Thyroidectomy (surgical removal of all or part of the thyroid gland) may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. Intubation is also in discussion as a cause of dysphagia,18,19 but Pereira et al report that, after comparing prevalence of dysphagia in patients after cholecystectomy and thyroidectomy, long-term symptoms are not related to orotracheal intubation.4. Dysphagia and hoarseness can be observed in patients that underwent thyroidectomy. Audit of Neurological Complications After Thyroid Surgery 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. J Laryngol Otol 119(12):973975. Management of compression symptoms of thyroid goiters HHS Vulnerability Disclosure, Help A quantitative synthesis of the results followed. Federal government websites often end in .gov or .mil. PMC We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. Speech therapy after thyroidectomy - Yu - Gland Surgery A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Clin Otolaryngol 41(5):615618. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. https://doi.org/10.1245/s10434-014-4361-7, Lee DY, Lim S, Kang SH et al (2016) A prospective 1-year comparative study of transaxillary total thyroidectomy regarding functional outcomes: is it really promising? Google Scholar. Idea for the study: AP, CV. Surgery 133(3):318322. Results: We offer real benefits to our authors, including fast-track processing of papers. Keywords: Unauthorized use of these marks is strictly prohibited. Results: Drafting: CV, AP. Results: In the evaluation, 219 questionnaires could be included. No significant difference was noticed between open and endoscopic thyroid surgery at 23months post-surgery. 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. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. 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. Conclusions: Accessibility Please enable it to take advantage of the complete set of features! 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. 2013 Nov;20(12):3869-76. doi: 10.1245/s10434-013-3163-7. Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. https://doi.org/10.1159/000508683, Ryu JH, Yom CK, Park DJ et al (2014) Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Curr Opin Otolaryngol Head Neck Surg. Head Neck. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Ann Surg Oncol 20(12):38693876. Int J Surg 41(Suppl 1):S94S102. There was . 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. JAMA Otolaryngol Head Neck Surg. American College of Gastroenterology. A systematic review. This should not lead to underestimation of symptoms, since the patients' quality of life is negatively affected by the symptomatology. 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. 2003;133(3):318322. Thyroid 22(8):814819. official website and that any information you provide is encrypted Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Keywords: You may have some trouble chewing and swallowing after you go home. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. this site will not function whilst javascript is disabled. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. ESTIMation of the ABiLity of prophylactic central compartment neck 1992;305(6846):160164. Correspondence to Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not . 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 . Dysphagia. Unauthorized use of these marks is strictly prohibited. Terms & Conditions Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. Exclusion criteria were preexisting vocal fold abnormalities (eg, polyps, nodules), neurological conditions affecting the voice or swallowing ability, and/or development of new-onset vocal fold paresis or paralysis (lasting longer than 6 months) after total thyroidectomy. 2017 May;41 Suppl 1:S94-S102. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions Results This retrospective review included 45,539. [1] Warning:The NCBI web site requires JavaScript to function. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Mayo Clinic. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. Surg Endosc 30(11):47214730. Conclusions: 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. These are normal sensations. http://www.entnet.org/content/swallowing-trouble. Dove Medical Press is a member of the OAI. World J Surg 36(6):12931299. 2014;38(2):378384. Bethesda, MD 20894, Web Policies This content does not have an English version. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Accessed Sept. 21, 2021. Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. Google Scholar, Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. Sabaretnam M, Mishra A, Chand G, et al. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. MeSH 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. 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. 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. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Interventions: Testimonials Surgery 146(6):11741181. Speech and swallowing therapy is usually helpful after surgery. We did not detect objectively measurable alterations in these patients. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. The authors have no conflicts of interest to declare, relevant to the content of this article. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. HHS Vulnerability Disclosure, Help Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. -, ANZ J Surg. 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. After your thyroid cancer treatment ends, your provider may recommend follow-up tests and procedures to look for signs that your cancer has returned. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. 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. 2023 Jan 23;15(1):e34078. Critical revision of the work: AP, ST, KS. Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. What websites do you recommend? FOIA Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. official website and that any information you provide is encrypted Accessed Sept. 24, 2021. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Patient-Reported Dysphagia After Thyroidectomy - JAMA 2004. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Do you bring food back up (regurgitate) after swallowing it? Diagnostic methods failed to identify the physio pathological mechanism of swallow alteration leaving this condition still unclear. This site needs JavaScript to work properly. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. sharing sensitive information, make sure youre on a federal Surg Laparosc Endosc Percutan Tech 16(4):226231. 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. Nat Rev Gastroenterol Hepatol 13(1):4959. software development by maffey.com The authors did not receive any funding or support for the submitted work. These symptoms typically last for only a short time. National Library of Medicine In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). doi: 10.1016/j.ijsu.2017.03.078. Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. What's the likeliest cause of my symptoms? Furthermore, we report a foreign body/sticky sensation in the throat as an . Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. The site is secure. Notes: aIncluded two patients with parathyroidectomy. Radioactive Iodine Therapy for Thyroid Cancer: Outpatient Treatment Most of these were transient and recovered spontaneously within weeks. J Clin Endocrinol Metab 98(7):27012708. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. PLoS Med 6(7):e1000097. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". https://doi.org/10.1016/j.surg.2009.09.010, Article 2020; doi:10.1007/s10072-020-04495-2. Carrie: Your other hand. This is a preview of subscription content, access via your institution. Surg Endosc Other Interv Tech 16(12):17411745. A systematic review. It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. However, our study also has several limitations. MeSH Though various causes have been hypothesized, it remains not completely understood. https://doi.org/10.1002/hed.24409, Chun BJ, Bae JS, Lee SH et al (2015) 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. In the group of smokers, 5 out of 24 (20.8%) patients reported dysphagia and 34 out of 194 (17.5%) non-smokers patients reported dysphagia (no significant difference; chi-squared test=0.2). 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. Dysphagia 30(5):496505. Written informed consent was obtained from all participating patients. Swallowing disorders after thyroidectomy: What we know - ScienceDirect We give you different consistencies of food items to swallow and watch you swallow those. Your health care provider will likely ask you for a description and history of your swallowing difficulties, perform a physical examination, and use various tests to find the cause of your swallowing problem. doi: 10.1016/j.ijsu.2017.03.078. 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. World J Surg. Data analysis: CV, NT, AK, AP. The more invasive the operation was, the more patients suffered from dysphagia. Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic sharing sensitive information, make sure youre on a federal F1000Research. Reasons for dysphagia could be, among others, postoperative scarring, modification in the vascular supply, or damage to tiny branches of the recurrent laryngeal nerve going to the cricopharyngeal muscle.6 The extent of the operative intervention seems to affect the probability of postoperative dysphagia.