Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy

Pereira, José António; Girvent, Meritxell; Sancho, José Luis Valero; Parada, Carlos; Sitges‐Serra, Antonio

doi:10.1067/msy.2003.58

Cited by 129 publications

(165 citation statements)

References 12 publications

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“…However, injury to CPM or swallowing problems can be objectively assessed by EMG. In various studies incidence of dysphagia at 3rd month ranges between 5 and 30% and it may be seen beyond the 3 months [18,19]. Although we did not confirm any neural injury at 3rd month in our study, this may originate from the small number of patients in our study which is a limitation.…”

Section: Discussioncontrasting

confidence: 66%

Effect of Anti-Adhesive Barrier Use on Laryngotracheal Movement After Total Thyroidectomy: An Electrophysiological Study

Alkan

Yiğit

Adatepe³

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Impairment of laryngotracheal movement is a possible complication after total thyroidectomy. Here, we aimed to investigate the frequency and extent of impairment of laryngotracheal movement after total thyroidectomy and the effect of anti-adhesive barrier hyaluronic acid-carboxymethylcellulose membrane positioning between strap muscles and laryngotracheal complex on deglutition. The study design is prospective clinical study. Istanbul Training

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Section: Discussioncontrasting

confidence: 66%

Effect of Anti-Adhesive Barrier Use on Laryngotracheal Movement After Total Thyroidectomy: An Electrophysiological Study

Alkan

Yiğit

Adatepe³

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…Goiter and/or thyroid nodules are the most prevalent endocrine conditions in the world, affecting over 500 million people with prevalence rates reaching up to 30 % [1,2]; local neck symptoms range from 13 to 50 % in patients undergoing surgery for benign nodular diseases [3,4].…”

Section: Introductionmentioning

confidence: 99%

How uncomplicated total thyroidectomy could aggravate the laryngopharyngeal reflux disease?

Cusimano

Macaione

Fiorentino

2015

Eur Arch Otorhinolaryngol

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Swallowing, voice disorders, throat discomfort and subjective neck discomfort are usually reported by patients with a known thyroid nodule and are correlated to nodular thyroid disease itself. Moreover, in endemic goitrous areas, total thyroidectomy (TT) is the most frequently performed surgical procedure. We are used to relate swallowing, voice and throat discomfort to the mechanical effects of nodular goiter or to thyroidectomy itself, but in both these cases the relationship between symptoms and the thyroid mass or its removal is not always clear or easily demonstrated. How can we explain the persistence of local neck symptoms after TT? And how can TT worsen the dysphagic or dysphonic disorders attributed to the goiter's effect over the surrounding structures? During these years, many articles have analyzed the relationship between the thyroid disease and the laryngopharyngeal reflux, finding more and more evidences of their consensuality, leading to important new management considerations and notable medico-legal implications; if the reason of local neck symptoms is not the thyroid disease, we have to study and specially cure the reflux disease, with specific test and drugs. Therefore, the aim of our study, relying on the published literature, was to investigate how, in demonstrated presence of reflux laryngopharyngitis in patients with nodular goiter and local neck symptoms before and after uncomplicated TT, the surgery could influence our anti-reflux mechanism analyzing the anatomical connection as well as the functional coordination; can we play a part in the post-operative persistence of swallowing and voice alterations and throat discomfort?

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“…Patients candidate to thyroidectomy or other neck procedures, such as parathyroidectomy, often complain voice and swallowing disorders [1,2].…”

Section: Introductionmentioning

confidence: 99%

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Scerrino

Tudisca

Bonventre

et al. 2017

International Journal of Surgery

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Introduction Dysphagia and hoarseness are possible complications that can be observed in patients undergoing thyroidectomy or other neck surgery procedures. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. Methods We reviewed the current literature available on MEDLINE database, concerning the swallowing disorders appearing after the thyroidectomy. The articles included in the review reported pathophysiology and diagnostic concerns. Results Twenty articles were selected for inclusion in the review. Depends on the possible causes of the difficulty swallowing (related to nerve damage or appearing after uncomplicated thyroidectomy), different types of diagnostic procedures could be used to study patient discomfort, as well as intraoperative nerve monitoring, fiber optic laryngoscopy, endoscopy, pH monitoring, esophageal manometry and videofluorography. Among all these procedures, videofluorography is considered the gold standard to evaluate the entire swallowing process, since that allows a real-time study of all the three phases of swallowing: oral phase, pharyngeal phase and esophageal phase. Conclusion The diagnostic procedures described can help to identify the mechanisms involved in swallowing disorders, with the aim to choose the best therapeutic option. More studies are needed for understanding the causes of the dysphagia appearing after thyroidectomy

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Prevalence of long-term upper aerodigestive symptoms after uncomplicated bilateral thyroidectomy

Cited by 129 publications

References 12 publications

Effect of Anti-Adhesive Barrier Use on Laryngotracheal Movement After Total Thyroidectomy: An Electrophysiological Study

Effect of Anti-Adhesive Barrier Use on Laryngotracheal Movement After Total Thyroidectomy: An Electrophysiological Study

How uncomplicated total thyroidectomy could aggravate the laryngopharyngeal reflux disease?

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

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