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Swallowing Problems after Thyroidectomy.

Yasser Mohammed Elbeltagy1, Samia Elsayed Bassiouny1, Tamer Shokry Sobhy1

  • 1Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

International Archives of Otorhinolaryngology
|July 18, 2022
PubMed
Summary
This summary is machine-generated.

Swallowing problems, or dysphagia, are common after thyroidectomy, affecting 82% early post-surgery. These issues, including delayed swallowing and food residue, persist but decrease by the late period, correlating with patient-reported symptoms.

Keywords:
aspirationdysphagiaswallowingthyroidectomy

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Area of Science:

  • Otorhinolaryngology
  • Surgical Outcomes
  • Deglutition Disorders

Background:

  • Thyroidectomy is a frequent surgical procedure.
  • Post-thyroidectomy swallowing difficulties can significantly impair patient quality of life.

Purpose of the Study:

  • To assess swallowing function in early and late periods after thyroidectomy.
  • To correlate subjective and objective swallowing parameters post-surgery.

Main Methods:

  • Prospective study of 100 patients undergoing total thyroidectomy.
  • Utilized the Arabic Eating Assessment Tool (EAT-10) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES) preoperatively and in early (EPO) and late (LPO) postoperative periods.

Main Results:

  • Dysphagia rates were 82% in EPO and 36% in LPO.
  • Patients with normal vocal fold mobility experienced 42% early and 22% late dysphagia.
  • Swallowing issues like delayed triggering and residue were observed, particularly in the EPO phase, even without vocal fold immobility.

Conclusions:

  • Swallowing problems post-thyroidectomy are prevalent, irrespective of vocal fold mobility.
  • Delayed triggering and food stasis are key characteristics of post-thyroidectomy dysphagia.
  • A strong correlation exists between subjective and objective swallowing assessments in both early and late postoperative phases.