BMJ 372:n71. https://doi.org/10.1002/lary.27297, Ikeda Y, Takami H, Sasaki Y et al (2002) Comparative study of thyroidectomies. 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. https://doi.org/10.3342/ceo.2015.8.1.76, Article The group of patients who did not respond to the questionnaire did not differ significantly from the 219 included patients in terms of age, sex, proportion with cancer, or mass of resected thyroid. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. Epub 2018 Sep 7. For example, are certain foods harder to swallow than others? Go ahead and take a bite of one of those. Tax calculation will be finalised during checkout. 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. Langenbecks Arch Surg. HHS Vulnerability Disclosure, Help World J Surg. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. MeSH ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. 1992;305(6846):160164. 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. Table 2 Demographic-, disease-, and treatment-related variables for the study cohort. By accessing the work you hereby accept the Terms. Is this condition temporary or long lasting? 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/10.1007/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. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. Drafting: CV, AP. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. Arch Otolaryngol Head Neck Surg 135(4):342346. 2009;24(1):16. Start Here. Lembo AJ. Epub 2019 Aug 14. doi: 10.1016/j.ijsu.2017.03.078. This site needs JavaScript to work properly. All authors have contributed to the paper and have read and approved the final submitted version. Online ahead of print. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. Eur Arch Otorhinolaryngol. National Institute on Deafness and Other Communication Disorders. 2022. A systematic review. Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. FOIA National Library of Medicine Epub 2014 Apr 13. All patients underwent conventional surgery. 8600 Rockville Pike We give you different consistencies of food items to swallow and watch you swallow those. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. Surg Endosc 29(1):192201. -. Nat Rev Gastroenterol Hepatol 13(1):4959. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. Ann Otol Rhinol Laryngol 127(3):171177. What's the likeliest cause of my symptoms? 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. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Design, setting, and participants: Would you like email updates of new search results? World J Surg. Good. Pragmat Obs Res 9:6368. Federal government websites often end in .gov or .mil. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Dysphagia 30(5):496505. https://doi.org/10.1067/msy.2003.58, Cho JG, Byeon HK, Oh KH et al (2020) Objective assessment of postoperative swallowing difficulty through ultrasound in patients undergoing thyroidectomy. for voice restoration after thyroidectomy". PubMedGoogle Scholar. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. 2017 May 15;29(3):e20150294 Follow-up tests may include: Physical exam of . Clin Nurs Res 28(5):615635. Ann Otol Rhinol Laryngol 127(3):171177. Notes: The more invasive the operation was, the more patients suffered from dysphagia. JAMA. PubMed Keywords: Dsphagia, Thyroid surgery Please enable it to take advantage of the complete set of features! Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. You may have some trouble chewing and swallowing after you go home. https://www.nidcd.nih.gov/health/dysphagia. eCollection 2021. Please enable it to take advantage of the complete set of features! Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. For esophageal spasm, smooth muscle relaxants might help. Associations & Partners Cureus. Surg Endosc 30(11):47214730. For dysphagia, questions to ask your health care provider include: Your health care provider is likely to ask you a number of questions, including: Until your appointment, it might help to chew your food more slowly and thoroughly than usual. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. HHS Vulnerability Disclosure, Help Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. The type of surgical treatment depends on the cause of dysphagia. 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. What websites do you recommend? Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). Methods: Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Though various causes have been hypothesized, it remains not completely understood. 2017 May;41 Suppl 1:S94-S102. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. Considering the large number of individuals who may experience subjective dysphagia, preoperative counseling should include education and management of such symptoms. World J Surg 38(2):378384. Contact Us 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. https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? HHS Vulnerability Disclosure, Help https://doi.org/10.1007/s00455-019-10020-1, Almeida JP, Vartanian JG, Kowalski LP (2009) Clinical predictors of quality of life in patients with initial differentiated thyroid cancers. 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? A systematic review. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. Eur Arch Otorhinolaryngol 279, 42134227 (2022). For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. Most of these were transient and recovered spontaneously within weeks. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. https://doi.org/10.1038/nrgastro.2015.199, Scerrino G, Tudisca C, Bonventre S et al (2017) Swallowing disorders after thyroidectomy: what we know and where we are. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Google Scholar. Would you like email updates of new search results? 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. 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. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). https://www.uptodate.com/contents/search. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. What, if anything, appears to worsen your symptoms? 2012;36(6):12931299. 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). Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Federal government websites often end in .gov or .mil. 2005 Jun;29(6):780-4 Do you ever vomit or bring up blood or black material? 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). Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Furthermore, we report a foreign body/sticky sensation in the throat as an . One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. http://www.entnet.org/content/swallowing-trouble. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Gland Surg. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). 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. 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. Head Neck 38(6):811819. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. 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. Bethesda, MD 20894, Web Policies Of the 936 articles retrieved, 18 discussed "voice assessment and thyroidectomy", 3 discussed "voice therapy and thyroidectomy", and 11 discussed "surgical interventions for voice restoration after thyroidectomy". 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Acta Anaesthesiol Scand 56(10):13141320. All rights reserved. Pereira JA, Girvent M, Sancho JJ, Parada C, Sitges-Serra A. Asian J Surg 43(1):116123. Ann Surg Oncol. The study was approved by the ethical committee of the University of Ulm (Nr 141/15). PMC MeSH 2003;133(3):318322. This work is published and licensed by Dove Medical Press Limited. Am J Surg. 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. Web Design by Adhesion. this site will not function whilst javascript is disabled. This content does not have an Arabic version. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. Bookshelf 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. Keywords: 2014;207(6):974979. So the different items we're going to be swallowing. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). 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. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. Speech and swallowing therapy is usually helpful after surgery. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. 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 Parathyroid surgery was performed without a routine four-gland exploration. sharing sensitive information, make sure youre on a federal Surgery 146(6):11741181. 2013;123(9):23192323. 2023 Springer Nature Switzerland AG. Head Neck. The authors have no conflicts of interest to declare, relevant to the content of this article. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Registered in England and Wales. I'm a speech pathologist. BMJ. Accessed Sept. 21, 2001. Would you like email updates of new search results? Careers. Lombardi CP, Raffaelli M, DAlatri L, et al. The more invasive the operation was, the more patients suffered from dysphagia. A quantitative synthesis of the results followed. 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. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. Eur Thyroid J 2(2):102109. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Dysphagia. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. government site. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Dysphagia 35(2):253260. 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/10.1177/1054773817729074, Martins N, Novalo-Goto ES, Diz-Leme ICM et al (2020) Patient perception of swallowing after thyroidectomy in the absence of laryngeal nerve injury. -, World J Surg. A randomized controlled study. How can I best manage them together? 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. The more invasive the operation was, the more patients suffered from dysphagia. Eur Arch Otorhinolaryngol 276(10):26612671. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. Scerrino G, Inviati A, Di Giovanni S, Paladino NC, Di Paola V, Lo Re G, Almasio PL, Cupido F, Gulotta G, Bonventre S. Otolaryngol Head Neck Surg.