ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. 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. The site is secure. Eur Arch Otorhinolaryngol 276(10):26612671. The pain and swallowing discomfort suffered by patients following thyroid surgery may be reduced by PPIs given postoperatively. Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Patients' Reaction to Diagnosis with Thyroid Cancer or an Indeterminate Thyroid Nodule. 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. 2021 Apr;31(4):580-588. doi: 10.1089/thy.2020.0233. Your doctor will take this out a few days after your surgery. PubMed Swallowing disorders after thyroidectomy: a systematic review - PubMed A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Most of these were transient and recovered spontaneously within weeks. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. J Laryngol Otol 119(12):973975. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Further, minimally invasive parathyroidectomy is safe and rapid, the dissection is very minimal for the patients unlike other techniques. Incidence of Dysphonia and Dysphagia Exceeds Recurrent Laryngeal Nerve Injury During Thyroid Surgery. https://doi.org/10.1007/s00268-008-9837-9, Sabaretnam M, Mishra A, Chand G et al (2012) Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Would you like email updates of new search results? (PDF) Speech therapy after thyroidectomy - ResearchGate 2008;32(5):693700. All rights reserved. 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. Dysphagia 30(5):496505. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Curr Opin Otolaryngol Head Neck Surg. Lombardi CP, Raffaelli M, DAlatri L, et al. 2017 May;41 Suppl 1:S94-S102. Should Contralateral Nodules Be an Indication of Total or Completion Thyroidectomy for Patients With Unilateral Papillary Thyroid Carcinoma? The external branch of the superior laryngeal nerve is not exposed routinely. Carrie: That's the absolute worst part right there. Critical revision of the work: AP, ST, KS. Surg Endosc 28(6):19141920. PMC https://doi.org/10.1097/SLE.0000000000000582, Goswami S, Peipert BJ, Mongelli MN et al (2019) Clinical factors associated with worse quality-of-life scores in United States thyroid cancer survivors. 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. Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? Epub 2013 Aug 2. 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. Please enable it to take advantage of the complete set of features! The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Carrie: Your other hand. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. A speech-language pathologist performing head positioning on a patient. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations 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. official website and that any information you provide is encrypted Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Surg Endosc 30(11):47214730. 2015;72(7):583588. Speech and swallowing therapy is usually helpful after surgery. The type of surgical treatment depends on the cause of dysphagia. American College of Gastroenterology. Keywords: Dsphagia, Thyroid surgery PMC https://doi.org/10.1002/hed.20648, Silva ICM, Netto IdP, Vartanian JG et al (2012) Prevalence of upper aerodigestive symptoms in patients who underwent thyroidectomy with and without the use of intraoperative laryngeal nerve monitoring. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. Radioactive Iodine Therapy for Thyroid Cancer: Outpatient Treatment . 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. Epub 2020 Nov 4. I'm a speech pathologist. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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. The site is secure. 8600 Rockville Pike F1000Research. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. Do you bring food back up (regurgitate) after swallowing it? G Chir. 2013 Nov;20(12):3869-76. doi: 10.1245/s10434-013-3163-7. What's the likeliest cause of my symptoms? Dysphagia. World J Surg 36(6):12931299. Post-thyroidectomy Dysphagia: An International Multicentric CONSORT All right. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. For low-risk patients showing an excellent response after treatment, . The purpose of the current systematic review is to investigate the prevalence of dysphagia at various time points after thyroidectomy, at the whole spectrum of it (total/partial, open/endoscopic, for benign/malignant disease). Dysphagia. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. A systematic review. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. World J Surg 37(4):786791.
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