dysphagia after thyroidectomy treatment

Scerrino G, Inviati A, Di Giovanni S, Paladino NC, Di Paola V, Lo Re G, Almasio PL, Cupido F, Gulotta G, Bonventre S. Otolaryngol Head Neck Surg. Is this condition temporary or long lasting? An official website of the United States government. Swallowing dysfunction after thyroid surgery is characterized by . An association between surgical insult following thyroid surgery and LPR needs further investigation. government site. In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. All rights reserved. Patient-Reported Dysphagia After Thyroidectomy - JAMA Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. Fass R. Approach to the evaluation of dysphagia in adults. PMC American Thyroid Association Statement on Optimal Surgical Management Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study Thyroidectomy is a well-described procedure used to excise the thyroid gland. Corticosteroids might be recommended for eosinophilic esophagitis. For esophageal spasm, smooth muscle relaxants might help. doi: 10.1016/j.ijsu.2017.03.078. 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. Asian J Surg 43(1):116123. Number 3099067. Accessibility https://doi.org/10.4103/0022-3859.81867, Article Do you bring food back up (regurgitate) after swallowing it? Lombardi CP, Raffaelli M, DAlatri L, et al. A quantitative synthesis of the results followed. Thyroid. MeSH 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. In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. By accessing the work you hereby accept the Terms. Conclusions and relevance: Thyroidectomy-related Swallowing Difficulties: Review of the Literature. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Our caring team of Mayo Clinic experts can help you with your dysphagia-related health concerns, Mayo Clinic Healthcare expert explains when swallowing issues are more than an accident, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Accessed Sept. 21, 2021. eCollection 2023 Jan. Front Surg. doi: 10.1016/j.jvoice.2021.02.030. You have muscle spasms in your legs and feet that do not go away. You may have some trouble chewing and swallowing after you go home. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. Disclaimer. The .gov means its official. Keywords: 2003;133(3):318322. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. Surg Endosc 24(12):31863194. https://doi.org/10.1007/s00405-019-05599-y, Printza A, Triaridis S (2021) Is the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration in patients with dysphagia depending on the patients disease? https://www.uptodate.com/contents/search. 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 . JAMA Otolaryngol Head Neck Surg. For the partial thyroidectomy groups, dysphagia symptoms decreased from 8 % to 5 % after surgical treatment. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. Epub 2019 Aug 14. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. Google Scholar, Atasayar S, Guler Demir S (2019) Determination of the problems experienced by patients post-thyroidectomy. The site is secure. MeSH This is a preview of subscription content, access via your institution. Disclaimer. Impaired swallowing and neck strangling following uncomplicated operative thyroid or parathyroid resection are frequently complained of by patients.3,4 Intraoperative nerve injury regularly causes postoperative dysphagia, but dysphagia is also complained of after uncomplicated thyroidectomies.2,5 These symptoms are usually dismissed by the clinicians or attributed to orotracheal intubation.6 In many patients, correlations for these swallowing disorders cannot be found in objective test results.6 Reasons for dysphagia and esophageal motility changes after uncomplicated thyroidectomy could be lesions of the perithyroidal neural plexus, changes in the laryngeal vascular supply, postoperative adhesions, decreased pressure of the upper esophageal sphincter, or changed position after thyroidectomy.5 Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 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. If you have heartburn or GERD, try eating smaller meals and not eating right before bedtime. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. Accessed Sept. 21, 2001. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Clin Nurs Res 28(5):615635. Krekeler BN, Wendt E, Macdonald C, Orne J, Francis DO, Sippel R, Connor NP. Quality of life is not influenced by the extent of surgery in patients with benign goiter. Since these symptoms can reduce patie https://doi.org/10.1001/archoto.2009.16, Gal TJ, Streeter M, Burris J et al (2013) Quality of life impact of external beam radiotherapy for advanced thyroid carcinoma. Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Written informed consent was obtained from all participating patients. Six weeks and 6 months after thyroidectomy, 42% (n = 11) and 17% (n = 4) of participants, respectively, reported continued swallowing symptoms using the prompts; 12% (n = 3) discussed symptoms without prompting cards at both time points. Quality-of-life impairments persist six months after treatment of graves hyperthyroidism and toxic nodular goiter: A prospective cohort study. You have sudden abdominal pain. Front Endocrinol (Lausanne). Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. J Clin Endocrinol Metab 98(7):27012708. The common post-thyroidectomy neurological complications noted were hoarseness of voice (6 patients), loss of voice pitch (7), breathy voice (8), respiratory stridor (2), and dysphagia to liquids (8). 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. Clin Otolaryngol 41(5):615618. This study revealed that as many as 80% of patients who have thyroidectomy may experience swallowing-related symptoms after surgery, and many develop compensatory strategies to manage or reduce the burden of these symptoms. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. 2009;33(2):255260. National Institute on Deafness and Other Communication Disorders. Vagal nerve and inferior laryngeal nerve were identified systematically with intermittent nerve monitoring. J Clin Med. Thyroid 23(1):6469. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. World J Surg. https://doi.org/10.1017/S0022215106002465, Maung KH, Hayworth D, Nix PA et al (2005) Thyroidectomy does not cause globus pattern symptoms.

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