Tumeurs thyroïdiennes de l’adulte révélées par une paralysie laryngée unilatérale

Alciato, Lauranne; Villeneuve, A.; Croix, C. La; Bonfils, P.; Laccourreye, O.

doi:10.1016/j.lpm.2019.07.036

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…Fiberoptic laryngoscopy represents a standard diagnostic procedure that all patients scheduled for thyroid surgery should undergo prior to surgical treatment as well as postoperatively. It is primarily performed in order to identify changes in vocal fold mobility and to differentiate patients with laryngeal nerve damage ( 4 , 6 , 8 , 10 , 11 , 13 , 14 , 16 - 19 , 23 , 24 , 31 , 35 , 37 , 38 , 40 , 41 ). Although it does not provide information on swallowing impairment, swelling of laryngeal mucosa, especially in the posterior part of the larynx and retrocricoid area, can indirectly indicate laryngopharyngeal reflux, whereas saliva residue in the piriform sinuses or retrocricoid area can indicate dysfunction of the upper esophageal sphincter ( 67 ).…”

Section: Resultsmentioning

confidence: 99%

Thyroidectomy-related Swallowing Difficulties: Review of the Literature

Đanić-Hadžibegović

Hergešić

Babić

et al. 2020

ACC

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SUMMARY This study aims to provide insight into the etiology and frequency of swallowing complications that arise after thyroidectomy and to outline the available diagnostic procedures by revising the existing literature on this topic. We conducted a bibliographic search using the electronic database MEDLINE/PubMed to identify all relevant articles and 44 studies were included in the review out of a total of 218 published articles. Dysphagia after thyroid surgery is a common postoperative complication which, in the short- or long-term, significantly affects patient life quality. There is no standard diagnostic protocol for thyroidectomy-related swallowing impairment. Among the reviewed studies, 8 questionnaires and 12 instrumental diagnostic tools were used to identify swallowing difficulties related to thyroid surgery. The Swallowing Impairment Index (SIS-6) was the most-used questionnaire. Fiberoptic endoscopy is a standard diagnostic tool performed prior and after thyroid surgery, primarily to identify changes in vocal fold mobility. Although instrumental findings usually reveal non-specific alterations of swallowing; swallowing videofluoroscopy and esophageal manometry can be the most helpful tools in further management of thyroidectomy dysphagia. In patients with thyroidectomy-related swallowing difficulties and suspected laryngopharyngeal reflux, 24-hour MII-pH metry should be performed.

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