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Front Endocrinol (Lausanne). 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). Analyzing the frequency of dysphagia according to different diagnoses, we found a significant risk of postoperative dysphagia in patients with Graves disease and carcinoma. Epub 2014 Apr 13. One cause of these surgical outcomes is recurrent laryngeal nerve paralysis. Eur Arch Otorhinolaryngol 276(10):26612671. Depending on the operation, dysphagia occurred between 6.1% for parathyroid resection and 33% for TT with lymph node dissection (Figure 1). Most studies find that quality of life improves after thyroidectomy, although there are also some contradictory results.1013 Assessment of dysphagia is presumably insufficient in these studies, because the item dysphagia is underrepresented. Surg Endosc. Iran J Otorhinolaryngol 31(107):329334. Deglutition disorders; Dysphagia; Quality of life; Swallowing disorders; Thyroid surgery; Thyroidectomy. Approximately 15% of subjects 65 years and older reported difficulties with swallowing.20 These patients were not excluded. The type of surgical treatment depends on the cause of dysphagia. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. 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. Del Rio P, Carcoforo P, Medas F, Bonati E, Loderer T, Koleva Radica M, Cal P. BMC Surg. Bethesda, MD 20894, Web Policies Unauthorized use of these marks is strictly prohibited. A systematic review. J Clin Med. We found no correlation between dysphagia and patients age or gender, the specimen volume, and patients body mass index. 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 quantitative synthesis of the results followed. sharing sensitive information, make sure youre on a federal Results This retrospective review included 45,539. Clinical Practice Guideline: Improving Voice Outcomes after Thyroid World J Surg 32(3):381385. Ann Otol Rhinol Laryngol 127(3):171177. A significant increase of swallowing impairment compared to baseline was recorded shortly after surgery. Dysphagia in neurological diseases: A literature review. These complaints are usually related to superior and inferior laryngeal nerves dysfunction, but these can appear even after uncomplicated surgical procedure. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. https://doi.org/10.12669/pjms.305.4767, Article Curr Opin Otolaryngol Head Neck Surg. An association between surgical insult following thyroid surgery and LPR needs further investigation. Further, patients operated on for hyperparathyroidism were at significantly decreased risk of dysphagia (chi-squared test=4.2; Figure 3). Swallowing disorders after thyroidectomy: What we know and where we are. The authors did not receive any funding or support for the submitted work.