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Swallowing disorders after thyroidectomy: What we know and where we are. Introduction: Dysphagia is frequently reported after thyroidectomy. The type of surgical treatment depends on the cause of dysphagia. Lombardi CP, Raffaelli M, De Crea C et al (2009) Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Thyroid 23(1):6469. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Google Scholar, Araujo LF, Lopes LW, Silva POC et al (2017) Sensory symptoms in patients undergoing thyroidectomy. No significant difference was noticed between open and endoscopic thyroid surgery at 2-3 months post-surgery. Unauthorized use of these marks is strictly prohibited. J Laryngol Otol 121(3):242245. 2018 Apr 1;144(4):342-348. doi: 10.1001/jamaoto.2017.3378. A thyroidectomy is the surgical removal of all (total thyroidectomy) or part (partial thyroidectomy) of your thyroid gland the butterfly-shaped organ in your neck. World J Surg. Improving Voice Outcomes after Thyroid Surgery and Ultrasound-Guided Ablation Procedures. doi: 10.7759/cureus.32836. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. American College of Gastroenterology. Thyroid. This site needs JavaScript to work properly. This is the camera we're going to use. Quality of life after thyroidectomy in patients with nontoxic nodular goiter: A prospective cohort study. Front Endocrinol (Lausanne). reported a qualitative improvement of swallowing function after thyroidectomy . eCollection 2021. You may also notice swelling, firmness, a pulling sensation, or even some trouble swallowing. Diagnosis of dysphagia in thyroidectomy patient should begin with clinical evaluation and confirmed by videfluorocsopy or videoendoscopy. Design, setting, and participants: Do you ever vomit or bring up blood or black material? 2022 Jan;11(1):270-278. doi: 10.21037/gs-21-708. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Objective: Dysphagia. https://doi.org/10.22038/ijorl.2019.36233.2193, Kasperbauer JL (2004) Locally advanced thyroid carcinoma. Cureus. sharing sensitive information, make sure youre on a federal Surgery. 2013 Jun;148(6 Suppl):S1-37. National Center for Biotechnology Information Vardaxi, C., Tsetsos, N., Koliastasi, A. et al. and transmitted securely. Dysphagia , or swallowing problems, are common after thyroid surgery, though they usually don't last long, often resolving within two weeks. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2015;72(7):583588. government site. Arch Otolaryngol Head Neck Surg 135(4):342346. J Postgrad Med 57(2):120122. Dysphagia after uncomplicated thyroidectomy is commonly reported and it includes a broad spectrum of swallowing complaints. Part of Springer Nature. PMC Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. Editorial: Improving voice outcomes after thyroid surgery and ultrasound-guided ablation procedures. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Higgins JPT AD, Sterne JAC. Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months). Allscripts EPSi. Using rigorous qualitative methodology, this study set out to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and swallowing-related outcomes. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. Association Between Age and Patient-Reported Changes in Voice and Swallowing After Thyroidectomy. There's not much space between your nose and your throat, so it doesn't have to go in very far. Would you like email updates of new search results? https://doi.org/10.1001/jamaoto.2017.3378, Tomoda C, Sugino K, Tanaka T et al (2018) Globus symptoms in patients undergoing thyroidectomy: relationships with psychogenic factors, thyroid disease, and surgical procedure. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Dysphagia after Thyroid Surgery Quality of life after thyroid surgery in women with benign euthyroid goiter: influencing factors including Hashimotos thyroiditis. 2019 Oct;276(10):2661-2671. doi: 10.1007/s00405-019-05599-y. Further, we analyzed diagnosis and types of therapy to identify possible patients at risk. 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. Dysphagia is a typical symptom complained of preoperatively by patients with enlarged thyroid due to a direct compression of the swallowing organs.1 In these patients, uncomplicated thyroidectomy often leads to improvements in perceptions of swallowing function.2 But impaired swallowing and neck strangling also occur postoperatively. sharing sensitive information, make sure youre on a federal Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. software development by maffey.com Dysphagia after uncomplicated thyroidectomy can arise early in the postoperative period resolving spontaneously in the first year. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis Swallowing disorders after thyroidectomy: a systematic review and meta-analysis . Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). The external branch of the superior laryngeal nerve is not exposed routinely. -, ANZ J Surg. Dysphagia 34(2):161169. The authors have no conflicts of interest to declare, relevant to the content of this article. Google Scholar. Federal government websites often end in .gov or .mil. eCollection 2023 Feb. Papadopoulou E, Sapalidis K, Triaridis S, Printza A. J Clin Med. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. National Library of Medicine The .gov means its official. Thyroid Surgery Recovery, Side Effects, and Complications - Verywell Health Exclusion criteria were preexisting vocal fold abnormalities (eg, polyps, nodules), neurological conditions affecting the voice or swallowing ability, and/or development of new-onset vocal fold paresis or paralysis (lasting longer than 6 months) after total thyroidectomy. Summarizing, we have shown that patients frequently report postoperative dysphagia after uncomplicated thyroidectomy and parathyroidectomy, especially after major surgical intervention. Data analysis: CV, NT, AK, AP. The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Our results are in line with two other studies, which also reported postoperative swallowing impairment in about 20% of patients after thyroidectomy, and where patients with carcinoma were excluded in both studies.57 Compared with preoperative symptoms, Scerrino et al reported that dysphagia improves in the majority of patients after operative therapy, but swallowing disorders appeared de novo or worsened in 20% of patients.5 However, there are also contradictory results regarding dysphagia after thyroid operations. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Unauthorized use of these marks is strictly prohibited. Before The results of this study confirm that patients frequently experience postoperative swallowing changes, even after uncomplicated surgery in the absence of laryngeal nerve injuries. 2013 Jun;148(6):926-32. doi: 10.1177/0194599813482299. Also at high risk of dysphagia are patients with Graves disease. -, World J Surg. https://doi.org/10.1111/j.1399-6576.2012.02768.x, Exarchos ST, Lachanas VA, Tsiouvaka S et al (2016) The impact of perioperative dexamethasone on swallowing impairment score after thyroidectomy: a retrospective study of 118 total thyroidectomies. 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. Swallowing symptoms after thyroidectomy are underreported in the literature. Accessed Sept. 21, 2021. Grover G, Sadler GP, Mihai R. Morbidity after thyroid surgery: patient perspective. In: Ferri's Clinical Advisor 2022. This work is published and licensed by Dove Medical Press Limited. http://www.entnet.org/content/swallowing-trouble. Comparison of Postoperative Neck Pain and Discomfort, Swallowing Clinical practice guideline: improving voice outcomes after thyroid surgery. https://doi.org/10.1111/coa.12913, Rosato L, Avenia N, Bernante P et al (2004) Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. Epub 2020 Nov 4. All rights reserved. We hypothesize that the rate of complete remission after thyroidectomy alone is not inferior to the rate of complete remission after thyroidectomy with PND by more than 5% at 1 year. 2009;33(2):255260. Thyroid Surgery | American Thyroid Association . 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05. 2022 May 4;9:882594. doi: 10.3389/fsurg.2022.882594. A two year prospective trial. FOIA Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. https://doi.org/10.1007/s00464-011-2116-0, Kim WW, Jung JH, Lee J et al (2016) Comparison of the quality of life for thyroid cancer survivors who had open versus robotic thyroidectomy. 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. Another aim was to review the literature on speech therapy for patients with recurrent laryngeal nerve paralysis after thyroidectomy. Accessibility Epub 2022 Apr 19. Surg Endosc 26(7):18711877. Professor David Price, Andreas Hillenbrand, Gregor Cammerer, Lisa Dankesreiter, Johannes Lemke, Doris Henne-Bruns Department of General and Visceral Surgery, Ulm University Medical Center, 89081 Ulm, Germany Introduction: Dysphagia is frequently reported after thyroidectomy. A systematic review. 2012;17(10):12711276. PMC or diagnosis X vs non-diagnosis X (X stands for benign struma, hyperparathyroidism, malignancy, and Graves disease) were compared. Surg Laparosc Endosc Percutan Tech 30(1):2225. The site is secure. -, Codas. Your scar will be most visible for the first 1-2 months after surgery, improve Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Notes: aIncluded two patients with parathyroidectomy. Table 1 Questionnaire sent to 358 patients at least 6 months postoperatively. Okay. Postoperative swallowing disorder after thyroid and parathyroid resect Conflicts of Interest: The authors have no conflicts of interest to declare. Surgery. A randomized controlled study. Which tests you need will depend on your situation. UK VAT Group: GB 365 4626 36, Creative Commons Attribution - Non Commercial (unported, v3.0) License. HHS Vulnerability Disclosure, Help Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. And one more. (2009) Symptoms and signs of swallowing changes after thyroidectomy, Wang C, Feng Z, Li J et al (2015) Endoscopic thyroidectomy via areola approach: summary of 1,250 cases in a single institution. A prospective study comparing the trauma of 3 different thyroidectomy surgical approaches. https://doi.org/10.1016/j.surg.2009.09.010, Article official website and that any information you provide is encrypted Careers. Swallowing disorders after thyroidectomy: a systematic - Springer Open access peer-reviewed scientific and medical journals. Advertising revenue supports our not-for-profit mission. Would you like email updates of new search results? This content does not have an Arabic version. 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. The site is secure. 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. Quality of life is not influenced by the extent of surgery in patients with benign goiter. 2003;133(3):318322. Thyroidectomy is a largely performed procedure [].Dysphonia and dysphagia are common after thyroidectomy and can cause huge impact on the patient's quality of life [2, 3].Voice and swallowing complaints occur between 15 and 90 days after surgery [4-6].Though spontaneous complaints of swallowing are not common, it has been observed that when questioned about this specific aspect, the . Speech therapy; dysphagia; dysphagia therapy; dysphonia; intervention; recurrent laryngeal nerve paralysis; rehabilitation; swallowing therapy; thyroidectomy; vocal paralysis; voice therapy. Surg Endosc 32(5):23402344. https://doi.org/10.1007/s00268-013-2269-1, Chung EJ, Park MW, Cho JG et al (2015) A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. Unauthorized use of these marks is strictly prohibited. sharing sensitive information, make sure youre on a federal This site needs JavaScript to work properly. Patient-Reported Dysphagia After Thyroidectomy - JAMA FOIA Dysphagia 30(5):496505. Treatment for dysphagia depends on the type or cause of your swallowing disorder. Kletzien H, Macdonald CL, Orne J, Francis DO, Leverson G, Wendt E, Sippel RS, Connor NP. 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". MeSH We'd like to do an assortment of consistencies, so we do a thin liquid, a puree, and then a solid consistency. Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 8600 Rockville Pike Please enable it to take advantage of the complete set of features! Post Total Thyroidectomy Deglutition Syncope. The .gov means its official. Accessed Sept. 21, 2021. Eur Arch Otorhinolaryngol 276(10):26612671. Furthermore, we asked the patients only about subjective symptoms of difficulties in swallowing. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. Sept. 29, 2021. Have your symptoms been continuous or occasional? 2017;37(5):193199. Conclusions and relevance: Copyright 2017 Informa PLC. It goes in your nose about this far, just a little bit past that white line. Further, we provided a specifically designed questionnaire, which, with simple questions, covered the spectrum of symptoms typically reported by affected patients. Your health care provider will likely ask you for a description and history of your swallowing difficulties, perform a physical examination, and use various tests to find the cause of your swallowing problem. Ann Otol Rhinol Laryngol 127(3):171177. World J Surg. Surg Endosc. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. 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. For low-risk patients showing an excellent response after treatment, . 2017 May;41 Suppl 1:S94-S102. We have included 16 studies of which 15 are prospective and one are retrospective. One treatment for both toxic and non-toxic goiters is radioiodine therapy. 2011;396(8):11571163. 2023 Jan 23;15(1):e34078. 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). Interventions: Bukvi B, ivaljevi V, ipeti S, Dikli A, Tauanovi K, Paunovi I. Validation and cross-cultural adaptation of the questionnaire ThyPRO in thyroid patients in Serbia. https://doi.org/10.1590/2317-1782/20172016294, Greenblatt DY, Sippel R, Leverson G et al (2009) Thyroid resection improves perception of swallowing function in patients with thyroid disease. We're not in there very long. Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. For oropharyngeal dysphagia, your health care provider might refer you to a speech or swallowing therapist. The objective of this statement article is to discuss optimal surgical management of goiter. Do you have difficulty swallowing solids, liquids or both? Iran J Otorhinolaryngol 31(107):329334. JAMA Otolaryngol Head Neck Surg. Conclusions: Accessibility 2006;140(6):10261034. Some examples are: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Promberger R, Hermann M, Pallikunnel SJ, Seemann R, Meusel M, Ott J. Park YM, Oh KH, Cho JG et al (2018) Changes in voice- and swallowing-related symptoms after thyroidectomy: one-year follow-up study. This often increases over the first 1-2 weeks and then begins to resolve over 6-8 weeks. 2017 May 15;29(3):e20150294 Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Curr Opin Otolaryngol Head Neck Surg. This site needs JavaScript to work properly. 2009;24(1):16. Accessed Sept. 21, 2021. Recurrent laryngeal nerve injury was diagnosed by means of laryngoscopic examination. National Library of Medicine Your health care provider can then see changes in the shape of your esophagus and can assess the muscular activity. Initial symptom of an ectopic hyperfunctioning parathyroid adenoma. -, Ann Surg Oncol. This study is retrospective, which means no preoperative swallowing disorders were raised and the duration of the postoperative survey was not uniform. Thyroid surgery is one of the most commonly performed endocrine surgical procedures, the risk of complications is high due to the anatomical structure and physiological function of the RLN.. Rare complication after thyroidectomy-cervical esophageal stenosis: a In the evaluation, 219 returns could be included. World J Surg. 1st Department of Otorhinolaryngology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece, Chrysoula Vardaxi,Stefanos Triaridis&Athanasia Printza, Department of Otorhinolaryngology, G. Dysphagia 30(5):496505. Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). 2017;39(11):22322240. 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. Laryngoscope. Start Here. Are there brochures or other printed material I can have? Clipboard, Search History, and several other advanced features are temporarily unavailable. Adverse events in thyroid surgery: observational study in three surgical units with high volume/year. 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. Sabaretnam M, Mishra A, Chand G, et al. 2018 Nov 1;144(11):995-1003. doi: 10.1001/jamaoto.2018.0309. 2023 Springer Nature Switzerland AG. Your doctor will take this out a few days after your surgery. 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). The number of subjects varied from 12 to 254, the mean age from 39 to 54 years with an overall prevalence of females. 2004. Therapy might include: Treatment approaches for esophageal dysphagia might include: Medications. Since these symptoms can reduce patient's quality of life, we suggest an appropriate education before thyroid surgery. See this image and copyright information in PMC. https://doi.org/10.1016/j.asjsur.2019.04.013, Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. 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. Purpose: https://doi.org/10.1007/s00464-016-4814-0, Pereira JA, Girvent M, Sancho JJ et al (2003) Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy. Accessed Sept. 25, 2021. The often used questionnaire Thyroid-Related Quality of Life Measure ThyPRO reports 13 multi-item scales, and dysphagia is only a sub-item of one of the 13 items (goiter symptoms). https://doi.org/10.1258/002221505775010760, Ben Nun A, Soudack M, Best LA (2006) Retrosternal thyroid goiter: 15 years experience. Importance: 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. eCollection 2023 Jan. Front Surg. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. Epub 2018 Sep 7. https://doi.org/10.1007/s12070-011-0319-2, Scerrino G, Inviati A, Di Giovanni S et al (2013) Esophageal motility changes after thyroidectomy; possible associations with postoperative voice and swallowing disorders: preliminary results. Besides these studies specific for postoperative swallowing impairment, there are several further prospective studies with different questionnaires regarding quality of life after thyroid operation. Figure 1 Frequency and duration of postoperative dysphagia complaints. What's the likeliest cause of my symptoms? Did you first have trouble swallowing solids and then develop difficulty swallowing liquids? 2012;36(6):12931299. 2008 May;32(5):693-700 Routine laryngoscopic examination was performed by an ear, nose, and throat specialist before and after surgery. Thyroidectomy - Mayo Clinic Sorensen JR, Watt T, Cramon P, et al. Recent advances in dysphagia management [version 1; peer review: 3 approved]. https://doi.org/10.1007/s00268-007-9375-x, Senise AT QD, Degani C, Correa LAC, Dedivitis RA, Lehn CN, Xavier C, Barros APB. Ann Surg Oncol 20(12):38693876. 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. Keywords: government site. Thyroidectomy is a well-described procedure used to excise the thyroid gland. Epub 2022 May 30. 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. Number 3099067. Mayo Clinic. https://doi.org/10.1007/s00464-014-3658-8, Yoon JH, Park CH, Chung WY (2006) Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. Keywords: Unable to load your collection due to an error, Unable to load your delegates due to an error. Epub 2013 Aug 2. Laryngoscope 129(2):519524. The https:// ensures that you are connecting to the Depending on the suspected cause, your health care provider might refer you to an ear, nose and throat specialist, a doctor who specializes in treating digestive disorders (gastroenterologist), or a doctor who specializes in diseases of the nervous system (neurologist). A qualitative analysis of data extracted was conducted. Surg Endosc 28(6):19141920. Careers. 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. 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. Ryu JH, Yom CK, Park DJ, et al. Common complaints of patients who have received thyroidectomy include dysphonia (voice dysfunction) and dysphagia (difficulty swallowing). 2013;148(6):926932. Aging and swallowing. (PDF) Effects of Dysphagia Therapy on Swallowing Dysfunction after The study was approved by the ethical committee of the University of Ulm (Nr 141/15). Wentworth MA. A randomized controlled study. After those tests, you'll see your doctor and get a thyrotropin alfa (Thyrogen ) injection (shot) to help you get ready for your treatment. Speech therapy after thyroidectomy - PubMed Just long enough to take a look around at the anatomy, give you a couple of things to eat and drink, watch you swallow those and then we come out, okay. 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. Swallowing disorders after thyroidectomy: What we know and where we are. Swallowing disorders after thyroidectomy: a systematic review and meta-analysis. These symptoms typically last for only a short time. https://doi.org/10.1245/s10434-013-3163-7, Sinclair CF, Bumpous JM, Haugen BR et al (2016) Laryngeal examination in thyroid and parathyroid surgery: an American Head and Neck Society consensus statement. 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. World J Surg 38(2):378384. eCollection 2022. Swallowing disorders after thyroidectomy: a systematic review - PubMed We're going to be doing a type of swallowing evaluation where we put a camera in your nose.