I'm Carrie. This injection will help any leftover thyroid tissue absorb the radioactive iodine. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. 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. Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? This is a preview of subscription content, access via your institution. For the partial thyroidectomy groups, dysphagia symptoms decreased from 8 % to 5 % after surgical treatment. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. https://doi.org/10.1001/archoto.2009.16, Gal TJ, Streeter M, Burris J et al (2013) Quality of life impact of external beam radiotherapy for advanced thyroid carcinoma. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. PLoS Med 6(7):e1000097. Oropharyngeal dysphagia: Clinical features, diagnosis, and management. Online ahead of print. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. this site will not function whilst javascript is disabled. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). 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). FOIA 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/10.1007/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. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. 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. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. JAMA Otolaryngol Head Neck Surg. Bulk reprints for the pharmaceutical industry. Please enable it to take advantage of the complete set of features! World J Surg 32(3):381385. Epub 2022 May 30. Dysphagia 35(2):253260. 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. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. All rights reserved. Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Surg Laparosc Endosc Percutan Tech 30(1):2225. https://doi.org/10.1007/s00464-013-3413-6, Jung SP, Kim SH, Bae SY et al (2013) A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Furthermore, we report a foreign body/sticky sensation in the throat as an . A qualitative analysis of data extracted was conducted. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. Ann Surg Oncol 20(12):38693876. 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 . Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. [1] Warning:The NCBI web site requires JavaScript to function. Neurological Sciences. A quantitative synthesis of the results followed. 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. Clin Exp Otorhinolaryngol 8(1):7680. Associations & Partners 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). The site is secure. Go ahead and take a bite of one of those. Ryu JH, Yom CK, Park DJ, et al. Front Surg. Federal government websites often end in .gov or .mil. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. 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. 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. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Further, there was no dependency of dysphagia on gender. Federal government websites often end in .gov or .mil. Most of these were transient and recovered spontaneously within weeks. Figure 2 Frequency of dysphagia depending on the operative therapy. Critical revision of the work: AP, ST, KS. J Clin Endocrinol Metab 98(7):27012708. Dysphagia. The articles retrieved by database searches were classified and screened for relevance by using EndNote. https://www.uptodate.com/contents/search. official website and that any information you provide is encrypted 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. World J Surg 40(3):636643. Epub 2013 Mar 22. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? Of the 26 patients included, 69% were women (n = 18); mean (SD) age, 46.4 (14.1) years; mean (SD) tumor diameter 2.2 (1.4) cm. https://www.nidcd.nih.gov/health/dysphagia. 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] Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. World J Surg 37(4):786791. JAMA Otolaryngol Head Neck Surg 144(4):342348. 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.. Laryngoscope 129(2):519524. Do you cough or gag when you try to swallow? PubMed days after surgery. PubMed Central For low-risk patients showing an excellent response after treatment, . Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. The https:// ensures that you are connecting to the Careers. Of 372 questionnaires, 222 were returned. BMJ. For esophageal spasm, smooth muscle relaxants might help. 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. Surg Endosc 32(5):23402344. 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. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. Literature search: CV. J Clin Med. Before Mayo Clinic. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 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. 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. European Archives of Oto-Rhino-Laryngology, https://doi.org/10.1007/s00405-022-07386-8, 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, https://doi.org/10.1007/s00268-015-3323-y, https://doi.org/10.1016/j.asjsur.2019.04.013, https://doi.org/10.1038/nrgastro.2015.199, https://doi.org/10.1016/j.ijsu.2017.03.078, https://doi.org/10.1001/jamaoto.2017.3378, https://doi.org/10.1371/journal.pmed.1000097, https://doi.org/10.1046/j.1445-2197.2003.02748.x, https://doi.org/10.1007/s12070-011-0319-2, https://doi.org/10.1590/2317-1782/20172016294, https://doi.org/10.1007/s00268-008-9837-9, https://doi.org/10.1007/s00268-012-1562-8, https://doi.org/10.1017/S0022215106002465, https://doi.org/10.1258/002221505775010760, https://doi.org/10.1007/s00464-016-4814-0, https://doi.org/10.1007/s00455-019-10020-1, https://doi.org/10.1007/s00464-002-8830-x, https://doi.org/10.1007/s00268-013-2269-1, https://doi.org/10.1245/s10434-014-4361-7, https://doi.org/10.1007/s00464-015-4386-4, https://doi.org/10.1097/SLE.0000000000000743, https://doi.org/10.1007/s00464-010-1113-z, https://doi.org/10.1007/s00464-011-2116-0, https://doi.org/10.1007/s00464-017-5929-7, https://doi.org/10.1007/s00455-020-10180-5, https://doi.org/10.1007/s00455-018-9949-9, https://doi.org/10.1007/s00464-013-3413-6, https://doi.org/10.1245/s10434-013-3163-7, https://doi.org/10.1007/s00268-015-2995-7, https://doi.org/10.1007/s00268-013-1908-x, https://doi.org/10.1111/j.1399-6576.2012.02768.x, https://doi.org/10.1097/SLE.0000000000000582, https://doi.org/10.1016/j.surg.2019.01.034, https://doi.org/10.22038/ijorl.2019.36233.2193, https://doi.org/10.1177/000348940411300914, https://doi.org/10.1007/s00268-003-6903-1, https://doi.org/10.1007/s00268-007-9375-x, https://doi.org/10.1007/s00464-014-3658-8, https://doi.org/10.1097/00129689-200608000-00006. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. We're going to be doing a type of swallowing evaluation where we put a camera in your nose. Javascript is currently disabled in your browser. Conclusions: Eating soft foods for the first few days can be helpful. 2017 May;41 Suppl 1:S94-S102. 2013 Jan;83(1-2):15-21 CAS 1976;235(1):5859. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. government site. 2009;24(1):16. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. Accessed Sept. 21, 2021. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable.
Cochise County Quit Claim Deed,
Perth Courier Obituaries,
Articles D
