dysphagia after thyroidectomy treatment

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. 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. 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). Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. This could be a major limitation. How can I best manage them together? Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. PMC The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 8600 Rockville Pike Critical revision of the work: AP, ST, KS. Bethesda, MD 20894, Web Policies Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. Conclusions and relevance: reported a qualitative improvement of swallowing function after thyroidectomy . Advertising revenue supports our not-for-profit mission. I have other health conditions. Dysphagia reverted to pre-operative levels 23months later. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. 2008 May;32(5):693-700 Please enable it to take advantage of the complete set of features! Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy government site. Prospective comparative analysis of open vs. endoscopic thyroidectomy. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Sabaretnam M, Mishra A, Chand G, et al. 2004. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. eCollection 2022. Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. 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. Laryngoscope. 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. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. All the included trials documented postoperative dysphagia, 12 of which have detected it in the early postoperative period. 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. Surgery 146(6):11741181. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. There's not much space between your nose and your throat, so it doesn't have to go in very far. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. A prospective randomized controlled trial of the laryngeal mask airway versus the endotracheal intubation in the thyroid surgery: evaluation of postoperative voice, and laryngopharyngeal symptom. Accessed Sept. 21, 2021. 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. 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). Keywords: Dsphagia, Thyroid surgery Privacy Policy 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. World J Surg 33(2):255260. One treatment for both toxic and non-toxic goiters is radioiodine therapy. 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. https://doi.org/10.1007/s00268-015-2995-7, Ryu JH, Han SS, Do SH et al (2013) Effect of adjusted cuff pressure of endotracheal tube during thyroidectomy on postoperative airway complications: prospective, randomized, and controlled trial. Sousa F, Santos M, Azevedo S, Pinto A, Vaz Freitas S, Coutinho M, Almeida E Sousa C, Moreira da Silva . Cureus. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. A quantitative synthesis of the results followed. -, Ann Surg Oncol. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. JAMA Otolaryngol Head Neck Surg 144(4):342348. Surg Endosc 24(12):31863194. Part of Springer Nature. For low-risk patients showing an excellent response after treatment, . Iran J Otorhinolaryngol 31(107):329334. That's it. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. J Laryngol Otol 121(3):242245. Nat Rev Gastroenterol Hepatol 13(1):4959. 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. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. and transmitted securely. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Accessed Sept. 25, 2021. The authors have no conflicts of interest to declare, relevant to the content of this article. Price excludes VAT (USA) Dysphagia. Is this condition temporary or long lasting? BMJ 372:n71. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Unauthorized use of these marks is strictly prohibited. For esophageal spasm, smooth muscle relaxants might help. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. 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). 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. Open access peer-reviewed scientific and medical journals. Thyroid 22(8):814819. 2013 Jun;148(6 Suppl):S1-37. https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. . What websites do you recommend? Lembo AJ. American Academy of Otolaryngology Head and Neck Surgery. https://doi.org/10.1007/s00464-016-4814-0, Pereira JA, Girvent M, Sancho JJ et al (2003) Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Sorensen JR, Watt T, Cramon P, et al. Clipboard, Search History, and several other advanced features are temporarily unavailable. https://doi.org/10.2147/POR.S172059, Gumus T, Makay O, Eyigor S et al (2020) Objective analysis of swallowing and functional voice outcomes after thyroidectomy: a prospective cohort study. Surg Endosc 30(4):15991606. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. 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 . Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). Mayo Clinic. 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. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). open access to scientific and medical research. [1] Warning:The NCBI web site requires JavaScript to function. https://doi.org/10.1007/s00464-011-2116-0, Kim WW, Jung JH, Lee J et al (2016) Comparison of the quality of life for thyroid cancer survivors who had open versus robotic thyroidectomy. 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. 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. Swallowing disorders after thyroidectomy: What we know and where we are. The site is secure. Eur Arch Otorhinolaryngol. 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. 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. Eur Thyroid J 2(2):102109. and transmitted securely. This is a preview of subscription content, access via your institution. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Do you have difficulty swallowing solids, liquids or both? In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Here's some information to help you prepare for your appointment. 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. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. Ann Surg Oncol 20(12):38693876. 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. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Exclusion criteria were preexisting vocal fold abnormalities (eg, polyps, nodules), neurological conditions affecting the voice or swallowing ability, and/or development of new-onset vocal fold paresis or paralysis (lasting longer than 6 months) after total thyroidectomy. 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). We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. 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. 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. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Accessed Sept. 21, 2021. 8600 Rockville Pike A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. X-ray with a contrast material (barium X-ray). 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. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. The external branch of the superior laryngeal nerve is not exposed routinely. official website and that any information you provide is encrypted UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Eating soft foods for the first few days can be helpful. eCollection 2022. HHS Vulnerability Disclosure, Help Lombardi CP, Raffaelli M, DAlatri L, et al. You have muscle spasms in your legs and feet that do not go away. Epub 2013 Mar 22. 1992;305(6846):160164. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Langenbecks Arch Surg. Dysphagia. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. 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? 2013;148(6):926932. Carrie: Your other hand. Front Endocrinol (Lausanne). One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). For most people, these problems get better within 3 to 4 months, but it can take as long as a year. JAMA Otolaryngol Head Neck Surg. Data analysis: CV, NT, AK, AP. 2015;39(7):17131720. PLoS Med 6(7):e1000097. Before No disclosures were reported. 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. World J Surg 32(3):381385. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. 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.

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