A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. Methods: for voice restoration after thyroidectomy". 2017;37(5):193199. Swallowing disorders after thyroidectomy: a systematic review - PubMed Vojnosanit Pregl. Most patients complaining of long term swallowing disorders had bilateral thyroid resection with or without lymph node dissection. Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. (PDF) Speech therapy after thyroidectomy - ResearchGate All authors have contributed to the paper and have read and approved the final submitted version. All tests of significance were at the P<0.05 level. Chen X, Wan P, Yu Y, Li M, Xu Y, Huang P, Huang Z. J Voice. Surg Laparosc Endosc Percutan Tech 16(4):226231. A randomized controlled study. 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. Good. Table 2 Demographic-, disease-, and treatment-related variables for the study cohort. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Thyroid nodules: A thyroid nodule is a growth . Swallowing dysfunction after thyroid surgery is characterized by . For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. For example, are certain foods harder to swallow than others? Epub 2022 May 30. The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. Federal government websites often end in .gov or .mil. World J Surg 40(3):636643. Surgery might be needed to relieve swallowing problems caused by throat narrowing or blockages, including bony outgrowths, vocal cord paralysis, pharyngoesophageal diverticula, GERD and achalasia, or to treat esophageal cancer. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. This is the camera we're going to use. Pitt SC, Saucke MC, Wendt EM, Schneider DF, Orne J, Macdonald CL, Connor NP, Sippel RS. Eur Arch Otorhinolaryngol. National Center for Biotechnology Information this site will not function whilst javascript is disabled. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. All rights reserved. PMC Do you ever vomit or bring up blood or black material? Epub 2014 Jan 24. FOIA Allscripts EPSi. Please enable it to take advantage of the complete set of features! 2022 Sep;46(9):2212-2222. doi: 10.1007/s00268-022-06610-0. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions Advertising revenue supports our not-for-profit mission. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). software development by maffey.com Thyroid 23(1):6469. Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Are there brochures or other printed material I can have? MeSH 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Dysphagia. 2006;140(6):10261034. Open access peer-reviewed scientific and medical journals. Dysphagia; Swallowing disorders; Thyroidectomy; Uncomplicated. Total thyroidectomy. 1976;235(1):5859. 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. This content does not have an Arabic version. eCollection 2023 Jan. Front Surg. Further, there was no dependency of dysphagia on gender. 2004 Jun;12(3):160-5. doi: 10.1097/01.moo.0000120302.58882.13. Women with GD who are pregnant, nursing, or who have young children at home would benefit from a surgical consultation in an effort to . Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. 2. Correspondence to PMC https://doi.org/10.1097/00129689-200608000-00006, Yu ST, Chen WZ, Xu DB et al (2019) Minimally invasive video-assisted surgical management for parapharyngeal metastases from papillary thyroid carcinoma: a case series report. JAMA Otolaryngol Head Neck Surg. Accessibility Clin Otolaryngol 42(6):12591266. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Speech therapy after thyroidectomy - PubMed 2017 May;41 Suppl 1:S94-S102. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. https://doi.org/10.12669/pjms.305.4767, Article https://doi.org/10.1007/s00464-013-3413-6, Jung SP, Kim SH, Bae SY et al (2013) A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. Clin Exp Otorhinolaryngol 8(1):7680. Before Does anything seem to improve your symptoms? A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. sharing sensitive information, make sure youre on a federal Front Endocrinol (Lausanne). 2018 The Author(s). official website and that any information you provide is encrypted 2016;26(8):10101018. Do you bring food back up (regurgitate) after swallowing it? Surg Endosc 26(7):18711877. Bethesda, MD 20894, Web Policies It goes in your nose about this far, just a little bit past that white line. 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. Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. - 173.82.84.250. Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. 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. ORL J Otorhinolaryngol Relat Spec 82(5):274284. 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.
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