dysphagia after thyroidectomy treatment

https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. The objective of this statement article is to discuss optimal surgical management of goiter. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. 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. Dysphagia 30(5):496505. Intubation is also in discussion as a cause of dysphagia,18,19 but Pereira et al report that, after comparing prevalence of dysphagia in patients after cholecystectomy and thyroidectomy, long-term symptoms are not related to orotracheal intubation.4. 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. Sorensen JR, Watt T, Cramon P, et al. https://doi.org/10.1007/s00455-020-10180-5 (Epub ahead of print 2020/09/06), Im I, Jun JP, Crary MA et al (2019) Longitudinal kinematic evaluation of pharyngeal swallowing impairment in thyroidectomy patients. Clin Otolaryngol 41(5):615618. Surg Laparosc Endosc Percutan Tech 30(1):2225. Drafting: CV, AP. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. Of 372 questionnaires, 222 were returned. The site is secure. 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. Pak J Med Sci 30(5):11191122. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Data analysis: CV, NT, AK, AP. The .gov means its official. Your doctor will take this out a few days after your surgery. And one more. Dysphagia 30(5):496505. The more invasive the operation was, the more patients suffered from dysphagia. Federal government websites often end in .gov or .mil. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. government site. Dysphagia. 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. Objective: This is the camera we're going to use. PubMed Central The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Results: Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Ann Otol Rhinol Laryngol 127(3):171177. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. It goes in your nose about this far, just a little bit past that white line. Quality of life is not influenced by the extent of surgery in patients with benign goiter. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. 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. Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). This work is published and licensed by Dove Medical Press Limited. An official website of the United States government. Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. There's not much space between your nose and your throat, so it doesn't have to go in very far. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The authors did not receive any funding or support for the submitted work. 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. Notes: The more invasive the operation was, the more patients suffered from dysphagia. 8600 Rockville Pike Privacy Policy Aging and swallowing. A systematic review. Treatment for dysphagia depends on the type or cause of your swallowing disorder. PLoS Med 6(7):e1000097. 2017;39(11):22322240. -, Codas. 2006;140(6):10261034. National Institute on Deafness and Other Communication Disorders. 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. All the included trials documented postoperative dysphagia, 12 of which have detected it in the early postoperative period. Curr Opin Otolaryngol Head Neck Surg. World J Surg 33(2):255260. Though various causes have been hypothesized, it remains not completely understood. Jung SP, Kim SH, Bae SY, Lee SK, Kim S, Choi MY, Kim J, Kim M, Kil WH, Choe JH, Kim JH, Nam SJ, Kim JS. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Disclaimer. Before Bethesda, MD 20894, Web Policies Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. An association between surgical insult following thyroid surgery and LPR needs further investigation. PubMed Central 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. eCollection 2022. JAMA Otolaryngol Head Neck Surg. Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. Parathyroid surgery was performed without a routine four-gland exploration. Am J Surg. World J Surg 28(3):271276. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. Asian J Surg 43(1):116123. Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. Results This retrospective review included 45,539. doi: 10.1016/j.jvoice.2021.02.030. 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. Okay. See this image and copyright information in PMC. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. 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. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. https://doi.org/10.4103/0022-3859.81867, Article Clipboard, Search History, and several other advanced features are temporarily unavailable. eCollection 2021. 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 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. Allscripts EPSi. doi: 10.1016/j.ijsu.2017.03.078. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Critical revision of the work: AP, ST, KS. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. 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. Methods: 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. One treatment for both toxic and non-toxic goiters is radioiodine therapy. https://doi.org/10.1007/s00464-013-3413-6, Jung SP, Kim SH, Bae SY et al (2013) A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Bookshelf Surgery might be needed to relieve swallowing problems caused by throat narrowing or blockages, including bony outgrowths, vocal cord paralysis, pharyngoesophageal diverticula, GERD and achalasia, or to treat esophageal cancer. CAS PubMed 1976;235(1):5859. What's the likeliest cause of my symptoms? Sept. 29, 2021. 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. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. https://doi.org/10.3390/jcm8111787, Xu YJ, Wang SL, Ren Y et al (2012) A smaller endotracheal tube combined with intravenous lidocaine decreases post-operative sore throat - a randomized controlled trial. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Figure 1 Frequency and duration of postoperative dysphagia complaints. 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. https://www.nidcd.nih.gov/health/dysphagia. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. volume279,pages 42134227 (2022)Cite this article. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. 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. JAMA Otolaryngol Head Neck Surg. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . 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. Surg Endosc 30(4):15991606. https://doi.org/10.1159/000350854, Elzahaby IA, Fathi A, Abdelwahab K et al (2018) Endoscopic thyroidectomy using the unilateral axillo-breast approach versus the modified anterior chest wall approach: a prospective comparative study. Unauthorized use of these marks is strictly prohibited. An open thyroid biopsy - a rarely used operation where a nodule is excised directly; A hemi-thyroidectomy or thyroid lobectomy - where one lobe (one half) of the thyroid is removed; An isthmusectomy - removal of just the bridge of thyroid tissue between the two lobes; used specifically for small tumors that are located in the isthmus. 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. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Surg Endosc 26(7):18711877. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. Apart from that, dysphagia is common especially in elderly patients. 2. Bethesda, MD 20894, Web Policies https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. Surg Endosc Other Interv Tech 16(12):17411745. Federal government websites often end in .gov or .mil. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). The medication helps reduce the size of thyroid tissue. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. https://doi.org/10.1007/s00268-013-2269-1, Chung EJ, Park MW, Cho JG et al (2015) A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. 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). 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. Wentworth MA. R01 CA176911/CA/NCI NIH HHS/United States, T32 DC009401/DC/NIDCD NIH HHS/United States, K23 DC013559/DC/NIDCD NIH HHS/United States, P30 CA014520/CA/NCI NIH HHS/United States. J Laryngol Otol 119(12):973975. Head Neck 38(6):811819. Design, setting, and participants: Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. 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. Dysphagia. Epub 2018 Sep 7. This should not lead to underestimation of symptoms, since the patients' quality of life is negatively affected by the symptomatology. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. Clipboard, Search History, and several other advanced features are temporarily unavailable. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. Carrie: Your other hand. Surg Endosc. Speech and swallowing therapy is usually helpful after surgery. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Results: In the evaluation, 219 questionnaires could be included. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. -, ANZ J Surg. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. 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. The type of surgical treatment depends on the cause of dysphagia. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Accessibility 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. [1] Warning:The NCBI web site requires JavaScript to function. Keywords: Dsphagia, Thyroid surgery This site needs JavaScript to work properly. Thyroid 23(1):6469. Methods: Lombardi CP, Raffaelli M, DAlatri L, et al. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. 2021 May 27:S0892-1997(21)00093-X. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. https://doi.org/10.1111/coa.12547, Aidan P, Pickburn H, Monpeyssen H et al (2013) Indications for the gasless transaxillary robotic approach to thyroid surgery: experience of forty-seven procedures at the American hospital of paris. 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. Surgery 146(6):11741181. 2015;39(7):17131720. 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. https://doi.org/10.1089/thy.2017.0524, Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). The results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. A systematic review. We did not detect objectively measurable alterations in these patients. Scerrino G, Inviati A, di Giovanni S, et al. ANZ J Surg 73(9):712716. Furthermore, we report a foreign body/sticky sensation in the throat as an . The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Epub 2013 Aug 2. I'm a speech pathologist. Laryngoscope Investig Otolaryngol. Clinical practice guideline: improving voice outcomes after thyroid surgery. You have sudden abdominal pain. 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dysphagia after thyroidectomy treatment 2023