Quantitative Ultrasound Assessment of Hyoid Bone Displacement During Swallowing Following Thyroidectomy

Costa, Bianca Oliveira Ismael da; Rodrigues, Darlyane de Souza Barros; Magalhães, Desiré Dominique Diniz de; Santos, Ary Serrano; Santos, Ricardo Vieira; Azevedo, Elma Heitmann Mares; Almeida, Anna Alice; Pernambuco, Leandro de Araújo

doi:10.1007/s00455-020-10180-5

Cited by 11 publications

(8 citation statements)

References 55 publications

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“…In general, the post-total thyroidectomy swallowingrelated symptoms were less perceived than the voice symptoms -although dry mouth/thirst was the second most prevalent symptom. "Dry mouth" had already been frequently mentioned by patients submitted to thyroidectomy in other Brazilian studies 11,[18][19] , even in the preoperative period 17,38 . However, no clear explanations are found for such a symptom in these patients.…”

Section: Discussionmentioning

confidence: 76%

“…The most common symptoms are reduced voice pitch, vocal fatigue, hoarseness, weak loudness, globus sensation, dry throat, and phlegm 2,7,8,[10][11][12][13][17][18][19][20][21][22] . Although these are temporary complications with a progressive improvement 23 , there is evidence of persistence of the symptoms through time 23,24 in up to 50% of the patients 2 , with a significant impact on their quality of life [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

“…In Brazil, the results of previous studies that investigated post-thyroidectomy symptoms related to voice and swallowing do not agree. Also, they were conducted only in hospital services in the Southeast 11,18,20 , Northeast 17,19 , or South Regions 21 of Brazil, with questionnaires whose psychometric properties are unknown [17][18][19][20][21] or not specific to this population 11 . The Thyroidectomy-Related Voice Questionnaire (TVQ) 6,25 has been internationally used with this purpose 6,7,23,[25][26][27][28][29] and already has a translated and transculturally adapted version in Brazilian Portuguese 30 .…”

Section: Introductionmentioning

confidence: 99%

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Voice- and swallowing-related symptoms after total thyroidectomy: evidence from a Brazilian national survey

et al. 2021

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Purpose: to estimate the prevalence of voice- and swallowing-related symptoms in women submitted to total thyroidectomy. Methods: a population-based, observational, cross-sectional, analytical study, based on a Brazilian national survey. A total of 252 women, aged 18 to 58 years, submitted to total thyroidectomy, residing in the five geographical regions of the country participated in the study. All of them answered the version of the Thyroidectomy-Related Voice Questionnaire translated and adapted into Brazilian Portuguese, besides questions on demographic and clinical issues. A descriptive analysis of the categorical and quantitative variables was conducted. The relationship between the total TVQ score and the independent variables was analyzed with the Mann-Whitney and Kruskal-Wallis tests. The significance level used was 5%. Results: the most prevalent symptoms were, tired voice, after talking for a long time (50%), and dry mouth/thirst (43.3%). The voice-related symptoms were more prevalent than those related to swallowing. The total TVQ score was not related to age group (p=0.141), profession (p=0.213), region of residence (p=0.303), time since surgery (p=0.955), and radiotherapy/radioiodine therapy (p=0.666). Conclusion: Brazilian women submitted to total thyroidectomy have a high prevalence of voice- and swallowing-related symptoms, the former being predominant.

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Section: Discussionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Voice- and swallowing-related symptoms after total thyroidectomy: evidence from a Brazilian national survey

et al. 2021

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“…US has been found to more precisely define and measure submental muscles when compared to MRI in healthy subjects [7]. Associations have been identified between muscle morphometry, swallowing biomechanics and symptoms of dysphagia in specific patient populations [11,12]. These findings have applicability in neuromuscular disease groups such as motor neuron disease, where unique sonographic profiles of swallowing muscles have been described [13 ▪ ].…”

Section: Application Of Ultrasoundmentioning

confidence: 99%

Ultrasound: an emerging modality for the dysphagia assessment toolkit?

Allen

Clunie

Winiker

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewVideofluoroscopy (VFSS) and fibreoptic endoscopic evaluation of swallowing (FEES) are established instrumental techniques to support differential diagnosis and treatment of oropharyngeal dysphagia. Whilst their value is undisputed, each tool is not without limitations. The COVID-19 pandemic has restricted access to VFSS and FEES leading clinicians to explore alternative or augmentative tools to support swallowing assessment. Ultrasound (US) is an established tool for visualisation of head and neck anatomy, including structures implicated in swallowing. While US has been utilised in swallowing research for many years, its application has not translated into common clinical practice. This review presents and debates the evidence for and against use of ultrasound for clinical swallowing assessment. Recent findingsEvaluation of swallowing muscle morphometry and measurement of isolated swallowing kinematics are two primary uses of US in swallowing assessment that have been identified in the literature. Use of US to detect bolus flow, aspiration, and residues is in its early stages and needs further research.

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“…Since then, US has been validated as a tool to assess the size and structure of the muscles involved in swallowing [ 3 – 5 ], offering an opportunity to assess impairment at an anatomical level. It has also been applied to the evaluation of swallowing and laryngeal kinematics, in particular the assessment of vocal fold movement [ 6 , 7 ], tongue and posterior pharyngeal wall movement [ 8 , 9 ], opening of the upper oesophageal sphincter [ 10 ], displacement of the hyoid [ 11 – 15 ] and thyrohyoid approximation [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Translating Ultrasound into Clinical Practice for the Assessment of Swallowing and Laryngeal Function: A Speech and Language Pathology-Led Consensus Study

et al. 2022

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Ultrasound (US) has an emerging evidence base for the assessment of swallowing and laryngeal function. Accessibility and technological advances support the use of US as a clinical assessment tool; however, there is insufficient evidence to support its translation into clinical practice. This study aimed to establish consensus on the priorities for translation of US into clinical practice for the assessment of swallowing and laryngeal function. Nominal Group Technique (NGT) was used as a formal method of consensus development. Clinicians and academics, all members of an international US working group, were invited to participate in the study. Two NGT meetings were held, where participants silently generated and then shared ideas. Participants anonymously ranked items. Rankings were aggregated before participants re-ranked items in order of priority. Discussions regarding rankings were recorded and transcribed to inform analysis. Member-checking with participants informed the final analysis. Participants (n = 15) were speech and language pathologists, physiotherapists and sonographers representing six countries. Fifteen items were identified and prioritised 1–13 (including two equally ranked items). Reliability, validity and normative data emerged as key areas for research while development of training protocols and engagement with stakeholders were considered vital to progressing US into practice. Analysis revealed common themes that might be addressed together in research, in addition to the ranked priority. A measured approach to the translation of US into clinical practice will enable effective implementation of this tool. Priorities may evolve as clinical and professional contexts shift, but this study provides a framework to advance research and clinical practice in this field.

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Quantitative Ultrasound Assessment of Hyoid Bone Displacement During Swallowing Following Thyroidectomy

Cited by 11 publications

References 55 publications

Voice- and swallowing-related symptoms after total thyroidectomy: evidence from a Brazilian national survey

Voice- and swallowing-related symptoms after total thyroidectomy: evidence from a Brazilian national survey

Ultrasound: an emerging modality for the dysphagia assessment toolkit?

Translating Ultrasound into Clinical Practice for the Assessment of Swallowing and Laryngeal Function: A Speech and Language Pathology-Led Consensus Study

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