Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy and dysphagia therapy) for improving dysphonia and dysphagia, but not specifically in patients who have received thyroidectomy. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Bethesda, MD 20894, Web Policies 2012;36(6):12931299. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Speech therapy after thyroidectomy - PubMed https://doi.org/10.1007/s00455-015-9628-z, Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. official website and that any information you provide is encrypted All surgical procedures were performed or supervised by an experienced endocrine surgeon. Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. Before Accessed Sept. 25, 2021. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. A randomized controlled study. 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. All participants were age 21 to 73 years with a diagnosis of papillary thyroid cancer without cervical or distant metastases and had undergone total thyroidectomy. -, ANZ J Surg. This injection will help any leftover thyroid tissue absorb the radioactive iodine. This work is published and licensed by Dove Medical Press Limited. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Would you like email updates of new search results? 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). 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. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. 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. Dysphagia. 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. 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. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. 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. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. 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. 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. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Unable to load your collection due to an error, Unable to load your delegates due to an error. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. https://doi.org/10.1245/s10434-013-3163-7, Sinclair CF, Bumpous JM, Haugen BR et al (2016) Laryngeal examination in thyroid and parathyroid surgery: an American Head and Neck Society consensus statement. Most of these were transient and recovered spontaneously within weeks. 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. The objective of this statement article is to discuss optimal surgical management of goiter. Surg Endosc 28(6):19141920. Eur Arch Otorhinolaryngol. 2013 Nov;20(12):3869-76 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. This is the camera we're going to use. Dysphagia 35(2):253260. Eur Arch Otorhinolaryngol. Eur Arch Otorhinolaryngol 276(10):26612671. An association between surgical insult following thyroid surgery and LPR needs further investigation. Cureus. -. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. Scerrino G, Inviati A, di Giovanni S, et al. A systematic review. Clipboard, Search History, and several other advanced features are temporarily unavailable. HHS Vulnerability Disclosure, Help Head Neck. HHS Vulnerability Disclosure, Help Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. Ann Surg Oncol 22(9):30143021. There was . DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. In the early postoperative weeks after thyroidectomy, swallowing impairment is self-explanatory and is reported by most patients.6 Symptoms are often self-limiting, are not related to impaired nerve function and improve spontaneously. The current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy was reviewed. Surg Endosc Other Interv Tech 16(12):17411745. 2018 The Author(s). Thyroidectomy: What to Expect at Home - Alberta Surgery might be needed to relieve swallowing problems caused by throat narrowing or blockages, including bony outgrowths, vocal cord paralysis, pharyngoesophageal diverticula, GERD and achalasia, or to treat esophageal cancer. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Post-thyroidectomy Dysphagia: An International Multicentric CONSORT This site needs JavaScript to work properly. 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. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. 2014;38(2):378384. 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. Thyroid 28(1):104109. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. PLoS Med 6(7):e1000097. Accessibility Comparison of Postoperative Neck Pain and Discomfort, Swallowing Surg Endosc 32(5):23402344. PMC Accessed Sept. 21, 2021. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. The .gov means its official. Surg Endosc 29(1):192201. ESTIMation of the ABiLity of prophylactic central compartment neck 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). Clin Otolaryngol 41(5):615618. Unable to load your collection due to an error, Unable to load your delegates due to an error. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. Bulk reprints for the pharmaceutical industry. The site is secure. Of 372 questionnaires, 222 were returned. Do you bring food back up (regurgitate) after swallowing it? The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. Methods: The site is secure. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Swallowing disorders after thyroidectomy: a systematic - Springer J Clin Endocrinol Metab 98(7):27012708. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c).

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