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). Arch Otolaryngol Head Neck Surg. We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. Incidence of Dysphonia and Dysphagia Exceeds Recurrent Laryngeal Nerve Injury During Thyroid Surgery. Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/dysphagia#. Thyroidectomy is a largely performed procedure [].Dysphonia and dysphagia are common after thyroidectomy and can cause huge impact on the patient's quality of life [2, 3].Voice and swallowing complaints occur between 15 and 90 days after surgery [4-6].Though spontaneous complaints of swallowing are not common, it has been observed that when questioned about this specific aspect, the . Parathyroid surgery was performed without a routine four-gland exploration. A two year prospective trial. The https:// ensures that you are connecting to the Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. 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. Terms & Conditions Do you cough or gag when you try to swallow? Surg Endosc 30(11):47214730. https://doi.org/10.4103/0022-3859.81867, Article Swallowing disorders after thyroidectomy: a systematic review - PubMed A systematic review. Therefore, the aim of this paper was to discuss issues regarding speech therapy such as voice therapy and dysphagia for patients after thyroidectomy. Volume 2018:9 Pages 6368, Editor who approved publication: https://doi.org/10.1016/j.ijsu.2017.03.078, Pradeep PV, Ragavan M, Ramakrishna BA et al (2011) Surgery in Hashimotos thyroiditis: indications, complications, and associated cancers. Here's some information to help you prepare for your appointment. 2013;148(6):926932. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Swallowing disorders after thyroidectomy: What we know and where we are. CAS https://doi.org/10.1089/thy.2011.0118, Gohrbandt AE, Aschoff A, Gohrbandt B et al (2016) Changes of laryngeal mobility and symptoms following thyroid surgery: 6-month follow-up. 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. Sixteen patients (7.3%) stated that at a maximum of 3 months after surgery they suffered from dysphagia (answer c). Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. 2006;140(6):10261034. Your scar will be most visible for the first 1-2 months after surgery, improve 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. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Comparison of Postoperative Neck Pain and Discomfort, Swallowing Sabaretnam M, Mishra A, Chand G, et al. Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic Head Neck 30(1):2127. Thyroidectomy - Mayo Clinic 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. FOIA Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Thyroidectomy is the most commonly performed surgical procedure on endocrine glands and its effect on swallowing is common, following both complicated and uncomplicated surgery [1,2,3].Swallowing disorders after a recurrent laryngeal nerve injury are expected, because of the movement dysfunction caused on the larynx, and the damage of the superior laryngeal nerve can affect the sensory . 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. PubMed An association between surgical insult following thyroid surgery and LPR needs further investigation. Athanasia Printza. Demographic-, disease-, and treatment-related variables for the study cohort are summarized in Table 2. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Dysphagia. Thyroid cancer - Diagnosis and treatment - Mayo Clinic Figure 1 Frequency and duration of postoperative dysphagia complaints. 2017 May;41 Suppl 1:S94-S102. Pragmat Obs Res 9:6368. Literature search: CV. 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. https://doi.org/10.1007/s00268-013-1908-x, Koo CH, Sohn HM, Choi ES et al (2019) The effect of adjustment of endotracheal tube cuff pressure during scarless remote access endoscopic and robotic thyroidectomy on Laryngo-Pharyngeal complications: prospective randomized and controlled trial. For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) 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. Eating soft foods for the first few days can be helpful. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. 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. Neurological Sciences. 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. If difficulty swallowing prevents you from eating and drinking enough and treatment doesn't allow you to swallow safely, your health care provider might recommend a feeding tube.
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