The articles retrieved by database searches were classified and screened for relevance by using EndNote. A randomized controlled study. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. 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. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? Indian J Otolaryngol Head Neck Surg 66(Suppl 1):7177. 8600 Rockville Pike Eur Arch Otorhinolaryngol. Surgery 146(6):11741181. Ann Otol Rhinol Laryngol 127(3):171177. 2014;207(6):974979. 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. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. ORL J Otorhinolaryngol Relat Spec 82(5):274284. Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Surg Endosc Other Interv Tech 16(12):17411745. official website and that any information you provide is encrypted Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. 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. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. 2012;36(6):12931299. Before Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Two weeks after thyroidectomy, 80% of participants (n = 20) reported at least 1 swallowing-related symptom when prompted by the interview cards; during the open interview, 53% of participants (n = 14) volunteered discussion of swallowing-related symptoms unprompted. Surg Endosc. Unauthorized use of these marks is strictly prohibited. Unauthorized use of these marks is strictly prohibited. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. This is a preview of subscription content, access via your institution. 1976;235(1):5859. 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. Written informed consent was obtained from all participating patients. Methods: We offer real benefits to our authors, including fast-track processing of papers. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. 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. Curr Opin Otolaryngol Head Neck Surg. 2013 Nov;20(12):3869-76 Dysphagia 34(2):161169. FOIA Good. https://www.uptodate.com/contents/search. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. Tax calculation will be finalised during checkout. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 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). 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. 8600 Rockville Pike We found that patients in this group are at high risk of dysphagia, since bilateral thyroid surgery is performed in these patients, often with lymph node dissection. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. 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. 2013 Jan;83(1-2):15-21 HHS Vulnerability Disclosure, Help Start Here. Clipboard, Search History, and several other advanced features are temporarily unavailable. sharing sensitive information, make sure youre on a federal Front Oncol 9:1226. https://doi.org/10.3389/fonc.2019.01226, Zhang Z (2014) Efficacy comparison of the anterior low small incision and the traditional incision for treatment of thyroid adenoma. Dysphagia reverted to pre-operative levels 23months later. Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. We did not detect objectively measurable alterations in these patients. Thyroid. Antacids that you can get without a prescription also might help temporarily. Eur Thyroid J 2(2):102109. BMJ 372:n71. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Databases used for the literature review in this study included, PubMed, MEDLINE, Academic Search Primer, ERIC, CINAHL Plus, and EBSCO. Main outcomes and measures: A randomized controlled study. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations 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. Clin Nurs Res 28(5):615635. PLoS Med 6(7):e1000097. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Unable to load your collection due to an error, Unable to load your delegates due to an error. In: Ferri's Clinical Advisor 2022. 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. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. 2023 Jan 23;15(1):e34078. World J Surg 33(2):255260. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. 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. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Online ahead of print. 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. Thyroidectomy (surgical removal of all or part of the thyroid gland) may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. https://doi.org/10.12669/pjms.305.4767, Article 2022. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. 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. The site is secure. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Speech and swallowing therapy is usually helpful after surgery. World J Surg 32(3):381385. National Library of Medicine 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. 2017 May;41 Suppl 1:S94-S102. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. MeSH Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. 2015;72(7):583588. Front Endocrinol (Lausanne). Elsevier; 2022. https://www.clinicalkey.com. No disclosures were reported. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. Eur Arch Otorhinolaryngol 279, 42134227 (2022). 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. Accessibility Registered in England and Wales. Literature search: CV. 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. Unauthorized use of these marks is strictly prohibited. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. Bookshelf Carrie: Your other hand. Isr Med Assoc J 8(2):106109, Wang C, Sun P, Li J et al (2016) Strategies of laparoscopic thyroidectomy for treatment of substernal goiter via areola approach. Otolaryngol Head Neck Surg. 2003;133(3):318322. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. X-ray with a contrast material (barium X-ray). 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. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2017 May;41 Suppl 1:S94-S102. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. 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. 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Thyroid. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. Dysphagia 30(5):496505. Dysphagia 30:496-505. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. Arch Otolaryngol Head Neck Surg 135(4):342346. Allscripts EPSi. We give you different consistencies of food items to swallow and watch you swallow those. A systematic review. and transmitted securely. FOIA JAMA Otolaryngol Head Neck Surg. 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.
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