Frequência combinada de queixas relacionadas à deglutição e voz antes da tireoidectomia

Abstract

Purpose:To analyze the combined frequency of patient-reported swallowing and voice complaints before thyroidectomy. Methods: This is a retrospective analysis of 51 interviews of patients referred for partial or total thyroidectomy. The combined frequency of patient-reported swallowing and voice complaints was determined from the median of the total number of related symptoms in each group. We also investigated how patients rated each function (excellent, very good, good, fair, poor) and whether this rating was related to the number of symptoms and the combined frequency. For bivariate analysis, Pearson's chi-square test or Fisher's exact test and the nonparametric Mann-Whitney test were used. The level of significance was 5%. Results: The combined frequency of patient-reported swallowing and voice complaints before thyroidectomy was 31.4%. The most commonly swallowing-related symptoms were throat clearing after swallowing (39.3%), swallowing effort (37.2%), and choking (35.3%). The most commonly voice-related symptoms were dry throat (72.6%), throat clearing (72.5%), and itchy throat (47%). The total number of symptoms was significantly higher among those who rated swallowing (3.13 ± 2.21) and voice (5.91 ± 2.81) negatively. Negative self-assessment of the voice was associated with the combined frequency of patient-reported swallowing and voice complaints (p=0.003). Conclusion: The combined frequency of patient-reported swallowing and voice complaints before thyroidectomy occurs in one third of the patients and is associated with negative self-assessment of the voice.

Manobra de Heimlich como técnica de desengasgo nos primeiros socorros pediátricos: Revisão integrativa de literatura

“…Nesse contexto, a manobra de Heimlich serve como uma técnica de primeiros socorros, visto que, em qualquer momento de nossas vidas, uma situação de obstrução das vias áreas pode ocorrer, para Cruz et. al.…”

Self-assessment of voice-related symptoms in individuals with thyroid cancer before, immediately after, and in the late postoperative period of thyroidectomy

“…During surgery, one of the objectives is to maintain the integrity of the laryngeal nerves (10) . Subjects with thyroid alteration tend to suffer from vocal and oropharyngolaryngeal symptoms (4,7,8,9) during pre and immediate postoperative surgery, which tends to minimize during the late postoperative period (8,11) . There is a lack of data about the general perception of the patient along the treatment line and the purpose of this study is to evaluate the self-perception of vocal, fatigue and thyroidectomy-related symptoms in subjects with thyroid cancer undergoing thyroidectomy.…”

“…Subjects with thyroid cancer may experience vocal changes due to hormonal alterations, the presence of benign or malignant nodules and enlargement of the thyroid gland (5,6,7) . Hoarseness, instability, vocal tremor, a deepened voice, restricted production of high tones, vocal fatigue, sensation of lumpiness in the throat, dyspnea, dry cough, dysphagia, pain and burning in the laryngeal region are some of the most frequent vocal and pharyngolaryngeal symptoms (4,5,7,8,9) . These symptoms may occur prior to an operation and are independent of surgery (9) .…”

Autoavaliação de sintomas relacionados à voz em indivíduos com câncer de tireoide antes, imediatamente após e no pós-operatório tardio de tireoidectomia

“…Na presença de câncer de tireoide, os indivíduos podem apresentar sintomas vocais em virtude de alterações hormonais, presença de nódulos benignos ou malignos e aumento do tamanho da glândula tireoide (5,6,7) . Rouquidão, instabilidade, tremor vocal, voz grave, restrição nos tons agudos, fadiga vocal, sensação de bolo na garganta, dispneia, tosse seca, disfagia, dor e ardência em região laríngea são alguns dos sintomas vocais e faringolaríngeos mais frequentes (4,5,7,8,9) . Esses sintomas podem ocorrer no pré-operatório, visto que independem da cirurgia (9) .…”

“…Rouquidão, instabilidade, tremor vocal, voz grave, restrição nos tons agudos, fadiga vocal, sensação de bolo na garganta, dispneia, tosse seca, disfagia, dor e ardência em região laríngea são alguns dos sintomas vocais e faringolaríngeos mais frequentes (4,5,7,8,9) . Esses sintomas podem ocorrer no pré-operatório, visto que independem da cirurgia (9) .…”