Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations All right. MeSH Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. Main outcomes and measures: Epub 2013 Mar 22. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Apart from that, dysphagia is common especially in elderly patients. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. Indian J Otolaryngol Head Neck Surg 66(Suppl 1):7177. Bethesda, MD 20894, Web Policies 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. The https:// ensures that you are connecting to the Results: Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? Validating the SF-36 health survey questionnaire: new outcome measure for primary care. National Library of Medicine https://doi.org/10.1177/0194599813482299, Sorensen JR (2018) The impact of surgery on quality of life, esophageal motility, and tracheal anatomy and airflow in patients with benign nodular goiter. and transmitted securely. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Recommend this site 1992;305(6846):160164. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. World J Surg. Quality of life is not influenced by the extent of surgery in patients with benign goiter. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. The type of surgical treatment depends on the cause of dysphagia. JAMA Otolaryngol Head Neck Surg. Unable to load your collection due to an error, Unable to load your delegates due to an error. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. more. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Associations & Partners A quantitative synthesis of the results followed. Javascript is currently disabled in your browser. 2014;207(6):974979. 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. for voice restoration after thyroidectomy". this site will not function whilst javascript is disabled. Arch Otolaryngol Head Neck Surg 135(4):342346. 2014;38(2):378384. Clipboard, Search History, and several other advanced features are temporarily unavailable. Swallowing dysfunction after thyroid surgery is characterized by . Curr Opin Otolaryngol Head Neck Surg. 2011;396(8):11571163. 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. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. Head Neck. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Eur Arch Otorhinolaryngol 276(10):26612671. 2008;32(5):693700. 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. Just long enough to take a look around at the anatomy, give you a couple of things to eat and drink, watch you swallow those and then we come out, okay. World J Surg 38(2):378384. Elsevier; 2022. https://www.clinicalkey.com. Depending on the suspected cause, your health care provider might refer you to an ear, nose and throat specialist, a doctor who specializes in treating digestive disorders (gastroenterologist), or a doctor who specializes in diseases of the nervous system (neurologist). Your arm or leg feels warm, tender, and painful. Dysphagia 35(2):253260. A systematic review. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. https://gi.org/topics/dysphagia/. 2020; doi:10.1007/s10072-020-04495-2. Accessed Sept. 21, 2001. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. The duration of the follow-up ranges from 1 month to 4 years. Epub 2022 May 30. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. 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. Brazier JE, Harper R, Jones NM, et al. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? Dysphagia reverted to pre-operative levels 2-3 months later. https://doi.org/10.12669/pjms.305.4767, Article Please enable it to take advantage of the complete set of features! One treatment for both toxic and non-toxic goiters is radioiodine therapy. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Lombardi CP, Raffaelli M, DAlatri L, et al. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. Ryu JH, Yom CK, Park DJ, et al. World J Surg 32(3):381385. Dysphagia. The .gov means its official. Federal government websites often end in .gov or .mil. Mayo Clinic does not endorse companies or products. Which tests you need will depend on your situation. Do you have difficulty swallowing solids, liquids or both? Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Surgery 166(1):6974. Swallowing disorders after thyroidectomy: What we know and where we are. 2017 May;41 Suppl 1:S94-S102. Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. Head Neck 38(6):811819. Would you like email updates of new search results? Objective: We're going to be doing a type of swallowing evaluation where we put a camera in your nose. Do you bring food back up (regurgitate) after swallowing it? Google Scholar, Wasserman JM, Sundaram K, Alfonso AE et al (2008) Determination of the function of the internal branch of the superior laryngeal nerve after thyroidectomy. Allscripts EPSi. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. Patients were questioned at least 6 months postoperatively. World J Surg 36(6):12931299. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. https://www.nidcd.nih.gov/health/dysphagia. and transmitted securely. government site. https://doi.org/10.1002/hed.24409, Chun BJ, Bae JS, Lee SH et al (2015) 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. https://doi.org/10.1067/msy.2003.58, Cho JG, Byeon HK, Oh KH et al (2020) Objective assessment of postoperative swallowing difficulty through ultrasound in patients undergoing thyroidectomy. We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. https://doi.org/10.1007/s00464-017-5929-7, Costa B, Rodrigues DSB, Magalhaes DDD et al (2020) Quantitative ultrasound assessment of hyoid bone displacement during swallowing following thyroidectomy. doi: 10.1177/0194599813487301. A randomized controlled study. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. 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. Would you like email updates of new search results? Eur Thyroid J 2(2):102109. 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. 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Idea for the study: AP, CV. Speech and swallowing therapy is usually helpful after surgery. Thyroid 22(8):814819. Please enable it to take advantage of the complete set of features! Lombardi et al report that the incidence and the severity of dysphagia is significantly reduced in patients who undergo video-assisted surgery compared with conventional surgery.16 In most cases, correlations for these swallowing disorders do not translate into objective findings and a discordance between objective deterioration and subjective symptoms is reported.6 Altered objective test results were reported by Scerrino et al. 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. Epub 2013 Aug 2. Thyroidectomy should be considered for anyone with Graves' disease (GD) and moderate-to-severe eye disease, or smokers with GD due to increased risk of exacerbation of eye disease after radioactive iodine. 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 2018 Sep 7. 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. Advertising revenue supports our not-for-profit mission. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Correspondence to 2017 May 15;29(3):e20150294 Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. 2018 The Author(s). On the second day, you'll get another thyrotropin alfa injection. Volume 2018:9 Pages 6368, Editor who approved publication: 2019; doi:10.12688/f1000research.18900.1. 1976;235(1):5859. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Conclusions: 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. 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. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. Aging and swallowing. 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. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. 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. doi: 10.1016/j.ijsu.2017.03.078. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. 2016;26(8):10101018. Most studies find that quality of life improves after thyroidectomy, although there are also some contradictory results.1013 Assessment of dysphagia is presumably insufficient in these studies, because the item dysphagia is underrepresented. Recent advances in dysphagia management [version 1; peer review: 3 approved]. 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 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. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. Written informed consent was obtained from all participating patients. eCollection 2023 Jan. Front Surg. MeSH Cureus. Cramon P, Winther KH, Watt T, et al. https://doi.org/10.1111/coa.12913, Rosato L, Avenia N, Bernante P et al (2004) Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. All rights reserved. Rosato L, Avenia N, Bernante P, et al. https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. World J Surg 37(4):786791. 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. What, if anything, appears to worsen your symptoms? Eating soft foods for the first few days can be helpful. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Surgery. 2018 Nov 1;144(11):995-1003. doi: 10.1001/jamaoto.2018.0309. 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. Ann Otol Rhinol Laryngol 127(3):171177. 2017 May;41 Suppl 1:S94-S102. F1000Research. 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? Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. World J Surg. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. 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. 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. I'm going to be helping out with the evaluation today. 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. Dan Med J 65(4):B5472, PubMed 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. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Results: CAS Surg Endosc 30(11):47214730. A systematic review. Accessibility Accessed Sept. 21, 2021. We offer real benefits to our authors, including fast-track processing of papers. Top, Copyright 2023 Dove Press Ltd Privacy Policy Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. All rights reserved. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. Am J Surg. Interventions: This could be a major limitation. government site. Disclaimer. Accessed Sept. 25, 2021. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. All surgical procedures were performed or supervised by an experienced endocrine surgeon. Since these symptoms can reduce patie In the evaluation, 219 returns could be included. A speech-language pathologist performing head. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? An official website of the United States government. Swallowing disorders after thyroidectomy: What we know and where we are. The objective of this statement article is to discuss optimal surgical management of goiter. Objective: The https:// ensures that you are connecting to the 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. Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. However, our study also has several limitations. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. Surg Endosc Other Interv Tech 16(12):17411745. Accessibility Notes: The more invasive the operation was, the more patients suffered from dysphagia. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. reported a qualitative improvement of swallowing function after thyroidectomy . 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. Do you ever vomit or bring up blood or black material? A systematic review. Tax calculation will be finalised during checkout. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. 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. 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. The instrumental findings revealed non-specific alterations of swallowing. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Langenbecks Arch Surg. The .gov means its official. 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.
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