dysphagia after thyroidectomy treatment

Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. 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 pain and swallowing discomfort suffered by patients following thyroid surgery may be reduced by PPIs given postoperatively. and transmitted securely. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. Clin Otolaryngol 42(6):12591266. Dove Medical Press is a member of the OAI. Follow-up tests may include: Physical exam of . National Center for Biotechnology Information X-ray with a contrast material (barium X-ray). 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. Unauthorized use of these marks is strictly prohibited. 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. Background: The objective of this study was to compare the postoperative neck pain and discomfort, swallowing difficulty, and voice change after conventional open thyroidectomy (COT), endoscopic thyroidectomy (ET), or robotic thyroidectomy (RT) performed by a single surgeon.Methods: From January 2013 to December 2017, 254 patients underwent COT, ET, or RT performed by a single surgeon and . https://doi.org/10.1177/0194599813482299, Sorensen JR (2018) The impact of surgery on quality of life, esophageal motility, and tracheal anatomy and airflow in patients with benign nodular goiter. The good prognosis of DTC may carry more weight to the quality of life in considering the treatment strategy for DTC. Frequency of swallowing disorder was similar in patients with sixth level dissection and patients with additionally lateral neck dissection (lateral neck dissection: 2 out of 6; sixth level dissection: 4 out of 12 patients). Also, some things you can try to help ease your symptoms include: See your health care provider if you're having problems swallowing. 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 . official website and that any information you provide is encrypted 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. I have other health conditions. 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). This should not lead to underestimation of symptoms, since the patients' quality of life is negatively affected by the symptomatology. 2023 Jan 23;15(1):e34078. The nicotine consumption and the subjective postoperative swallowing changes were examined via a questionnaire (Table 1). 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. Ferri FF. Dysphagia 34(2):161169. Dysphagia. Arakawa-Sugueno L, Ferraz AR, Morandi J et al (2015) Videoendoscopic evaluation of swallowing after thyroidectomy: 7 and 60 days. PMC Thyroidectomy-related Swallowing Difficulties: Review of the Literature. The objective of this statement article is to discuss optimal surgical management of goiter. Figure 2 Frequency of dysphagia depending on the operative therapy. Gland Surg. PubMed Central Scerrino G, Inviati A, di Giovanni S, et al. We found no correlation between dysphagia and patients age, the specimen volume, and patients body mass index (Spearmans rank correlation coefficient = 0.1, each). The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial. Scerrino G, Inviati A, di Giovanni S, et al. Thyroid. 2009;24(1):16. Epub 2019 Aug 14. 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. Keywords: For this, the option therapy X vs non-therapy X (X stands for total thyroidectomy [TT], hemithyroidectomy, TT with LK, etc.) The systematic review of the literature resulted in 35 articles, which met the inclusion criteria and were analyzed regarding their type, sample, follow-up and results regarding post-thyroidectomy dysphagia in multiple follow-up times. Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Kraemer J, Benninger MS, Blumin JH, Dennis G, Hanks J, Haymart MR, Kloos RT, Seals B, Schreibstein JM, Thomas MA, Waddington C, Warren B, Robertson PJ; American Academy of Otolaryngology-Head and Neck Surgery. 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). Surg Laparosc Endosc Percutan Tech 16(4):226231. Of the 936 articles retrieved, 18 discussed "voice assessment and thyroidectomy", 3 discussed "voice therapy and thyroidectomy", and 11 discussed "surgical interventions for voice restoration after thyroidectomy". Sahli Z, Canner JK, Najjar O, Schneider EB, Prescott JD, Russell JO, Tufano RP, Zeiger MA, Mathur A. Laryngoscope. Clin Exp Otorhinolaryngol 8(1):7680. In the case of toxic goiters, it also shuts down abnormal. Dysphagia 30(5):496505. This site needs JavaScript to work properly. Arch Otolaryngol Head Neck Surg. Descriptive statistics were used to summarize demographic and clinicopathologic characteristics. 8600 Rockville Pike Surg Endosc 28(6):19141920. PubMed 2013;123(9):23192323. 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. Cureus. Langenbecks Arch Surg. Eur Arch Otorhinolaryngol 279, 42134227 (2022). Types and timing of therapy for vocal fold paresis/paralysis after thyroidectomy: a systematic review and meta-analysis. Multinodular goiter: Overview, causes, and treatment - Medical News Today 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). World J Surg. BMJ 372:n71. PMC Surg Laparosc Endosc Percutan Tech 30(1):2225. We tested the hypothesis (dependence of the frequency of the complaints of the therapy X or diagnosis X) with the chi-squared test. World J Surg 33(2):255260. Carrie: Go ahead and take a couple more for me. However the number of parathyroidectomy surgeries is very small (only 33 patients) and results can be influenced by the small number. Triggs J, et al. A systematic review. R01 CA176911/CA/NCI NIH HHS/United States, T32 DC009401/DC/NIDCD NIH HHS/United States, K23 DC013559/DC/NIDCD NIH HHS/United States, P30 CA014520/CA/NCI NIH HHS/United States. -, ANZ J Surg. 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. https://gi.org/topics/dysphagia/. Swallowing disorders following thyroidectomy are common, even after surgery without confirmed complications. Postoperative swallowing disorder after thyroid and parathyroid resect Keywords: Dysphagia in neurological diseases: A literature review. This site needs JavaScript to work properly. Corticosteroids might be recommended for eosinophilic esophagitis. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 2021 Aug 9;12:723631. doi: 10.3389/fendo.2021.723631. Your doctor will take this out a few days after your surgery. Vojnosanit Pregl. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. A randomized controlled study. Terms & Conditions 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. In: Ferri's Clinical Advisor 2022. In this retrospective cohort study, we sent questionnaires to 372 consecutive patients whose thyroid or parathyroid glands were operated on between May 2013 and October 2014 at Ulm University Hospital. One treatment for both toxic and non-toxic goiters is radioiodine therapy. Clipboard, Search History, and several other advanced features are temporarily unavailable. Greenblatt et al. Radioactive Iodine Therapy for Thyroid Cancer: Outpatient Treatment See this image and copyright information in PMC. Pak J Med Sci 30(5):11191122. The volume of the resected tissue was analyzed from the length/width/height data provided by the pathology report (longitudinal diameter of the lobetransverse diameterlobe thickness). We have included 16 studies of which 15 are prospective and one are retrospective. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study | Endocrine Surgery | JAMA Otolaryngology-Head & Neck Surgery | JAMA Network This patient open-interview study attempts to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and related [Skip to Navigation] ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. 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. Carrie: That's the absolute worst part right there. Epub 2014 Apr 13. Have your symptoms been continuous or occasional? 2015;39(7):17131720. A feeding tube provides nutrients without the need to swallow. Epub 2022 Apr 19. . Dysphagia. 2017;39(11):22322240. This injection will help any leftover thyroid tissue absorb the radioactive iodine. Federal government websites often end in .gov or .mil. Eur Arch Otorhinolaryngol. Ann Surg Oncol 20(12):38693876. Number 3099067. Epub 2018 Sep 7. Ann Surg Oncol. https://doi.org/10.1016/j.surg.2009.09.010, Article Carrie: Your other hand. In the early postoperative weeks after thyroidectomy, swallowing impairment is self-explanatory and is reported by most patients.6 Symptoms are often self-limiting, are not related to impaired nerve function and improve spontaneously. The authors report no conflicts of interest in this work. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Acta Anaesthesiol Scand 56(10):13141320. The influence of the different therapy method or different diagnosis on dysphagia risk was examined by the chi-squared test. 2017 May;41 Suppl 1:S94-S102. Assessment of swallowing function impairment in patients with benign goiters and impact of thyroidectomy: a case control study. Do you ever vomit or bring up blood or black material? Notes: aIncluded two patients with parathyroidectomy. For low-risk patients showing an excellent response after treatment, . The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. J Postgrad Med 57(2):120122. Surg Endosc. official website and that any information you provide is encrypted Although many studies have investigated voice changes and assessment methods in thyroidectomy patients, few recent studies have investigated speech therapy after thyroidectomy. reported a qualitative improvement of swallowing function after thyroidectomy . Unauthorized use of these marks is strictly prohibited. 2019; doi:10.12688/f1000research.18900.1. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. You have muscle spasms in your legs and feet that do not go away. Written informed consent was obtained from all participating patients. 2005 Jun;29(6):780-4 Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). Dysphagia following uncomplicated thyroidectomy: a systematic review Further, there was no dependency of dysphagia on gender. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. MeSH Swallowing Problems after Thyroidectomy | Request PDF - ResearchGate Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Swallowing disorders after thyroidectomy: a systematic - Springer Google Scholar, Krekeler BN, Wendt E, Macdonald C et al (2018) Patient-reported dysphagia after thyroidectomy: a qualitative study. Cramon P, Winther KH, Watt T, et al. Patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia. 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. The swallowing disorders reported after thyroidectomy should be expected, but are not always detectable through objective methods. 2012;36(6):12931299. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease (chi-squared test=4.6) and carcinoma (chi-squared test=8.0). 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). J Laryngol Otol 119(12):973975. Does anything seem to improve your symptoms? Thyroidectomy is a well-described procedure used to excise the thyroid gland. All rights reserved. Learn more about Institutional subscriptions, Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Panebianco M., et al. Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. In the also frequently used SF-36 questionnaire, dysphagia is not included.14 All these quality of life studies excluded patients with carcinoma. 2020; doi:10.1007/s10072-020-04495-2. Schmitz-Winnenthal FH, Schimmack S, Lawrence B, et al. Elsevier; 2022. https://www.clinicalkey.com. Vardaxi C, Tsetsos N, Koliastasi A, Poutoglidis A, Sapalidis K, Triaridis S, Printza A. Eur Arch Otorhinolaryngol. The authors did not receive any funding or support for the submitted work. Thyroid. Your scar will be most visible for the first 1-2 months after surgery, improve And one more. Eur Arch Otorhinolaryngol 276(10):26612671. Here, we investigated the incidence of postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy. 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). Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. Chun BJ, Bae JS, Lee SH, Joo J, Kim ES, Sun DI. ESTIMation of the ABiLity of prophylactic central compartment neck Many studies have discussed the effectiveness of speech therapy (e.g., voice therapy and dysphagia therapy) for improving dysphonia and dysphagia, but not specifically in patients who have received thyroidectomy. Surg Endosc 30(4):15991606. Bookshelf Am J Surg. Bethesda, MD 20894, Web Policies 2023 Feb 3;12(3):1212. doi: 10.3390/jcm12031212. Additionally, some studies have addressed dysphagia after thyroidectomy, but few have discussed assessment and treatment of dysphagia after thyroidectomy. Before Before In addition, choking decreased from 3 % to 2 %, dyspnea decreased from 9 % to 6 %, and cough decreased from 7 % to 5 %. 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. World J Surg 37(4):786791. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. There was . Notes: Patients with Graves disease and carcinomas showed a significantly higher risk and patients with hyperparathyroidism a significantly lower risk of dysphagia. Surg Endosc 32(5):23402344. 2018 The Author(s). Results This retrospective review included 45,539. Clin Nurs Res 28(5):615635. An open thyroid biopsy - a rarely used operation where a nodule is excised directly; A hemi-thyroidectomy or thyroid lobectomy - where one lobe (one half) of the thyroid is removed; An isthmusectomy - removal of just the bridge of thyroid tissue between the two lobes; used specifically for small tumors that are located in the isthmus. bOne patient failed to complete the smoking field. G Chir. (Voice Handicap Index) and dysphagia (SWAL-QOL) (questionnaires in their validated . You may have some trouble chewing and swallowing after you go home. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1 year after surgery. Furthermore, we report a foreign body/sticky sensation in the throat as an . Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. Which tests you need will depend on your situation. Sabaretnam M, Mishra A, Chand G, et al. Careers. Dysphagia - Diagnosis and treatment - Mayo Clinic Objective: 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. World J Surg 28(3):271276. Article Google Scholar Grover G, Sadler GP, Mihai R . Prospective comparative analysis of open vs. endoscopic thyroidectomy. Conclusion: Nearly 20% of patients reported postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Speech therapy after thyroidectomy - PubMed Since these symptoms can reduce patie Pinchot SN, Youngwirth L, Rajamanickam V, Schaefer S, Sippel R, Chen H. Changes in swallowing-related quality of life after parathyroidectomy for hyperparathyroidism: a prospective cohort study. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Front Surg. 2022 Jan 4;12:766444. doi: 10.3389/fendo.2021.766444. PubMed Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Lembo AJ. Oncologist. government site. Post-thyroidectomy Dysphagia: An International Multicentric CONSORT This site needs JavaScript to work properly. 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. 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). 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. Mayo Clinic does not endorse companies or products. It goes in your nose about this far, just a little bit past that white line. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. sharing sensitive information, make sure youre on a federal Surgery 146(6):11741181. Otolaryngol Head Neck Surg. World J Surg. World J Surg 36(6):12931299. For most people, these problems get better within 3 to 4 months, but it can take as long as a year. The questionnaire was sent at least 6 months postoperatively, since mild symptoms may occur in most patients within the first 3 months.6 The patients age, body mass index, diagnosis, and type of operation were analyzed from patients records. 2019 Feb;129(2):519-524. doi: 10.1002/lary.27297. eCollection 2022 Dec. Dysphagia following uncomplicated thyroidectomy: a systematic review. The more invasive the operation was, the more patients suffered from dysphagia. Conclusions and relevance: Epub 2013 Aug 2. PubMed Central Curr Opin Otolaryngol Head Neck Surg. The Role of Primary Repair of the Recurrent Laryngeal Nerve during Thyroid/Parathyroid Surgery in Vocal Outcomes-A Systematic Review. 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. I'm a speech pathologist. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. https://doi.org/10.1038/nrgastro.2015.199, Scerrino G, Tudisca C, Bonventre S et al (2017) Swallowing disorders after thyroidectomy: what we know and where we are. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Online ahead of print. Int J Surg 41(Suppl 1):S94S102. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. The https:// ensures that you are connecting to the 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. Audit of Neurological Complications After Thyroid Surgery In 110 (50.2%) patients, the symptoms were only immediately postoperative and later disappeared spontaneously (answer b). Correlation of dysphagia with patients age, the specimen volume, and patients body mass index was calculated with Spearmans rank correlation coefficient. https://doi.org/10.1007/s00455-015-9628-z, Galluzzi F, Garavello W (2019) Dysphagia following uncomplicated thyroidectomy: a systematic review. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). Dysphagia 30:496-505. Fifty-three (21.3%) patients reported that the overall postoperative swallowing process was better or more trouble-free (answer a; Table 1). 2013;148(6):926932. J Laparoendosc Adv Surg Tech A 26(8):618624. 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. F1000Research. Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. doi: 10.1177/0194599813487301. Dysphagia. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Copyright 2017 Informa PLC. PubMedGoogle Scholar. Please enable it to take advantage of the complete set of features! Ann Otol Rhinol Laryngol 113(9):749753. World J Surg. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. What websites do you recommend? The https:// ensures that you are connecting to the 2022 Dec 22;14(12):e32836. official website and that any information you provide is encrypted Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. Objective: Speech and swallowing therapy is usually helpful after surgery. World J Surg. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. 2021 May 27:S0892-1997(21)00093-X. Authors Chrysoula Vardaxi 1 2 , Nikolaos Tsetsos 2 , Aikaterini Koliastasi 3 , Alexandros Poutoglidis 2 , Konstantinos Sapalidis 4 , Stefanos Triaridis 1 , Athanasia Printza 5 Affiliations The group of patients who did not respond to the questionnaire did not differ significantly from the 219 included patients in terms of age, sex, proportion with cancer, or mass of resected thyroid. Patients were questioned at least 6 months postoperatively. 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. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. https://doi.org/10.1007/s00464-002-8830-x, Article Ann Otol Rhinol Laryngol 127(3):171177. https://doi.org/10.1007/s00405-022-07386-8, DOI: https://doi.org/10.1007/s00405-022-07386-8. Swallowing disorders after thyroidectomy: What we know and where we are. Several features of 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. Symptoms of dysphagia and related effects on quality of life elicited through grounded theory analysis of semistructured interviews with patients after thyroidectomy designed to foster an open-ended, patient-driven discussion. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. 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. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. Data analysis: CV, NT, AK, AP. Dysphagia continued to be reported in a significantly lower proportion of patients, even 1year after surgery. Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). JAMA Otolaryngol Head Neck Surg. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. We did not use a well-validated method or the swallowing quality of life validated outcomes assessment tool.2 Our questionnaire was not validated in the general population or in other studies. Otolaryngol Head Neck Surg. 501-509 Review Article Speech therapy after thyroidectomy

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