Thyroid 23(1):6469. 2003;133(3):318322. PubMed 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. Javascript is currently disabled in your browser. Mayo Clinic. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Accessed Sept. 21, 2001. Frequency of swallowing disorder was similar in patients with sixth level dissection and patients with additionally lateral neck dissection (lateral neck dissection: 2 out of 6; sixth level dissection: 4 out of 12 patients). Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. 8600 Rockville Pike However, our study also has several limitations. I'm Carrie. 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. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. Unauthorized use of these marks is strictly prohibited. For the partial thyroidectomy groups, dysphagia symptoms decreased from 8 % to 5 % after surgical treatment. Carrie: That's the absolute worst part right there. Surgical Management of Graves' Disease - American Thyroid Association Six weeks and 6 months after thyroidectomy, 42% (n = 11) and 17% (n = 4) of participants, respectively, reported continued swallowing symptoms using the prompts; 12% (n = 3) discussed symptoms without prompting cards at both time points. Vocal cord paralysis that resolved within 6 months of surgery was considered transient; those that did not resolve in 6 months were classified as permanent. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. doi: 10.7759/cureus.34078. Clin Otolaryngol 41(5):615618. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. The group of patients who did not respond to the questionnaire did not differ significantly from the 219 included patients in terms of age, sex, proportion with cancer, or mass of resected thyroid. Please enable it to take advantage of the complete set of features! Thyroid cancer - Diagnosis and treatment - Mayo Clinic Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. - 173.82.84.250. http://www.entnet.org/content/swallowing-trouble. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study The duration of the follow-up ranges from 1 month to 4 years. This could be a major limitation. Lombardi CP, Raffaelli M, DAlatri L, et al. 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. sharing sensitive information, make sure youre on a federal Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. 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. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Asian J Surg 43(1):116123. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . These symptoms typically last for only a short time. 2013 Nov;20(12):3869-76 Idea for the study: AP, CV. JAMA Otolaryngol Head Neck Surg. The more invasive the operation was, the more patients suffered from dysphagia. Nat Rev Gastroenterol Hepatol 13(1):4959. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Surg Laparosc Endosc Percutan Tech 16(4):226231. 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. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. You have muscle spasms in your legs and feet that do not go away. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Disclaimer. For example, are certain foods harder to swallow than others? An official website of the United States government. Price excludes VAT (USA) Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. Further, there was no dependency of dysphagia on gender. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. Oncologist. Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate PubMed https://gi.org/topics/dysphagia/. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. Sabaretnam M, Mishra A, Chand G, et al. Does anything seem to improve your symptoms? We have included 16 studies of which 15 are prospective and one are retrospective. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Epub 2020 Nov 4. 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 Clipboard, Search History, and several other advanced features are temporarily unavailable. A systematic review. HHS Vulnerability Disclosure, Help https://doi.org/10.1007/s00455-015-9628-z, Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. 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. Eur Arch Otorhinolaryngol 279, 42134227 (2022). You may have some trouble chewing and swallowing after you go home. This site needs JavaScript to work properly. doi: 10.1016/j.ijsu.2017.03.078. Otolaryngol Head Neck Surg. Start Here. Interventions: Would you like email updates of new search results? official website and that any information you provide is encrypted Unauthorized use of these marks is strictly prohibited. J Laryngol Otol 121(3):242245. National Library of Medicine Am J Surg. Dysphagia after Thyroid Surgery Front Endocrinol (Lausanne). 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. 8600 Rockville Pike 2018 Nov 1;144(11):995-1003. doi: 10.1001/jamaoto.2018.0309. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. The https:// ensures that you are connecting to the Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . Would you like email updates of new search results? For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) American College of Gastroenterology. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Federal government websites often end in .gov or .mil. (PDF) Effects of Dysphagia Therapy on Swallowing Dysfunction after Head Neck 38(6):811819. Have your symptoms been continuous or occasional? Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. 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. A two year prospective trial. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 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. 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. Athanasia Printza. Cureus. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. Thyroid. Online ahead of print. JAMA Otolaryngol Head Neck Surg. Bulk reprints for the pharmaceutical industry. FOIA Results: In the evaluation, 219 questionnaires could be included. 1976;235(1):5859. Eating soft foods for the first few days can be helpful. 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. 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. Dysphagia. 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. JAMA Otolaryngol Head Neck Surg. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. A speech-language pathologist performing head positioning on a patient. Several features of 2020; doi:10.1007/s10072-020-04495-2. Neurological Sciences. Audit of Neurological Complications After Thyroid Surgery 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. 2012;36(6):12931299. Epub 2019 Aug 14. Pak J Med Sci 30(5):11191122. Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Okay. . Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Curr Opin Otolaryngol Head Neck Surg. Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Eur Arch Otorhinolaryngol. A randomized controlled study. 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. In: Ferri's Clinical Advisor 2022. Epub 2022 May 30. Accessibility A quantitative synthesis of the results followed. Methods: The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. X-ray with a contrast material (barium X-ray). Dysphagia is a typical symptom complained of preoperatively by patients with enlarged thyroid due to a direct compression of the swallowing organs.1 In these patients, uncomplicated thyroidectomy often leads to improvements in perceptions of swallowing function.2 But impaired swallowing and neck strangling also occur postoperatively. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. It goes in your nose about this far, just a little bit past that white line. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. This site needs JavaScript to work properly. National Center for Biotechnology Information Gland Surg. Bethesda, MD 20894, Web Policies 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 . Dysphagia reverted to pre-operative levels 23months later. Clin Exp Otorhinolaryngol 8(1):7680. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Patient-Reported Dysphagia After Thyroidectomy - JAMA 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. Follow-up tests may include: Physical exam of . Drafting: CV, AP. In the case of toxic goiters, it also shuts down abnormal. A speech-language pathologist performing head. Surgery 133(3):318322. Reasons for dysphagia could be, among others, postoperative scarring, modification in the vascular supply, or damage to tiny branches of the recurrent laryngeal nerve going to the cricopharyngeal muscle.6 The extent of the operative intervention seems to affect the probability of postoperative dysphagia. doi: 10.1016/j.ijsu.2017.03.078. 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? 2017;37(5):193199. You have sudden abdominal pain. Scerrino G, Inviati A, di Giovanni S, et al. Comparison of Postoperative Neck Pain and Discomfort, Swallowing