Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. 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). Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. eCollection 2021. Before Of 26 patients surveyed, 80% (n = 20) perceived dysphagia 2 weeks after thyroidectomy; 42% (n = 11) at 6 weeks; and 17% (n = 4) at 6 months after total thyroidectomy. Unable to load your collection due to an error, Unable to load your delegates due to an error. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? World J Surg. The https:// ensures that you are connecting to the (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. 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. Dysphagia. Keywords: Park JS, Frank E, Simental A, Perez HA, Park JJ, Filho PA, Murry T. J Voice. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. Dysphagia is a typical symptom complained of preoperatively by patients with enlarged thyroid due to a direct compression of the swallowing organs.1 In these patients, uncomplicated thyroidectomy often leads to improvements in perceptions of swallowing function.2 But impaired swallowing and neck strangling also occur postoperatively. World J Surg 32(3):381385. These symptoms typically last for only a short time. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . 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. 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. 2022 Dec 22;14(12):e32836. - 173.82.84.250. All rights reserved. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. Please enable it to take advantage of the complete set of features! doi: 10.1016/j.ijsu.2017.03.078. doi: 10.7759/cureus.34078. Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). The null hypothesis was formulated that no dependence of the frequency of the complaints of the therapy X or diagnosis X exists. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. After thyroidectomy, some people may experience neck pain and a hoarse or weak voice. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. This is a preview of subscription content, access via your institution. HHS Vulnerability Disclosure, Help Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic Greenblatt et al. Eur Thyroid J 2(2):102109. 2014 Jun;28(6):1914-20. doi: 10.1007/s00464-013-3413-6. Rare complication after thyroidectomy-cervical esophageal stenosis: a In the case of toxic goiters, it also shuts down abnormal. Web Design by Adhesion. A systematic review. 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. 2013 Jan;83(1-2):15-21 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. Accessed Sept. 25, 2021. 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. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Clipboard, Search History, and several other advanced features are temporarily unavailable. and transmitted securely. 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 . Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. Your health care provider might also have you swallow solid food or a pill coated with barium to watch the muscles in your throat as you swallow or to look for blockages in your esophagus that the liquid barium solution might not identify. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. This should not lead to underestimation of symptoms, since the patients' quality of life is negatively affected by the symptomatology. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. I'm Carrie. Swallowing disorders after thyroidectomy: What we know and where we are. Dysphagia reverted to pre-operative levels 23months later. Eur Arch Otorhinolaryngol. doi: 10.1016/j.ijsu.2017.03.078. Results: In the evaluation, 219 questionnaires could be included. Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. 2009;33(2):255260. Hi, Addie. F1000Research. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Epub 2013 Mar 22. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. Bookshelf Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Surg Endosc 30(4):15991606. And one more. J Clin Endocrinol Metab 98(7):27012708. The https:// ensures that you are connecting to the Open access peer-reviewed scientific and medical journals. 2013;148(6):926932. Proceduralist: We can show you afterwards too. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. 2017 May 15;29(3):e20150294 This is the camera we're going to use. Would you like email updates of new search results? The pain and swallowing discomfort suffered by patients following thyroid surgery may be reduced by PPIs given postoperatively. eCollection 2022. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 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. 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. Front Surg. doi: 10.1177/0194599813487301. 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. Databases used for the literature review in this study included, PubMed, MEDLINE, Academic Search Primer, ERIC, CINAHL Plus, and EBSCO. Google Scholar. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rosato L, Avenia N, Bernante P, et al. -. Price excludes VAT (USA) Careers. This site needs JavaScript to work properly. Data analysis: CV, NT, AK, AP. How can I best manage them together? Carrie: That's the absolute worst part right there. Compared to other studies concerning postoperative dysphagia, we included a large collective of patients and analyzed, in contrast to other studies, frequency of dysphagia according to patients diagnoses. 2013 Nov;20(12):3869-76 Mayo Clinic does not endorse companies or products. and transmitted securely. Surgery 146(6):11741181. https://doi.org/10.1089/lap.2015.0546, Bellotti C, Capponi MG, Cinquepalmi M et al (2018) MIVAT: the last 2 years experience, tips and techniques after more than 10 years. Go ahead and take a bite of one of those. 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 . 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. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. 2017 May;41 Suppl 1:S94-S102. https://doi.org/10.1590/2317-1782/20172016294, Greenblatt DY, Sippel R, Leverson G et al (2009) Thyroid resection improves perception of swallowing function in patients with thyroid disease. Athanasia Printza. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. doi: 10.1016/j.jvoice.2021.02.030. Dove Medical Press is a member of the OAI. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Quality of life is not influenced by the extent of surgery in patients with benign goiter. 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). 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. JAMA Otolaryngol Head Neck Surg. Results: Eur Arch Otorhinolaryngol 279, 42134227 (2022). The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. Bukvi B, ivaljevi V, ipeti S, Dikli A, Tauanovi K, Paunovi I. Validation and cross-cultural adaptation of the questionnaire ThyPRO in thyroid patients in Serbia. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). We found that particularly after lymph node dissection and surgical treatment for Graves disease, postoperative dysphagia occurs. BMJ 372:n71. https://doi.org/10.1111/coa.12547, Aidan P, Pickburn H, Monpeyssen H et al (2013) Indications for the gasless transaxillary robotic approach to thyroid surgery: experience of forty-seven procedures at the American hospital of paris. 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. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate https://doi.org/10.1007/s00268-013-2269-1, Chung EJ, Park MW, Cho JG et al (2015) A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. You have muscle spasms in your legs and feet that do not go away. 2014;207(6):974979. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. PubMed Central Disclaimer. Cureus. ESTIMation of the ABiLity of prophylactic central compartment neck 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. J Laparoendosc Adv Surg Tech A 26(8):618624. All tests of significance were at the P<0.05 level. Gland Surg. This content does not have an Arabic version. Google Scholar, Wasserman JM, Sundaram K, Alfonso AE et al (2008) Determination of the function of the internal branch of the superior laryngeal nerve after thyroidectomy. You can move your head a little bit. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Federal government websites often end in .gov or .mil. Figure 2 Frequency of dysphagia depending on the operative therapy. Keywords: Dsphagia, Thyroid surgery Conclusions: Bethesda, MD 20894, Web Policies Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Drafting: CV, AP. We offer real benefits to our authors, including fast-track processing of papers. Codas 29(3):e20150294. Ann Otol Rhinol Laryngol 127(3):171177. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. FOIA Lombardi CP, Raffaelli M, DAlatri L, et al. Recommend this site Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. Sousa F, Santos M, Azevedo S, Pinto A, Vaz Freitas S, Coutinho M, Almeida E Sousa C, Moreira da Silva . Cureus. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. -, ANZ J Surg. That's it. The type of surgical treatment depends on the cause of dysphagia. Front Endocrinol (Lausanne). 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 after Thyroid Surgery 2020; doi:10.1007/s10072-020-04495-2. Dysphagia 35(2):253260. 2018 The Author(s). -, Codas. Federal government websites often end in .gov or .mil. Front Oncol 9:1226. https://doi.org/10.3389/fonc.2019.01226, Zhang Z (2014) Efficacy comparison of the anterior low small incision and the traditional incision for treatment of thyroid adenoma. Otolaryngol Head Neck Surg 148(6):926932. PMC MeSH 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. 2005 Jun;29(6):780-4 Unable to load your collection due to an error, Unable to load your delegates due to an error. Front Endocrinol (Lausanne). 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2019; doi:10.12688/f1000research.18900.1. Methods: J Postgrad Med 57(2):120122. This work is published and licensed by Dove Medical Press Limited. World J Surg. 2017 May;41 Suppl 1:S94-S102. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. PMC eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. The medication helps reduce the size of thyroid tissue. Dysphagia. https://doi.org/10.2147/POR.S172059, Gumus T, Makay O, Eyigor S et al (2020) Objective analysis of swallowing and functional voice outcomes after thyroidectomy: a prospective cohort study. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Contact Us Figure 3 Frequency of dysphagia depending on diagnosis. Lombardi CP, Raffaelli M, DAlatri L, et al. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. Apart from that, dysphagia is common especially in elderly patients. Patients were questioned at least 6 months postoperatively. Conclusions and relevance: Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. Mayo Clinic. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. CAS Would you like email updates of new search results? American Academy of Otolaryngology Head and Neck Surgery. 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). Keywords: https://doi.org/10.1177/0003489417751472, Park KN, Mok JO, Chung CH et al (2015) Does postthyroidectomy syndrome really exist following thyroidectomy? Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. 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. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Swallowing disorders after thyroidectomy: What we know and where we are. World J Surg. 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. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. this site will not function whilst javascript is disabled. The https:// ensures that you are connecting to the National Library of Medicine I'm going to be helping out with the evaluation today. PMC Article Google Scholar Grover G, Sadler GP, Mihai R . The chi-squared test showed no significant relation between operation and dysphagia (thyroidectomy with/without lymph nodes: chi-squared test=3.2/2.7, subtotal resection/hemithyroidectomy: chi-squared test 0.3/2.1, and parathyroid resection: chi-squared test=3.7). Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). The https:// ensures that you are connecting to the The literature available at PubMed, SciELO and Cochrane Library databases was reviewed, according to PRISMA guidelines, using the terms dysphagia, swallowing disorder, deglutition disorder, thyroidectomy and thyroid surgery in the appropriate combinations. If you have trouble swallowing, be sure to see a health care provider and follow his or her advice. Langenbecks Arch Surg. Sixteen patients (7.3%) stated that after a maximum of 3 months after surgery they suffered from dysphagia. Bookshelf https://doi.org/10.1007/s00464-011-2116-0, Kim WW, Jung JH, Lee J et al (2016) Comparison of the quality of life for thyroid cancer survivors who had open versus robotic thyroidectomy. World J Surg. Radioactive Iodine Therapy for Thyroid Cancer: Outpatient Treatment Conclusions: Clin Nurs Res 28(5):615635. Dysphagia 34(2):161169. Bookshelf All patients were examined pre- and postoperatively by an ear, nose, and throat physician. Cookies All rights reserved. Wentworth MA. Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. American College of Gastroenterology. JAMA Otolaryngol Head Neck Surg. Parathyroid surgery was performed without a routine four-gland exploration. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. government site. The instrumental findings revealed non-specific alterations of swallowing. Vocal cord paralysis that resolved within 6 months of surgery was considered transient; those that did not resolve in 6 months were classified as permanent. 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. Laryngoscope Investig Otolaryngol. Clin Exp Otorhinolaryngol 8(1):7680. more. 2023 Springer Nature Switzerland AG. Eur Arch Otorhinolaryngol. Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population. [1] Warning:The NCBI web site requires JavaScript to function. Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. Part of Springer Nature. However, our study also has several limitations. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. 2011;396(8):11571163. Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. Pak J Med Sci 30(5):11191122. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). 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. Post-thyroidectomy Dysphagia: An International Multicentric CONSORT Disclaimer. Sabaretnam M, Mishra A, Chand G, et al. Start Here. 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. Epub 2018 Sep 7. The often used questionnaire Thyroid-Related Quality of Life Measure ThyPRO reports 13 multi-item scales, and dysphagia is only a sub-item of one of the 13 items (goiter symptoms). ORL J Otorhinolaryngol Relat Spec 82(5):274284. An official website of the United States government. Disclaimer. Do you cough or gag when you try to swallow? . The site is secure. https://doi.org/10.3342/ceo.2015.8.1.76, Article This site needs JavaScript to work properly. https://gi.org/topics/dysphagia/. Surgery 166(1):6974. An official website of the United States government. A qualitative analysis of data extracted was conducted. 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. 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. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Your doctor will take this out a few days after your surgery. In: Ferri's Clinical Advisor 2022. Depending on the suspected cause, your health care provider might refer you to an ear, nose and throat specialist, a doctor who specializes in treating digestive disorders (gastroenterologist), or a doctor who specializes in diseases of the nervous system (neurologist). Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. BMJ. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. Treatment for dysphagia depends on the type or cause of your swallowing disorder. government site. Results: The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. 2013;123(9):23192323. Careers. JAMA Otolaryngol Head Neck Surg 144(4):342348. Surg Endosc. Arch Otolaryngol Head Neck Surg 135(4):342346. In the evaluation, 219 returns could be included. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? Clin Otolaryngol 41(5):615618. 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. Accessibility https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. A two year prospective trial. Accessed Sept. 21, 2021. https://doi.org/10.1210/jc.2013-1583, Lee J, Nah KY, Kim RM et al (2010) Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. https://doi.org/10.1016/j.surg.2009.09.010, Article Total Thyroidectomy (Discharge Care) - Drugs.com A randomized controlled study. Pragmat Obs Res 9:6368. European Archives of Oto-Rhino-Laryngology Speech and swallowing therapy is usually helpful after surgery. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions Advertising revenue supports our not-for-profit mission. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Accessibility 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.. In 39 (17.6%) patients, the complaints persisted for more than 3 months or still existed at the time of the interview. Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. 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. 2006;140(6):10261034. Google Scholar, Atasayar S, Guler Demir S (2019) Determination of the problems experienced by patients post-thyroidectomy. World J Surg 39(7):17131720. Oncologist. Good. Am J Surg. Dysphagia after thyroidectomy can be best managed with application of conservative treatment, compensatory maneuvers and surgical treatment depending on the cause of dysphagia. Thyroid. Chen PH, Golub JS, Hapner ER, Johns MM. The more invasive the operation was, the more patients suffered from dysphagia. MeSH eCollection 2022. Are there brochures or other printed material I can have? Accessed Sept. 21, 2001. https://doi.org/10.1136/bmj.n71, Slim K, Nini E, Forestier D et al (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. 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. 2017;39(11):22322240. Speech therapy after thyroidectomy Wing-Hei Viola Yu, Che-Wei Wu Abstract Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing).
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