Thyroidectomy is a well-described procedure used to excise the thyroid gland. 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. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. 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;148(6):926932. 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. Brazier JE, Harper R, Jones NM, et al. 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 . 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. 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. sharing sensitive information, make sure youre on a federal Hoarseness and Voice Problems Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. Epub 2013 Aug 2. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Bethesda, MD 20894, Web Policies Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. A two year prospective trial. 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. Design, setting, and participants: 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. A systematic review. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. 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. Your voice probably will be hoarse, and you may have trouble talking. Bulk reprints for the pharmaceutical industry. Your health care provider can then see changes in the shape of your esophagus and can assess the muscular activity. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. 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. Clin Otolaryngol 41(5):615618. 2011;396(8):11571163. Considering long-term follow-up period, 12 studies reported an overall improvement of swallow symptoms. In: Higgins JPT, Churchill R, Chandler J, Cumpston MS (eds), Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0 (updated June 2017), Cochrane, 2017. www.training.cochrane.org/handbook. 2004. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Would you like email updates of new search results? Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Wentworth MA. One (0.5%) patient stated that up to 3 months postoperatively, swallowing problems had been successfully treated by logopedic therapy. FOIA Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Swallowing dysfunction following surgery for well-differentiated Dysphagia after Thyroid Surgery DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. JAMA Otolaryngol Head Neck Surg 144(4):342348. 2019; doi:10.12688/f1000research.18900.1. Please enable it to take advantage of the complete set of features! ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. official website and that any information you provide is encrypted 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. https://doi.org/10.1089/thy.2012.0083, Sahli Z, Canner JK, Najjar O et al (2019) Association between age and patient-reported changes in voice and swallowing after thyroidectomy. All authors have contributed to the paper and have read and approved the final submitted version. Treatment for dysphagia depends on the type or cause of your swallowing disorder. https://doi.org/10.1159/000350854, Elzahaby IA, Fathi A, Abdelwahab K et al (2018) Endoscopic thyroidectomy using the unilateral axillo-breast approach versus the modified anterior chest wall approach: a prospective comparative study. By accessing the work you hereby accept the Terms. Notes: The more invasive the operation was, the more patients suffered from dysphagia. Eur Arch Otorhinolaryngol 279, 42134227 (2022). or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. FOIA The site is secure. Accessed Sept. 21, 2001. National Institute on Deafness and Other Communication Disorders. Google Scholar. Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 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. World J Surg 28(3):271276. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study Data were collected from an ongoing clinical trial (NCT02138214), and outpatient interviews were conducted at the University of Wisconsin Hospital and Clinics. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Thyroidectomy: What to Expect at Home - Alberta HHS Vulnerability Disclosure, Help PMC The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. Bethesda, MD 20894, Web Policies 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. National Center for Biotechnology Information All tests of significance were at the P<0.05 level. Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. Ann Otol Rhinol Laryngol 113(9):749753. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. An open thyroid biopsy - a rarely used operation where a nodule is excised directly; A hemi-thyroidectomy or thyroid lobectomy - where one lobe (one half) of the thyroid is removed; An isthmusectomy - removal of just the bridge of thyroid tissue between the two lobes; used specifically for small tumors that are located in the isthmus. Surg Endosc 32(5):23402344. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. Bookshelf -. World J Surg. You have sudden abdominal pain. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Do you ever vomit or bring up blood or black material? Greenblatt DY, Sippel R, Leverson G, Frydman J, Schaefer S, Chen H. Thyroid resection improves perception of swallowing function in patients with thyroid disease. Unable to load your collection due to an error, Unable to load your delegates due to an error. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. Dan Med J 65(4):B5472, PubMed 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. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. PMC ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Dysphagia occurred depending on the operative therapy between 6.1% for parathyroid resection and 33% for total thyroidectomy with lymph node dissection. doi: 10.7759/cureus.34078. Postthyroidectomy Throat Pain and Swallowing: Do Proton Pump Inhibitors Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. Radioactive Iodine Therapy for Thyroid Cancer: Outpatient Treatment Acta Anaesthesiol Scand 56(10):13141320. volume279,pages 42134227 (2022)Cite this article. A systematic review. Rare complication after thyroidectomy-cervical esophageal stenosis: a Surg Endosc 24(12):31863194. American College of Gastroenterology. Eur Arch Otorhinolaryngol 276(10):26612671. However, our study also has several limitations. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. One treatment for both toxic and non-toxic goiters is radioiodine therapy. Careers. All right. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. PubMed Corticosteroids might be recommended for eosinophilic esophagitis. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. Thyroidectomy - Mayo Clinic Associations & Partners Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. 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. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. It is normal to have these problems for up to 6 months after a total thyroidectomy. 2017 May;41 Suppl 1:S94-S102. How can I best manage them together? [1] Warning:The NCBI web site requires JavaScript to function. BMJ 372:n71. 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. and transmitted securely. Conclusions and relevance: Dysphagia in neurological diseases: A literature review. 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. Head Neck 30(1):2127. There was . Online ahead of print. and transmitted securely. Head Neck 38(6):811819. 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. 1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, Chrysoula Vardaxi,Stefanos Triaridis&Athanasia Printza, Department of Otorhinolaryngology, G. World J Surg. Accessed Sept. 24, 2021. Bookshelf 2. Elsevier; 2022. https://www.clinicalkey.com. Head Neck. Surg Endosc 30(4):15991606. All surgical procedures were performed or supervised by an experienced endocrine surgeon. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. Neurological Sciences. 2012 Dec;138(12):1161-6. doi: 10.1001/jamaoto.2013.803. Ann Surg Oncol 22(9):30143021. 2014;38(2):378384. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). 2022 Dec 22;14(12):e32836. Thyroid Surgery | American Thyroid Association J Laryngol Otol 121(3):242245. 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. 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. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. Epub 2018 Sep 7. What, if anything, appears to worsen your symptoms? The more invasive the operation was, the more patients suffered from dysphagia. Audit of Neurological Complications After Thyroid Surgery Speech therapy after thyroidectomy - Yu - Gland Surgery 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. Surgery. Unauthorized use of these marks is strictly prohibited. The https:// ensures that you are connecting to the 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. Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. The authors report no conflicts of interest in this work. 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.