Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. 2023 Springer Nature Switzerland AG. All rights reserved. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). 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. 2017 May 15;29(3):e20150294 The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Careers. Would you like email updates of new search results? 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. 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. Price excludes VAT (USA) 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? Dysphagia. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Accessibility Cramon P, Winther KH, Watt T, et al. Disclaimer. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. X-ray with a contrast material (barium X-ray). Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. 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. 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 . 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. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. 2008 May;32(5):693-700 Purpose: Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. 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. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. 2005 Jun;29(6):780-4 https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. This work is published and licensed by Dove Medical Press Limited. Disclaimer. Ann Otol Rhinol Laryngol 113(9):749753. The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Thyroid. MeSH Would you like email updates of new search results? Of 372 questionnaires, 222 were returned. Surg Endosc. bOne patient failed to complete the smoking field. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. 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. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). World J Surg 39(7):17131720. Dysphagia; Swallowing disorders; Thyroidectomy; Uncomplicated. 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. Swallowing dysfunction after thyroid surgery is characterized by . 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. 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. Compared to other studies concerning postoperative dysphagia, we included a large collective of patients and analyzed, in contrast to other studies, frequency of dysphagia according to patients diagnoses. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. A qualitative analysis of data extracted was conducted. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. A quantitative synthesis of the results followed. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. 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] And one more. Do you ever vomit or bring up blood or black material? Unauthorized use of these marks is strictly prohibited. Eur Arch Otorhinolaryngol. Patients were questioned at least 6 months postoperatively. 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. Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. The type of surgical treatment depends on the cause of dysphagia. Dysphagia 30:496-505. The https:// ensures that you are connecting to the Cookies The authors did not receive any funding or support for the submitted work. Clinical practice guideline: improving voice outcomes after thyroid surgery. All right. Unable to load your collection due to an error, Unable to load your delegates due to an error. PLoS Med 6(7):e1000097. - 173.82.84.250. National Library of Medicine Greenblatt et al. Rosato L, Avenia N, Bernante P, et al. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Okay. In the group of smokers, 5 out of 24 (20.8%) patients reported dysphagia and 34 out of 194 (17.5%) non-smokers patients reported dysphagia (no significant difference; chi-squared test=0.2). 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. 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? No disclosures were reported. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. 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. government site. The authors report no conflicts of interest in this work. 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. CAS Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. All tests of significance were at the P<0.05 level. Sorensen JR, Watt T, Cramon P, et al. 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. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. Neurological Sciences. How can I best manage them together? Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Scerrino G, Inviati A, di Giovanni S, et al. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . This content does not have an English version. https://www.nidcd.nih.gov/health/dysphagia. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. HHS Vulnerability Disclosure, Help World J Surg. Since these symptoms can reduce patie Do you bring food back up (regurgitate) after swallowing it? Notes: The more invasive the operation was, the more patients suffered from dysphagia. Elsevier; 2022. https://www.clinicalkey.com. American Academy of Otolaryngology Head and Neck Surgery. Panebianco M., et al. 2018 The Author(s). Conclusions and relevance: You might need to take these medications for a long time. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). All authors have contributed to the paper and have read and approved the final submitted version. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Conflicts of Interest: The authors have no conflicts of interest to declare. Figure 2 Frequency of dysphagia depending on the operative therapy. Curr Opin Otolaryngol Head Neck Surg. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. World J Surg 32(3):381385. Which tests you need will depend on your situation. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. What's the likeliest cause of my symptoms? doi: 10.1177/0194599813487301. I put a little green food coloring in the liquid and the puree that just allows us to see it better when the cameras in place. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Methods: By accessing the work you hereby accept the Terms. Clipboard, Search History, and several other advanced features are temporarily unavailable. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns Design, setting, and participants: Please enable it to take advantage of the complete set of features! Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Open access peer-reviewed scientific and medical journals. (Voice Handicap Index) and dysphagia (SWAL-QOL) (questionnaires in their validated . -. I'm Carrie. The more invasive the operation was, the more patients suffered from dysphagia. Accessed Sept. 21, 2021. https://doi.org/10.1007/s00268-015-3323-y, Hillenbrand A, Cammerer G, Dankesreiter L et al (2018) Postoperative swallowing disorder after thyroid and parathyroid resection. In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. This site needs JavaScript to work properly. The type of surgical treatment depends on the cause of dysphagia. Speech and swallowing therapy is usually helpful after surgery. Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. You may have follow-up appointments once or twice a year for several years after treatment ends. https://doi.org/10.1007/s00464-002-8830-x, Article Lembo AJ. Most of the symptoms resolved within 3 months of operation, but we found longer lasting dysphagia in almost 20% of patients. 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. 8600 Rockville Pike The https:// ensures that you are connecting to the Surgery 166(1):6974. 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. Apart from that, dysphagia is common especially in elderly patients. Notes: aIncluded two patients with parathyroidectomy. software development by maffey.com Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. MeSH Testimonials 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. Epub 2013 Aug 2. Surg Laparosc Endosc Percutan Tech 28(6):366370. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. Surg Endosc 32(5):23402344. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. Chen PH, Golub JS, Hapner ER, Johns MM. doi: 10.1016/j.ijsu.2017.03.078. ORL J Otorhinolaryngol Relat Spec 82(5):274284. Thyroid 22(8):814819. 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. Dysphagia. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. 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. 2009;33(2):255260. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. 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. 2012;17(10):12711276. doi: 10.7759/cureus.34078. open access to scientific and medical research. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. You have muscle spasms in your legs and feet that do not go away. Speech therapy after thyroidectomy Wing-Hei Viola Yu, Che-Wei Wu Abstract Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Surg Endosc 24(12):31863194. 2. The objective of this statement article is to discuss optimal surgical management of goiter. This injection will help any leftover thyroid tissue absorb the radioactive iodine. https://doi.org/10.1007/s00268-008-9837-9, Sabaretnam M, Mishra A, Chand G et al (2012) Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. Your doctor will take this out a few days after your surgery. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. 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. A randomized controlled study. doi: 10.1016/j.jvoice.2021.02.030. Pragmat Obs Res 9:6368. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. 2013;148(6):926932. Some examples are: Laparoscopic Heller myotomy. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. An official website of the United States government. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. 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. Ann Otol Rhinol Laryngol 127(3):171177. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? 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. Correspondence to PMC 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. Pak J Med Sci 30(5):11191122. Surg Endosc Other Interv Tech 16(12):17411745. government site. FOIA 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. 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. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. eCollection 2023 Jan. Front Surg. PubMedGoogle Scholar. 2013 Jun;148(6 Suppl):S1-37. 2023 Jan 23;15(1):e34078. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Epub 2013 Mar 22. I'm going to be helping out with the evaluation today. -, Codas. https://doi.org/10.12669/pjms.305.4767, Article Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). Federal government websites often end in .gov or .mil.