The duration of the follow-up ranges from 1 month to 4 years. Eur Thyroid J 2(2):102109. 2017 May 15;29(3):e20150294 After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. 1976;235(1):5859. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Examples include foods with sauces or gravy, cooked vegetables, and casseroles. https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? 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. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Main outcomes and measures: Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. Of 372 questionnaires, 222 were returned. Clinical practice guideline: improving voice outcomes after thyroid surgery. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). 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. software development by maffey.com Written informed consent was obtained from all participating patients. Carrie: Go ahead and take a couple more for me. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. Total thyroidectomy. MeSH 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. Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Kraemer J, Benninger MS, Blumin JH, Dennis G, Hanks J, Haymart MR, Kloos RT, Seals B, Schreibstein JM, Thomas MA, Waddington C, Warren B, Robertson PJ; American Academy of Otolaryngology-Head and Neck Surgery. 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. The volume of the resected tissue was analyzed from the length/width/height data provided by the pathology report (longitudinal diameter of the lobetransverse diameterlobe thickness). A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. FOIA (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. 2013;123(9):23192323. 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. 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. 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. Dysphagia; Swallowing disorders; Thyroidectomy; Uncomplicated. 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. https://doi.org/10.3342/ceo.2015.8.1.76, Article Using rigorous qualitative methodology, this study set out to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and swallowing-related outcomes. Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. You have sudden abdominal pain. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Oncologist. Our results are in line with two other studies, which also reported postoperative swallowing impairment in about 20% of patients after thyroidectomy, and where patients with carcinoma were excluded in both studies.57 Compared with preoperative symptoms, Scerrino et al reported that dysphagia improves in the majority of patients after operative therapy, but swallowing disorders appeared de novo or worsened in 20% of patients.5 However, there are also contradictory results regarding dysphagia after thyroid operations. 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. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. 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). and transmitted securely. Fass R. Approach to the evaluation of dysphagia in adults. https://doi.org/10.1016/j.surg.2019.01.034, Hashemian M, Khorasani B, Tarameshlu M et al (2019) Effects of dysphagia therapy on swallowing dysfunction after total thyroidectomy. Surgery 146(6):11741181. 2019; doi:10.12688/f1000research.18900.1. Drafting: CV, AP. All tests of significance were at the P<0.05 level. 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. Thyroidectomy is the most commonly performed surgical procedure on endocrine glands and its effect on swallowing is common, following both complicated and uncomplicated surgery [1,2,3].Swallowing disorders after a recurrent laryngeal nerve injury are expected, because of the movement dysfunction caused on the larynx, and the damage of the superior laryngeal nerve can affect the sensory . official website and that any information you provide is encrypted Excluded from the evaluation were 27 patients with preoperatively existing (n=10) or postoperative (n=17) temporary or permanent paralysis of the recurrent nerve, since swallowing complaints and vocal changes are to be expected in these patients.2 Patients were questioned between 6 and 18 months postoperatively (median 14 months). Do you have difficulty swallowing solids, liquids or both? J Laparoendosc Adv Surg Tech A 26(8):618624. -, ANZ J Surg. Surgery. 2018 The Author(s). Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Dysphagia in neurological diseases: A literature review. Disclaimer. Price excludes VAT (USA) 2006;140(6):10261034. Pinchot SN, Youngwirth L, Rajamanickam V, Schaefer S, Sippel R, Chen H. Changes in swallowing-related quality of life after parathyroidectomy for hyperparathyroidism: a prospective cohort study. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. JAMA Otolaryngol Head Neck Surg. Objective: Vojnosanit Pregl. PMC 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. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. For example, are certain foods harder to swallow than others? See this image and copyright information in PMC. 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. https://doi.org/10.1097/SLE.0000000000000743, Lee J, Kwon IS, Bae EH et al (2013) Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. Conflicts of Interest: The authors have no conflicts of interest to declare. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. government site. A qualitative analysis of data extracted was conducted. Speech and swallowing therapy is usually helpful after surgery. Correspondence to Keywords: Dsphagia, Thyroid surgery . Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Conclusions: Post Total Thyroidectomy Deglutition Syncope. Wentworth MA. The articles retrieved by database searches were classified and screened for relevance by using EndNote. Carrie: That's the absolute worst part right there. 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. Idea for the study: AP, CV. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). -, World J Surg. A randomized controlled study. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. 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 Curr Opin Otolaryngol Head Neck Surg. 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.. A systematic review. 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. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations Surg Endosc 28(6):19141920. Accessed Sept. 21, 2021. Dysphagia 30(5):496505. Keywords: This content does not have an English version. 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. 2004;28(3):271276. This is the camera we're going to use. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Cureus. Part of Springer Nature. 2008;32(5):693700. 2020; doi:10.1007/s10072-020-04495-2. A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. 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. By accessing the work you hereby accept the Terms. eCollection 2023 Jan. Front Surg. CAS National Institute on Deafness and Other Communication Disorders. Okay. 2004. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. They may be due to irritation from the breathing tube inserted into the windpipe during surgery, or the result of nerve irritation caused by the procedure. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. Dysphagia 34(2):161169. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC 8600 Rockville Pike PubMed https://doi.org/10.1007/s00405-021-06661-4 (Epub ahead of print 2021/02/18), Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. Apart from that, dysphagia is common especially in elderly patients. Swallowing disorders after thyroidectomy: What we know and where we are. This involves cutting the muscle at the lower end of the esophagus (sphincter) when it fails to open and release food into the stomach in people who have achalasia. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). PubMed A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. Epub 2019 Aug 14. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. 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. All patients underwent conventional surgery. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. World J Surg. Head Neck. 2015;72(7):583588. eCollection 2021. Dysphagia. PLoS Med 6(7):e1000097. Eating soft foods for the first few days can be helpful. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in 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. 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. 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 A randomized controlled study. and transmitted securely. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. https://doi.org/10.1089/lap.2015.0546, Bellotti C, Capponi MG, Cinquepalmi M et al (2018) MIVAT: the last 2 years experience, tips and techniques after more than 10 years. Surg Endosc 29(1):192201. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. CAS Swallowing symptoms after thyroidectomy are underreported in the literature. The https:// ensures that you are connecting to the 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. This site needs JavaScript to work properly. Swallowing dysfunction after thyroid surgery is characterized by . Clin Otolaryngol 42(6):12591266. eCollection 2022. Do you ever vomit or bring up blood or black material? The study was approved by the ethical committee of the University of Ulm (Nr 141/15). 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. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. A speech-language pathologist performing head positioning on a patient. All rights reserved. Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. 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. Bethesda, MD 20894, Web Policies 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 2014;38(2):378384. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. JAMA Otolaryngol Head Neck Surg. -, Codas. Accessed Sept. 25, 2021. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. Pak J Med Sci 30(5):11191122. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Since these symptoms can reduce patie 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. Surg Laparosc Endosc Percutan Tech 30(1):2225. Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. Please enable it to take advantage of the complete set of features! Purpose: That's it. 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. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. official website and that any information you provide is encrypted You may have follow-up appointments once or twice a year for several years after treatment ends. PubMed 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. Databases used for the literature review in this study included, PubMed, MEDLINE, Academic Search Primer, ERIC, CINAHL Plus, and EBSCO. 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A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Please enable it to take advantage of the complete set of features!
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