Unable to load your collection due to an error, Unable to load your delegates due to an error. CAS This is the camera we're going to use. A randomized controlled study. 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. MeSH Swallowing dysfunction after thyroid surgery is characterized by . 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. After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. The duration of the follow-up ranges from 1 month to 4 years. Dysphagia 34(2):161169. Neurological Sciences. Though various causes have been hypothesized, it remains not completely understood. Lembo AJ. Surg Endosc 28(6):19141920. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. 2015;72(7):583588. However, our study also has several limitations. Clipboard, Search History, and several other advanced features are temporarily unavailable. https://doi.org/10.1111/j.1399-6576.2012.02768.x, Exarchos ST, Lachanas VA, Tsiouvaka S et al (2016) The impact of perioperative dexamethasone on swallowing impairment score after thyroidectomy: a retrospective study of 118 total thyroidectomies. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. G Chir. 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. Conclusions and relevance: -, Codas. Accessibility A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. and transmitted securely. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. official website and that any information you provide is encrypted Speech and swallowing therapy is usually helpful after surgery. There was . Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. HHS Vulnerability Disclosure, Help Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. -, ANZ J Surg. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). All rights reserved. Surg Endosc Other Interv Tech 16(12):17411745. An official website of the United States government. The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. Contact Us That's it. 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. Management of compression symptoms of thyroid goiters - ResearchGate Go ahead and take a bite of one of those. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Am J Surg. The authors did not receive any funding or support for the submitted work. All tests of significance were at the P<0.05 level. The authors report no conflicts of interest in this work. Several features of Of the 936 articles retrieved, 18 discussed "voice assessment and thyroidectomy", 3 discussed "voice therapy and thyroidectomy", and 11 discussed "surgical interventions for voice restoration after thyroidectomy". PubMed Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic Panebianco M., et al. You can move your head a little bit. 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. https://doi.org/10.1007/s00464-002-8830-x, Article 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. Thyroid. Mayo Clinic does not endorse companies or products. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. We give you different consistencies of food items to swallow and watch you swallow those. Parathyroid surgery was performed without a routine four-gland exploration. Ann Surg Oncol. 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. Front Surg. 8600 Rockville Pike https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. Bukvi B, ivaljevi V, ipeti S, Dikli A, Tauanovi K, Paunovi I. Validation and cross-cultural adaptation of the questionnaire ThyPRO in thyroid patients in Serbia. 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. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Tax calculation will be finalised during checkout. 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). Before Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Introduction: Dysphagia is frequently reported after thyroidectomy. Thyroid cancer - Diagnosis and treatment - Mayo Clinic 2017 May;41 Suppl 1:S94-S102. 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. Figure 1 Frequency and duration of postoperative dysphagia complaints. World J Surg. 2014;207(6):974979. Lombardi CP, Raffaelli M, DAlatri L, et al. For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) Thyroidectomy: What to Expect at Home - Alberta Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Written informed consent was obtained from all participating patients. Ferri FF. 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. We have included 16 studies of which 15 are prospective and one are retrospective. Follow-up tests may include: Physical exam of . 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. 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. 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/10.1371/journal.pmed.1000097, Page MJ, McKenzie JE, Bossuyt PM et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Swallowing disorders after thyroidectomy: What we know - ScienceDirect Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in ORL J Otorhinolaryngol Relat Spec 82(5):274284. Sousa F, Santos M, Azevedo S, Pinto A, Vaz Freitas S, Coutinho M, Almeida E Sousa C, Moreira da Silva . Cureus. A quantitative synthesis of the results followed. Front Endocrinol (Lausanne). Total Thyroidectomy (Discharge Care) - Drugs.com 2004;28(3):271276. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. doi: 10.7759/cureus.32836. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Do you ever vomit or bring up blood or black material? 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. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Registered in England and Wales. Article Google Scholar Grover G, Sadler GP, Mihai R . A two year prospective trial. Ann Otol Rhinol Laryngol 127(3):171177. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Carrie: Go ahead and take a couple more for me. This content does not have an Arabic version. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. 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. There's not much space between your nose and your throat, so it doesn't have to go in very far. 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. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. 1976;235(1):5859. 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. 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. 2003;133(3):318322. and transmitted securely. Surg Endosc 29(1):192201. Arch Otolaryngol Head Neck Surg 135(4):342346. 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. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. Brazier JE, Harper R, Jones NM, et al. A systematic review. This injection will help any leftover thyroid tissue absorb the radioactive iodine. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Indian J Otolaryngol Head Neck Surg 66(Suppl 1):7177. Copyright 2017 Informa PLC. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. https://doi.org/10.3342/ceo.2015.8.1.76, Article 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Before Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. 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 Elsevier; 2022. https://www.clinicalkey.com. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. 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. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. However, only 8% of participants in this study (n = 2) qualified for a follow-up dysphagia evaluation, indicating that the majority of reported symptoms were subjective in nature. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. Surgery 166(1):6974. 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. 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. https://doi.org/10.1002/hed.20648, Silva ICM, Netto IdP, Vartanian JG et al (2012) Prevalence of upper aerodigestive symptoms in patients who underwent thyroidectomy with and without the use of intraoperative laryngeal nerve monitoring. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Since these symptoms can reduce patie The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. And one more. 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. This site needs JavaScript to work properly. 2006;140(6):10261034. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Head Neck. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. We're not in there very long. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Careers. 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. We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. Results: F1000Research. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Accessed Sept. 25, 2021. Further, there was no dependency of dysphagia on gender. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. [1] Warning:The NCBI web site requires JavaScript to function. 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. Advertising revenue supports our not-for-profit mission. 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? Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. Dysphagia. Background: The objective of this study was to compare the postoperative neck pain and discomfort, swallowing difficulty, and voice change after conventional open thyroidectomy (COT), endoscopic thyroidectomy (ET), or robotic thyroidectomy (RT) performed by a single surgeon.Methods: From January 2013 to December 2017, 254 patients underwent COT, ET, or RT performed by a single surgeon and . 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? Your scar will be most visible for the first 1-2 months after surgery, improve J Postgrad Med 57(2):120122. We did not use a well-validated method or the swallowing quality of life validated outcomes assessment tool.2 Our questionnaire was not validated in the general population or in other studies. 2019; doi:10.12688/f1000research.18900.1. Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. I'm going to be helping out with the evaluation today. Surgery. All rights reserved. This content does not have an English version. You may have some trouble chewing and swallowing after you go home.