Idea for the study: AP, CV. 2017;39(11):22322240. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. All patients were examined pre- and postoperatively by an ear, nose, and throat physician. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. Surgery 166(1):6974. Clin Otolaryngol 41(5):615618. reported a qualitative improvement of swallowing function after thyroidectomy . 2012;36(6):12931299. Otolaryngol Head Neck Surg 148(6):926932. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. 8600 Rockville Pike Main outcomes and measures: Is this condition temporary or long lasting? Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Carrie: That's the absolute worst part right there. Arch Otolaryngol Head Neck Surg 135(4):342346. 2023 Jan 23;15(1):e34078. A systematic review. Thyroid surgery is one of the most commonly performed endocrine surgical procedures, the risk of complications is high due to the anatomical structure and physiological function of the RLN.. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. All right. Carrie: Your other hand. Epub 2022 Apr 19. Your scar will be most visible for the first 1-2 months after surgery, improve Recent advances in dysphagia management [version 1; peer review: 3 approved]. 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. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. Accessed Sept. 25, 2021. 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. I have other health conditions. Swallowing dysfunction after thyroid surgery is characterized by . 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. Frequency of swallowing disorder was similar in patients with sixth level dissection and patients with additionally lateral neck dissection (lateral neck dissection: 2 out of 6; sixth level dissection: 4 out of 12 patients). Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. World J Surg. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. MeSH 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. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. 1992;305(6846):160164. 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. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. 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. 2017 May 15;29(3):e20150294 Surg Endosc 32(5):23402344. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. 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. 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. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. World J Surg. Dysphagia. All surgical procedures were performed or supervised by an experienced endocrine surgeon. It goes in your nose about this far, just a little bit past that white line. 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. 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. Dan Med J 65(4):B5472, PubMed Chen PH, Golub JS, Hapner ER, Johns MM. -. World J Surg 32(3):381385. We're not in there very long. Notes: aIncluded two patients with parathyroidectomy. Ann Otol Rhinol Laryngol 113(9):749753. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. 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. Results This retrospective review included 45,539. sharing sensitive information, make sure youre on a federal eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis. PubMed Dysphagia 35(2):253260. Though various causes have been hypothesized, it remains not completely understood. 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). 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. The site is secure. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Open access peer-reviewed scientific and medical journals. J Laryngol Otol 119(12):973975. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy (answer d). Surg Endosc 26(7):18711877. MeSH https://doi.org/10.4103/0022-3859.81867, Article Top, Copyright 2023 Dove Press Ltd Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). Vojnosanit Pregl. Fass R. Approach to the evaluation of dysphagia in adults. 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. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. The https:// ensures that you are connecting to the 2013;123(9):23192323. World J Surg 28(3):271276. Ann Surg Oncol 20(12):38693876. Have your symptoms been continuous or occasional? You can move your head a little bit. Careers. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. X-ray with a contrast material (barium X-ray). 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. Would you like email updates of new search results? 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. 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. 2009;24(1):16. https://doi.org/10.1007/s12070-011-0319-2, Scerrino G, Inviati A, Di Giovanni S et al (2013) Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. A speech-language pathologist performing head positioning on a patient. 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. Eating soft foods for the first few days can be helpful. Terms & Conditions 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. Are there brochures or other printed material I can have? Eur Thyroid J 2(2):102109. J Laryngol Otol 121(3):242245. 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. https://doi.org/10.1001/jamaoto.2017.3378, Tomoda C, Sugino K, Tanaka T et al (2018) Globus symptoms in patients undergoing thyroidectomy: relationships with psychogenic factors, thyroid disease, and surgical procedure. Head Neck 38(6):811819. The common post-thyroidectomy neurological complications noted were hoarseness of voice (6 patients), loss of voice pitch (7), breathy voice (8), respiratory stridor (2), and dysphagia to liquids (8). Surgery. HHS Vulnerability Disclosure, Help Bookshelf 8600 Rockville Pike days after surgery. Results: Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Dysphagia. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. CAS 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. 2017 May;41 Suppl 1:S94-S102. 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. 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. A systematic review. PubMedGoogle Scholar. 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. Unauthorized use of these marks is strictly prohibited. Unauthorized use of these marks is strictly prohibited. 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. official website and that any information you provide is encrypted Hoarseness and Voice Problems 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. Bethesda, MD 20894, Web Policies UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. https://doi.org/10.1007/s00464-014-3658-8, Yoon JH, Park CH, Chung WY (2006) Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. National Institute on Deafness and Other Communication Disorders. 2013;148(6):926932. 2003;133(3):318322. There was . Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. (Voice Handicap Index) and dysphagia (SWAL-QOL) (questionnaires in their validated . 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. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. ANZ J Surg 73(9):712716. Dysphagia. Trippe BS, Shaprio JR, Doppman JL. Epub 2014 Apr 13. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. https://doi.org/10.1007/s00464-016-4814-0, Pereira JA, Girvent M, Sancho JJ et al (2003) Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Asian J Surg 43(1):116123. Federal government websites often end in .gov or .mil. 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. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. Surg Endosc. Do you have difficulty swallowing solids, liquids or both? 2022. There's not much space between your nose and your throat, so it doesn't have to go in very far. In contrast, few patients (8%; n = 2) had any abnormalities found by clinical assessment or instrumental swallowing evaluation that warranted further follow-up, and these few . 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. Careers. See this image and copyright information in PMC. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Accessed Sept. 21, 2021. 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. Dysphagia 34(2):161169. Speech and swallowing therapy is usually helpful after surgery. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. Bookshelf The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females.

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