. The .gov means its official. 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. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. 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. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. The https:// ensures that you are connecting to the On the second day, you'll get another thyrotropin alfa injection. A systematic review. We found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma and a decreased risk for patients operated on for hyperparathyroidism. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. 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. Allscripts EPSi. Learn more about Institutional subscriptions, Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Accessed Sept. 21, 2021. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. BMJ 372:n71. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). National Library of Medicine The often used questionnaire Thyroid-Related Quality of Life Measure ThyPRO reports 13 multi-item scales, and dysphagia is only a sub-item of one of the 13 items (goiter symptoms). Thyroid. All participants were age 21 to 73 years with a diagnosis of papillary thyroid cancer without cervical or distant metastases and had undergone total thyroidectomy. and transmitted securely. Before A randomized controlled study. PLoS Med 6(7):e1000097. This is a preview of subscription content, access via your institution. doi: 10.7759/cureus.32836. Federal government websites often end in .gov or .mil. For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. 1976;235(1):5859. All the included trials documented postoperative dysphagia, 12 of which have detected it in the early postoperative period. https://doi.org/10.1007/s00455-018-9949-9, Hyun K, Byon W, Park HJ et al (2014) Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. European Archives of Oto-Rhino-Laryngology, https://doi.org/10.1007/s00405-022-07386-8, 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, https://doi.org/10.1007/s00268-015-3323-y, https://doi.org/10.1016/j.asjsur.2019.04.013, https://doi.org/10.1038/nrgastro.2015.199, https://doi.org/10.1016/j.ijsu.2017.03.078, https://doi.org/10.1001/jamaoto.2017.3378, https://doi.org/10.1371/journal.pmed.1000097, https://doi.org/10.1046/j.1445-2197.2003.02748.x, https://doi.org/10.1007/s12070-011-0319-2, https://doi.org/10.1590/2317-1782/20172016294, https://doi.org/10.1007/s00268-008-9837-9, https://doi.org/10.1007/s00268-012-1562-8, https://doi.org/10.1017/S0022215106002465, https://doi.org/10.1258/002221505775010760, https://doi.org/10.1007/s00464-016-4814-0, https://doi.org/10.1007/s00455-019-10020-1, https://doi.org/10.1007/s00464-002-8830-x, https://doi.org/10.1007/s00268-013-2269-1, https://doi.org/10.1245/s10434-014-4361-7, https://doi.org/10.1007/s00464-015-4386-4, https://doi.org/10.1097/SLE.0000000000000743, https://doi.org/10.1007/s00464-010-1113-z, https://doi.org/10.1007/s00464-011-2116-0, https://doi.org/10.1007/s00464-017-5929-7, https://doi.org/10.1007/s00455-020-10180-5, https://doi.org/10.1007/s00455-018-9949-9, https://doi.org/10.1007/s00464-013-3413-6, https://doi.org/10.1245/s10434-013-3163-7, https://doi.org/10.1007/s00268-015-2995-7, https://doi.org/10.1007/s00268-013-1908-x, https://doi.org/10.1111/j.1399-6576.2012.02768.x, https://doi.org/10.1097/SLE.0000000000000582, https://doi.org/10.1016/j.surg.2019.01.034, https://doi.org/10.22038/ijorl.2019.36233.2193, https://doi.org/10.1177/000348940411300914, https://doi.org/10.1007/s00268-003-6903-1, https://doi.org/10.1007/s00268-007-9375-x, https://doi.org/10.1007/s00464-014-3658-8, https://doi.org/10.1097/00129689-200608000-00006. Speech and swallowing therapy is usually helpful after surgery. Otolaryngol Head Neck Surg. Apart from that, dysphagia is common especially in elderly patients. government site. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. Of 372 questionnaires, 222 were returned. Written informed consent was obtained from all participating patients. A systematic review. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. 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. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). Keywords: Dsphagia, Thyroid surgery 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. Conclusions: 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. All rights reserved. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). The site is secure. Accessed Sept. 25, 2021. We offer real benefits to our authors, including fast-track processing of papers. Accessed Sept. 21, 2021. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. F1000Research. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. 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. doi: 10.1016/j.ijsu.2017.03.078. Speech therapy after thyroidectomy - PubMed 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. 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. FOIA The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. The authors did not receive any funding or support for the submitted work. Accessed Sept. 21, 2021. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Rare complication after thyroidectomy-cervical esophageal stenosis: a 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. Bethesda, MD 20894, Web Policies Interventions: J Postgrad Med 57(2):120122. 2017 May;41 Suppl 1:S94-S102. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. Greenblatt et al report a significant improvement in postoperative swallowing using the standardized SWAL-QOL questionnaire, designed to find out how swallowing problems affect quality of life.2 With the same questionnaire, Sabaretnam et al8 reported a significant improvement in quality of life in patients with benign goiters after thyroidectomy and Pinchot et al reported a significant improvement in quality of life in patients with parathyroid disease after thyroidectomy.9. https://doi.org/10.1007/s00464-002-8830-x, Article Asian J Surg 43(1):116123. Accessibility Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. Careers. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). G Chir. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. FOIA Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 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 A speech-language pathologist performing head positioning on a patient. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). Epub 2020 Nov 4. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. Federal government websites often end in .gov or .mil. FOIA A feeding tube provides nutrients without the need to swallow. eCollection 2021. 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. Speech and swallowing therapy is usually helpful after surgery. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Methods: What, if anything, appears to worsen your symptoms? Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. https://doi.org/10.1001/archoto.2009.16, Gal TJ, Streeter M, Burris J et al (2013) Quality of life impact of external beam radiotherapy for advanced thyroid carcinoma. Int J Surg 41(Suppl 1):S94S102. eCollection 2023 Jan. Front Surg. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. This is the camera we're going to use. Please enable it to take advantage of the complete set of features! Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. sharing sensitive information, make sure youre on a federal https://doi.org/10.1177/1054773817729074, Martins N, Novalo-Goto ES, Diz-Leme ICM et al (2020) Patient perception of swallowing after thyroidectomy in the absence of laryngeal nerve injury. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Otolaryngol Head Neck Surg 148(6):926932. Bethesda, MD 20894, Web Policies Unauthorized use of these marks is strictly prohibited. PubMed Central 8600 Rockville Pike Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Lembo AJ. Clin Nurs Res 28(5):615635. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 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. 2017;37(5):193199. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. Thyroid cancer - Diagnosis and treatment - Mayo Clinic World J Surg. JAMA Otolaryngol Head Neck Surg. 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. Accessibility 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.
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