TY - JOUR
T1 - Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review
AU - Picone, Dario
AU - Gulotta, Gaspare
AU - Cupido, Francesco
AU - Cocorullo, Gianfranco
AU - Bonventre, Sebastiano
AU - Tudisca, Chiara
AU - Vernuccio, Federica
AU - Lo Re, Giuseppe
AU - Paladino, Nunzia Cinzia
AU - Cupido, Francesco
AU - Raspanti, Cristina
AU - Cocorullo, Gianfranco
AU - Scerrino, Gregorio
AU - Bonventre, Sebastiano
AU - Porrello, Calogero
AU - Gulotta, Gaspare
AU - Raspanti, Cristina
AU - Paladino, Nunzia Cinzia
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Adult
KW - Deglutition Disorders
KW - Gastroesophageal reflux
KW - Humans
KW - Laryngeal nerves
KW - Middle Aged
KW - Postoperative Complications
KW - Recurrent Laryngeal Nerve Injuries
KW - Surgery
KW - Swallowing
KW - Thyroidectomy
KW - Adult
KW - Deglutition Disorders
KW - Gastroesophageal reflux
KW - Humans
KW - Laryngeal nerves
KW - Middle Aged
KW - Postoperative Complications
KW - Recurrent Laryngeal Nerve Injuries
KW - Surgery
KW - Swallowing
KW - Thyroidectomy
UR - http://hdl.handle.net/10447/231739
M3 - Article
VL - 41
SP - S94-S102
JO - International Journal of Surgery
JF - International Journal of Surgery
SN - 1743-9191
ER -