Unauthorized use of these marks is strictly prohibited. Methods: Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Do you have difficulty swallowing solids, liquids or both? 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. 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 . Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. Epub 2014 Jan 24. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? Critical revision of the work: AP, ST, KS. An official website of the United States government. Post Total Thyroidectomy Deglutition Syncope. and transmitted securely. Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. Proceduralist: We can show you afterwards too. Correspondence to Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. All authors have contributed to the paper and have read and approved the final submitted version. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in doi: 10.7759/cureus.34078. J Laryngol Otol 119(12):973975. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). 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. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Surg Endosc 26(7):18711877. 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). Dysphagia. 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 Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Furthermore, we report a foreign body/sticky sensation in the throat as an . 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. 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). Federal government websites often end in .gov or .mil. 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. Acta Anaesthesiol Scand 56(10):13141320. 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. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview (answer e) (Figure 2). Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. That's it. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. 2006;140(6):10261034. Asian J Surg 43(1):116123. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Go ahead and take a bite of one of those. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. JAMA Otolaryngol Head Neck Surg 144(4):342348. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. 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. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy All rights reserved. This work is published and licensed by Dove Medical Press Limited. 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. The site is secure. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. The more invasive the operation was, the more patients suffered from dysphagia. eCollection 2022. Do you bring food back up (regurgitate) after swallowing it? Data analysis: CV, NT, AK, AP. Please enable it to take advantage of the complete set of features! 1992;305(6846):160164. These are normal sensations. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. Surgery 133(3):318322. This is a preview of subscription content, access via your institution. https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms. Dysphagia 30(5):496505. Thyroidectomy is a largely performed procedure [].Dysphonia and dysphagia are common after thyroidectomy and can cause huge impact on the patient's quality of life [2, 3].Voice and swallowing complaints occur between 15 and 90 days after surgery [4-6].Though spontaneous complaints of swallowing are not common, it has been observed that when questioned about this specific aspect, the . Notes: aIncluded two patients with parathyroidectomy. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. Unable to load your collection due to an error, Unable to load your delegates due to an error. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. sharing sensitive information, make sure youre on a federal Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease (chi-squared test=4.6) and carcinoma (chi-squared test=8.0). doi: 10.1016/j.jvoice.2021.02.030. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. and transmitted securely. CAS JAMA Otolaryngol Head Neck Surg. 2018 The Author(s). Cureus. 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. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Ann Otol Rhinol Laryngol 127(3):171177. The .gov means its official. Cramon P, Winther KH, Watt T, et al. 2003;133(3):318322. Accessed Sept. 21, 2021. FOIA Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Eur Arch Otorhinolaryngol. 2023 Jan 23;15(1):e34078. Idea for the study: AP, CV. 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. The https:// ensures that you are connecting to the Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. Federal government websites often end in .gov or .mil. Registered in England and Wales. Surg Laparosc Endosc Percutan Tech 16(4):226231. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. Learn more about Institutional subscriptions, Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Clin Exp Otorhinolaryngol 8(1):7680. Panebianco M., et al. Objective: 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. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Do you ever vomit or bring up blood or black material? 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. 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. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. https://doi.org/10.1007/s00405-019-05599-y, 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? 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Before 2021 Sep 25;21(1):352. doi: 10.1186/s12893-021-01353-6. government site. 2020; doi:10.1007/s10072-020-04495-2. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. A quantitative synthesis of the results followed. 2017 May;41 Suppl 1:S94-S102. Conclusion Dysphagia occurs in patients after thyroidectomy operations (regardless of larynx mobility alteration) and characterized by delayed triggering and stasis of food in the oro and . Ann Surg Oncol 20(12):38693876. Ann Otol Rhinol Laryngol 127(3):171177. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Thyroid. Further, there was no dependency of dysphagia on gender. Head Neck 30(1):2127. Bethesda, MD 20894, Web Policies https://doi.org/10.1007/s00455-020-10180-5 (Epub ahead of print 2020/09/06), Im I, Jun JP, Crary MA et al (2019) Longitudinal kinematic evaluation of pharyngeal swallowing impairment in thyroidectomy patients. Unable to load your collection due to an error, Unable to load your delegates due to an error. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Disclaimer. Disclaimer. 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. Some examples are: Laparoscopic Heller myotomy. 2013 Nov;20(12):3869-76. doi: 10.1245/s10434-013-3163-7. 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). National Institute on Deafness and Other Communication Disorders. And one more. Clipboard, Search History, and several other advanced features are temporarily unavailable. Accessed Sept. 24, 2021. Price excludes VAT (USA) Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Curr Opin Otolaryngol Head Neck Surg. The authors did not receive any funding or support for the submitted work. Unauthorized use of these marks is strictly prohibited. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. 2011;396(8):11571163. An association between surgical insult following thyroid surgery and LPR needs further investigation. 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. ORL J Otorhinolaryngol Relat Spec 82(5):274284. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. doi: 10.1016/j.ijsu.2017.03.078. It goes in your nose about this far, just a little bit past that white line. https://doi.org/10.1016/j.surg.2009.09.010, Article 2009;24(1):16. I have other health conditions. 2017 May;41 Suppl 1:S94-S102. Tax calculation will be finalised during checkout. Elsevier; 2022. https://www.clinicalkey.com. Google Scholar. 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. official website and that any information you provide is encrypted Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. 2015;72(7):583588. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations - 173.82.84.250. Have your symptoms been continuous or occasional? A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. 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. 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. 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. Here's some information to help you prepare for your appointment. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. 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). Of 372 questionnaires, 222 were returned. 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. 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. Swallowing disorders after thyroidectomy: What we know and where we are. Dysphagia reverted to pre-operative levels 2-3 months later. Laryngoscope 129(2):519524. Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. Of 26 patients surveyed, 80% (n = 20) perceived dysphagia 2 weeks after thyroidectomy; 42% (n = 11) at 6 weeks; and 17% (n = 4) at 6 months after total thyroidectomy. Your scar will be most visible for the first 1-2 months after surgery, improve All rights reserved. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Number 3099067. The https:// ensures that you are connecting to the 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. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. World J Surg. 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. Chapter 8: Assessing risk of bias in included studies. 2014;207(6):974979. A systematic review. Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. Ann Surg Oncol. 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. Figure 2 Frequency of dysphagia depending on the operative therapy. 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. Surg Endosc 28(6):19141920. 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. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. https://doi.org/10.1007/s00268-003-6903-1, Sasaki A, Nakajima J, Ikeda K et al (2008) Endoscopic thyroidectomy by the breast approach: a single institutions 9-year experience. Impaired swallowing and neck strangling following uncomplicated operative thyroid or parathyroid resection are frequently complained of by patients.3,4 Intraoperative nerve injury regularly causes postoperative dysphagia, but dysphagia is also complained of after uncomplicated thyroidectomies.2,5 These symptoms are usually dismissed by the clinicians or attributed to orotracheal intubation.6 In many patients, correlations for these swallowing disorders cannot be found in objective test results.6 Reasons for dysphagia and esophageal motility changes after uncomplicated thyroidectomy could be lesions of the perithyroidal neural plexus, changes in the laryngeal vascular supply, postoperative adhesions, decreased pressure of the upper esophageal sphincter, or changed position after thyroidectomy.5 Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. Brazier JE, Harper R, Jones NM, et al. I'm Carrie. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. -, World J Surg. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Epub 2018 Sep 7. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Most of these were transient and recovered spontaneously within weeks. Federal government websites often end in .gov or .mil. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. 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. 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. Associations & Partners We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. FOIA National Library of Medicine 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. MeSH Open access peer-reviewed scientific and medical journals. Laryngoscope. Introduction: Dysphagia is frequently reported after thyroidectomy. 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). Careers. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Iran J Otorhinolaryngol 31(107):329334. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. Dysphagia. Clin Nurs Res 28(5):615635. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. Eur Thyroid J 2(2):102109. 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. Recommend this site American Academy of Otolaryngology Head and Neck Surgery. Sorensen JR, Watt T, Cramon P, et al. bOne patient failed to complete the smoking field. Interventions: In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Sabaretnam M, Mishra A, Chand G, et al. 2014 Nov;28(6):799-808. doi: 10.1016/j.jvoice.2014.02.003. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. Keywords: https://doi.org/10.1007/s00464-015-4386-4, Jian CX, Wu LM, Zheng ZF et al (2020) How should the surgical approach in thyroidectomy be selected? Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. World J Surg. G Chir. 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. https://doi.org/10.3342/ceo.2015.8.1.76, Article 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.. It is normal to have these problems for up to 6 months after a total thyroidectomy. Dysphagia. -. this site will not function whilst javascript is disabled. official website and that any information you provide is encrypted We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. The objective of this statement article is to discuss optimal surgical management of goiter. The primary outcomes were compression symptoms, including dysphagia, choking/globus sensation, dyspnea, cough, and hoarseness/dysphonia. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. 2017 May 15;29(3):e20150294 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. 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 . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). All patients were examined pre- and postoperatively by an ear, nose, and throat physician. A qualitative analysis of data extracted was conducted. 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. ANZ J Surg 73(9):712716. 2009;33(2):255260. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Results: In the evaluation, 219 questionnaires could be included. Comparison Between Patient-Perceived Voice Changes and Quantitative Voice Measures in the First Postoperative Year After Thyroidectomy: A Secondary Analysis of a Randomized Clinical Trial. Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. Disclaimer. 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. JAMA. Swallowing symptoms after thyroidectomy are underreported in the literature. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. 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. World J Surg 37(4):786791. Bookshelf World J Surg. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. https://doi.org/10.1177/000348940411300914, Nouraei SAR, Allen J, Kaddour H et al (2017) Vocal palsy increases the risk of lower respiratory tract infection in low-risk, low-morbidity patients undergoing thyroidectomy for benign disease: a big data analysis. I'm going to be helping out with the evaluation today. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. J Clin Endocrinol Metab 98(7):27012708. Greenblatt et al. https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience.
Brookdale Hospital Dental Gpr,
Paulding County Youth Sports,
Warframe Operator Body Type,
Null And Void Court Order,
Which Area Is Not Protected By Most Homeowners Insurance?,
Articles D