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. I'm going to be helping out with the evaluation today. The site is secure. Written informed consent was obtained from all participating patients. 2009;33(2):255260. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. 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. Pragmat Obs Res 9:6368. Management of compression symptoms of thyroid goiters 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. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy and dysphagia therapy) for improving dysphonia and dysphagia, but not specifically in patients who have received thyroidectomy. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Do you bring food back up (regurgitate) after swallowing it? 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. BMJ 372:n71. 2019; doi:10.12688/f1000research.18900.1. Otolaryngol Head Neck Surg. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. You may have some trouble chewing and swallowing after you go home. 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. The type of surgical treatment depends on the cause of dysphagia. Notes: The more invasive the operation was, the more patients suffered from dysphagia. https://doi.org/10.1007/s00268-013-1908-x, Koo CH, Sohn HM, Choi ES et al (2019) The effect of adjustment of endotracheal tube cuff pressure during scarless remote access endoscopic and robotic thyroidectomy on Laryngo-Pharyngeal complications: prospective randomized and controlled trial. Speech and swallowing therapy is usually helpful after surgery. 2013 Jan;83(1-2):15-21 In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. World J Surg. 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. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Conflicts of Interest: The authors have no conflicts of interest to declare. 2023 Springer Nature Switzerland AG. 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. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). Surg Endosc 28(6):19141920. 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. Bethesda, MD 20894, Web Policies FOIA This site needs JavaScript to work properly. The https:// ensures that you are connecting to the 2011;396(8):11571163. 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 2017;39(11):22322240. Epub 2020 Nov 4. Would you like email updates of new search results? and transmitted securely. National Library of Medicine Federal government websites often end in .gov or .mil. BMJ. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. 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. 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. The external branch of the superior laryngeal nerve is not exposed routinely. 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. Thyroid cancer - Diagnosis and treatment - Mayo Clinic 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. Epub 2022 May 30. J Clin Med. Of the 26 patients included, 69% were women (n = 18); mean (SD) age, 46.4 (14.1) years; mean (SD) tumor diameter 2.2 (1.4) cm. volume279,pages 42134227 (2022)Cite this article. Accessibility sharing sensitive information, make sure youre on a federal Eating soft foods for the first few days can be helpful. Dysphagia 34(2):161169. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. A quantitative synthesis of the results followed. 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. The chi-squared test showed no significant relation between operation and dysphagia (thyroidectomy with/without lymph nodes: chi-squared test=3.2/2.7, subtotal resection/hemithyroidectomy: chi-squared test 0.3/2.1, and parathyroid resection: chi-squared test=3.7). 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. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. A qualitative analysis of data extracted was conducted. Figure 1 Frequency and duration of postoperative dysphagia complaints. Dysphagia following uncomplicated thyroidectomy: a systematic review The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). CAS The site is secure. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . Eur Arch Otorhinolaryngol. 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. Before 2016;26(8):10101018. Table 2 Demographic-, disease-, and treatment-related variables for the study cohort. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. https://doi.org/10.1007/s00455-019-10020-1, Almeida JP, Vartanian JG, Kowalski LP (2009) Clinical predictors of quality of life in patients with initial differentiated thyroid cancers. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. https://doi.org/10.1245/s10434-014-4361-7, Lee DY, Lim S, Kang SH et al (2016) A prospective 1-year comparative study of transaxillary total thyroidectomy regarding functional outcomes: is it really promising? This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Athanasia Printza. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. JAMA Otolaryngol Head Neck Surg. Thyroid Surgery Recovery, Side Effects, and Complications - Verywell Health HHS Vulnerability Disclosure, Help Good. Your doctor will take this out a few days after your surgery. 2015;72(7):583588. Objective: DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. 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. 2008 May;32(5):693-700 Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy One treatment for both toxic and non-toxic goiters is radioiodine therapy. Keywords: What's the likeliest cause of my symptoms? Accessibility Gland Surg. Scerrino G, Inviati A, Di Giovanni S, Paladino NC, Di Paola V, Lo Re G, Almasio PL, Cupido F, Gulotta G, Bonventre S. Otolaryngol Head Neck Surg. Furthermore, we report a foreign body/sticky sensation in the throat as an . https://doi.org/10.12669/pjms.305.4767, Article Surgery 146(6):11741181. 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. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Trippe BS, Shaprio JR, Doppman JL. 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 type of surgical treatment depends on the cause of dysphagia. We're not in there very long. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Disclaimer. Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Unauthorized use of these marks is strictly prohibited. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions Your voice probably will be hoarse, and you may have trouble talking. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Surg Endosc 32(5):23402344. Front Surg. Bookshelf A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. Testimonials So the different items we're going to be swallowing. An association between surgical insult following thyroid surgery and LPR needs further investigation. National Library of Medicine Bethesda, MD 20894, Web Policies Okay. Introduction: Dysphagia is frequently reported after thyroidectomy. Accessed Sept. 24, 2021. No disclosures were reported. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. They found a decreased pressure in the upper esophageal sphincter in postoperative esophageal manometry by an average of 25% after uncomplicated thyroidectomy, recovering to original values after 2 years.5,17 In case of radical central neck dissection, the inferior laryngeal nerve and the nerve branches destined for esophageal region are dissected; an extended dissection of the nerves could predispose to risk. 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. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. 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). The study was approved by the ethical committee of the University of Ulm (Nr 141/15). No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. This content does not have an English version. Int J Surg 41(Suppl 1):S94S102. HHS Vulnerability Disclosure, Help World J Surg. government site. In the case of toxic goiters, it also shuts down abnormal. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. 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? Head Neck 38(6):811819. 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. Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study | Endocrine Surgery | JAMA Otolaryngology-Head & Neck Surgery | JAMA Network This patient open-interview study attempts to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and related [Skip to Navigation] World J Surg 40(3):636643. Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Clin Nurs Res 28(5):615635. Accessed Sept. 21, 2021. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. World J Surg 32(3):381385. Surg Endosc 26(7):18711877. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Dysphagia after Thyroid Surgery Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. This is a preview of subscription content, access via your institution. - 173.82.84.250. G Chir. 2005 Jun;29(6):780-4 Conclusions: Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. Clipboard, Search History, and several other advanced features are temporarily unavailable. This site needs JavaScript to work properly. https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? Surg Endosc 29(1):192201. Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. -, Ann Surg Oncol. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. Speech and swallowing therapy is usually helpful after surgery. 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. -, World J Surg. Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. 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. Curr Opin Otolaryngol Head Neck Surg. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. JAMA Otolaryngol Head Neck Surg. You can move your head a little bit. Laryngoscope Investig Otolaryngol. It goes in your nose about this far, just a little bit past that white line. 2004. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. Volume 2018:9 Pages 6368, Editor who approved publication: doi: 10.1016/j.ijsu.2017.03.078. Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Ann Surg Oncol 20(12):38693876. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. Swallowing disorders after thyroidectomy: a systematic review - PubMed World J Surg. Your arm or leg feels warm, tender, and painful. 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. You might need to take these medications for a long time. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. PubMed 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. official website and that any information you provide is encrypted Bulk reprints for the pharmaceutical industry. Google Scholar. There's not much space between your nose and your throat, so it doesn't have to go in very far. 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Number 3099067. 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. Follow-up tests may include: Physical exam of . Recent advances in dysphagia management [version 1; peer review: 3 approved]. J Laparoendosc Adv Surg Tech A 26(8):618624. Please enable it to take advantage of the complete set of features! 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. -, Codas. Results This retrospective review included 45,539. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. Further, there was no dependency of dysphagia on gender. What websites do you recommend? Accessed 1 Nov 2020, Alkan Z, Yigit O, Adatepe T et al (2014) Effect of anti-adhesive barrier use on laryngotracheal movement after total thyroidectomy: an electrophysiological study. X-ray with a contrast material (barium X-ray). Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy.
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