Quantification of Foreign-body Sensation in the Throat

SUMMARY 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.

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“…FBST is an 11-item, condition-specific instrument ( 57 ). Each response is scored according to the magnitude of the FBST value.…”

Section: Resultsmentioning

confidence: 99%

“…The average of the values attached to the selected statements is considered the FBST value for the patient. The total score ranges from 0 (no problem perceived) to 8.2 (maximum perceived disability due to neck discomfort) ( 57 ).…”

Section: Resultsmentioning

confidence: 99%

Thyroidectomy-related Swallowing Difficulties: Review of the Literature

Đanić-Hadžibegović

Hergešić

Babić

et al. 2020

ACC

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Relationship between Abnormal Sensation in the Throat and Menopause

et al. 1996

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Laryngopharyngeal Reflux and Obstructive Sleep Apnea Syndrome

2010

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Gastroesophageal Reflux (GERD) and Laryngopharyngeal Reflux(LPRD)may be associated with night time reflux, snoring and sleep apnea; however, uncertainty remains whether reflux episodes are related to apneic episodes. The argument that the coincidental correlation of the severity of reflux-induced symptoms with the severity of obstructive sleep apnea is evidence against precipitation of apneic episodes by reflux episodes is unconvincing. While CPAP treatment improves the symptoms of GERD and LPRD, and treating GERD improves sleep disturbance, it is uncertain whether these treatments improve sleep apnea. It is necessary to consider additional treatments of GERD such as Proton Pump Inhibitors(PPI). Key words： laryngopharyngeal reflux, gastroesophageal reflux, obstructive sleep apnea syndrome, continuous positive airway pressure (CPAP) 閉塞性睡眠時無呼吸症候群(Obstructive Sleep Apnea Syndrome：OSAS

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Quantification of Foreign-body Sensation in the Throat

Cited by 4 publications

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Thyroidectomy-related Swallowing Difficulties: Review of the Literature

Thyroidectomy-related Swallowing Difficulties: Review of the Literature

Relationship between Abnormal Sensation in the Throat and Menopause

Laryngopharyngeal Reflux and Obstructive Sleep Apnea Syndrome

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