Thyroid 28(1):104109. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. The .gov means its official. 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. Would you like email updates of new search results? Proceduralist: We can show you afterwards too. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic official website and that any information you provide is encrypted 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. These are normal sensations. https://doi.org/10.3390/jcm8111787, Xu YJ, Wang SL, Ren Y et al (2012) A smaller endotracheal tube combined with intravenous lidocaine decreases post-operative sore throat - a randomized controlled trial. Results: In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). Dysphagia. ESTIMation of the ABiLity of prophylactic central compartment neck 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). Which tests you need will depend on your situation. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. 2013 Nov;20(12):3869-76 Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. The site is secure. 2022 Dec 12;9:1064768. doi: 10.3389/fsurg.2022.1064768. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. https://doi.org/10.1007/s00464-015-4386-4, Jian CX, Wu LM, Zheng ZF et al (2020) How should the surgical approach in thyroidectomy be selected? This injection will help any leftover thyroid tissue absorb the radioactive iodine. Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 Recent advances in laryngeal sensorimotor control for voice, speech and swallowing. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. https://doi.org/10.1007/s00455-015-9628-z, Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. The more invasive the operation was, the more patients suffered from dysphagia. An official website of the United States government. World J Surg. They may be due to irritation from the breathing tube inserted into the windpipe during surgery, or the result of nerve irritation caused by the procedure. Post-thyroidectomy Dysphagia: An International Multicentric CONSORT For the partial thyroidectomy groups, dysphagia symptoms decreased from 8 % to 5 % after surgical treatment. National Center for Biotechnology Information The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. Surg Endosc 26(7):18711877. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. ORL J Otorhinolaryngol Relat Spec 82(5):274284. Bethesda, MD 20894, Web Policies Conflicts of Interest: The authors have no conflicts of interest to declare. Accessed Sept. 21, 2021. Would you like email updates of new search results? A systematic review was performed to identify studies concerning dysphagia post uncomplicated thyroid surgery. Speech therapy after thyroidectomy - PubMed The site is secure. I'm Carrie. The duration of the follow-up ranges from 1 month to 4 years. Objective: PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. sharing sensitive information, make sure youre on a federal Accessed Sept. 25, 2021. Federal government websites often end in .gov or .mil. https://doi.org/10.1007/s00268-012-1562-8, Burns P, Timon C (2007) Thyroid pathology and the globus symptom: are they related? Swallowing disorders after thyroidectomy: What we know - ScienceDirect Ann Otol Rhinol Laryngol 127(3):171177. Laryngoscope Investig Otolaryngol. 2008 May;32(5):693-700 The authors report no conflicts of interest in this work. 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. Hi, Addie. Google Scholar, Atasayar S, Guler Demir S (2019) Determination of the problems experienced by patients post-thyroidectomy. Clin Otolaryngol 42(6):12591266. 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. PLoS Med 6(7):e1000097. Two weeks after thyroidectomy, 80% of participants (n = 20) reported at least 1 swallowing-related symptom when prompted by the interview cards; during the open interview, 53% of participants (n = 14) volunteered discussion of swallowing-related symptoms unprompted. https://doi.org/10.1089/thy.2012.0083, Sahli Z, Canner JK, Najjar O et al (2019) Association between age and patient-reported changes in voice and swallowing after thyroidectomy. A quantitative synthesis of the results followed. PMC Laryngeal reinnervation for paralytic dysphonia in children younger than 10 years. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. HHS Vulnerability Disclosure, Help Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. ANZ J Surg 73(9):712716. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. 2016;26(8):10101018. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Is this condition temporary or long lasting? Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free. The site is secure. Only 3 studies discussed topics related to "swallowing function assessment/treatment and thyroidectomy". Also at high risk of dysphagia are patients with Graves disease. and transmitted securely. Supraclavicular Approach of Lobectomy Improves Quality of Life for Patients With Unilateral Papillary Thyroid Microcarcinoma: A Prospective Cohort Study. What's the likeliest cause of my symptoms? government site. Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. 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. Head Neck. Clinical practice guideline: improving voice outcomes after thyroid surgery. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. The https:// ensures that you are connecting to the In 110 (50.2%) patients, dysphagia was reported only immediately postoperative and disappeared later spontaneously. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. sharing sensitive information, make sure youre on a federal You may have some trouble chewing and swallowing after you go home. Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy Speech therapy after thyroidectomy The .gov means its official. Results: After thyroidectomy, some people may experience neck pain and a hoarse or weak voice.

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