학술논문
THYROIDECTOMY-RELATED SWALLOWING DIFFICULTIES: REVIEW OF THE LITERATURE/TIREOIDEKTOMIJA I POREMECAJI GUTANJA- PREGLED LITERATUTRE
Document Type
Report
Source
Acta Clinica Croatica. November 2020, Vol. 59 Issue S1, p38, 12 p.
Subject
Language
English
ISSN
0353-9466
Abstract
Introduction Thyroid surgery is the most common surgery on the endocrine glands and has become very safe with a low complication rate and a mortality rate of less than 1% [...]
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. Key words: thyroidectomy, swallowing disorders, dysphagia Kako bismo dali bolji uvid u etiologiju i ucestalost komplikacija gutanja koje su posljedica tireoidektomije te prikazali dostupne dijagnosticke postupke, proveli smo bibliografsku pretragu koristeci elektronicku bazu podataka MEDLINE/PubMed. Od ukupno 218 objavljenih clanaka, u recenziju su bile ukljucene 44 studije. Disfagija nakon operacije stitnjace uobicajena je postoperativna komplikacija koja, kratkorocno ili dugorocno, znacajno utjece na kvalitetu zivota pacijenta. Ne postoji standardni dijagnosticki protokol za ostecenje gutanja povezano s tireoidektomijom. U studijama ukljucenim u pregled literature koristeno je 8 upitnika i 12 instrumentalnih postupaka za dijagnosticiranje poremecaja gutanja povezanih s operacijom stitnjace. Indeks poremecaja gutanja (SIS -6) bio je najcesce koristeni upitnik. Fiberopticka endoskopija standardni je dijagnosticki postupak koji se provodi prije i nakon operacije stitnjace, prvenstveno radi identifikacije promjena pokretljivosti glasnica. Iako su nalazi instrumentalnih dijagnostickih postupaka obicno nespecificni, videofluoroskopija gutanja i manometrija jednjaka daju najvise relevatnih podataka. U bolesnika s poteskocama gutanja i sumnjom na laringofaringealni refluks potrebno je provesti 24-satnu MII pHmetriju. Kljucne rijeci: tireoidektomija, poremecaji gutanja, disfagija
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. Key words: thyroidectomy, swallowing disorders, dysphagia Kako bismo dali bolji uvid u etiologiju i ucestalost komplikacija gutanja koje su posljedica tireoidektomije te prikazali dostupne dijagnosticke postupke, proveli smo bibliografsku pretragu koristeci elektronicku bazu podataka MEDLINE/PubMed. Od ukupno 218 objavljenih clanaka, u recenziju su bile ukljucene 44 studije. Disfagija nakon operacije stitnjace uobicajena je postoperativna komplikacija koja, kratkorocno ili dugorocno, znacajno utjece na kvalitetu zivota pacijenta. Ne postoji standardni dijagnosticki protokol za ostecenje gutanja povezano s tireoidektomijom. U studijama ukljucenim u pregled literature koristeno je 8 upitnika i 12 instrumentalnih postupaka za dijagnosticiranje poremecaja gutanja povezanih s operacijom stitnjace. Indeks poremecaja gutanja (SIS -6) bio je najcesce koristeni upitnik. Fiberopticka endoskopija standardni je dijagnosticki postupak koji se provodi prije i nakon operacije stitnjace, prvenstveno radi identifikacije promjena pokretljivosti glasnica. Iako su nalazi instrumentalnih dijagnostickih postupaka obicno nespecificni, videofluoroskopija gutanja i manometrija jednjaka daju najvise relevatnih podataka. U bolesnika s poteskocama gutanja i sumnjom na laringofaringealni refluks potrebno je provesti 24-satnu MII pHmetriju. Kljucne rijeci: tireoidektomija, poremecaji gutanja, disfagija