. Bethesda, MD 20894, Web Policies Privacy Policy This content does not have an Arabic version. In: Ferri's Clinical Advisor 2022. Total thyroidectomy. Okay. How can I best manage them together? J Clin Med. On the second day, you'll get another thyrotropin alfa injection. Impaired swallowing and neck strangling following uncomplicated operative thyroid or parathyroid resection are frequently complained of by patients.3,4 Intraoperative nerve injury regularly causes postoperative dysphagia, but dysphagia is also complained of after uncomplicated thyroidectomies.2,5 These symptoms are usually dismissed by the clinicians or attributed to orotracheal intubation.6 In many patients, correlations for these swallowing disorders cannot be found in objective test results.6 Reasons for dysphagia and esophageal motility changes after uncomplicated thyroidectomy could be lesions of the perithyroidal neural plexus, changes in the laryngeal vascular supply, postoperative adhesions, decreased pressure of the upper esophageal sphincter, or changed position after thyroidectomy.5 Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 2003;133(3):318322. sharing sensitive information, make sure youre on a federal Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. Speech and swallowing therapy is usually helpful after surgery.