Thyroid disease and compressive symptoms

Banks, Colin; Ayers, Christopher M.; Hornig, Joshua D.; Lentsch, Eric J.; Day, Terry A.; Nguyen, Shaun A.; Gillespie, M. Boyd

doi:10.1002/lary.22366

Cited by 63 publications

(47 citation statements)

References 12 publications

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“…They are reported as generic discomfort, tightness, lump, foreign body, difficulty or pain during swallowing and are often slight [2]. These are frequently complained by patients with thyroid diseases and considered a possible indication to surgery apart from thyroidectomy [3,4]. Otherwise, they can persist or appear after the thyroidectomy in the presence of complications, such as a laryngeal nerve damage (superior laryngeal nerve -SLN, or inferior laryngeal nerve -RLN) as well as after a thyroidectomy in which a postoperative SLN and/or a RLN damage can be excluded by means of an ORL evaluation performed just after the thyroidectomy [2,5e7].…”

Section: Introductionmentioning

confidence: 99%

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Scerrino

Tudisca

Bonventre

et al. 2017

International Journal of Surgery

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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

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Section: Introductionmentioning

confidence: 99%

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Scerrino

Tudisca

Bonventre

et al. 2017

International Journal of Surgery

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“…But, in Speech-Language clinic practice, before the surgery procedure, is already observed the diseases associated to thyroid causing complaints of voice of endocrine etiology 1,4,5 . These complaints are due to several factors: for instance, in hypothyroidism the increase of hyaluronic acid in vocal folds lamina propria may lead to fluid retention and thickening of vocal folds 6 ; in hyperthyroidism the results are believed to be resultant of the decrease in sub-glottic pressure caused by the weakness of breathing muscles, 7 and in diseases with the abnormal growth of thyroid the dysphonia may be caused by pressing the larynx nerve 8,9 . Some researches were already developed to evaluate the voice disorders faced by adult patients with thyroid disorders.…”

Section: Introductionmentioning

confidence: 99%

Qualidade de vida em voz de pacientes no pré-operatório de tireoidectomia

2016

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Purpose: to evaluate the quality of life in voice individuals submitted to thyroidectomy prior to the procedure. Methods: the study included female patients of a reference hospital referred for thyroid or gallstone surgery. Subjects were divided into: Study Group -30 women (mean 44.26 years) referred for partial or total thyroidectomy surgery; Control Group -30 women (mean 45.3 years), forwarded to gallstone surgery. The participants answered a screening questionnaire and Voice-Related Quality of Life. Data were statistically analyzed by the Fisher Two Tailed Test, Student's T Test and Pearson correlation coefficient, adopting a significance level of 5%. Results: there was a higher incidence of vocal complaints (48,3%), and lower scores for quality of life in voice in all areas in the study group than in the control group. In the exclusive analysis to the study group, it was observed that the physical domain was the most affected, with difference to the social-emotional domain (p=0,002), there is still strong positive correlation between the scores of the two domains (r=0,047; p=<0,001). Conclusion: it is concluded that the group of women with thyroid diseases pre-thyroidectomy has a negative impact on quality of life in voice, especially when it comes to the physical domain, and as the physical affections related to voice happen, there are influences on the social-emotional domain. Keywords: Health Evaluation; Quality of Life; Thyroidectomy; Voice. RESUMO

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“…The auditory-perceptual did not capture this difference, probably due to the fact of specialist analysis is only focused on noise emission in this moment; for this reason, it does not allow achieving other dimensions which only the patient assessed can access. It is worth to mention that patients with thyroid diseases frequently show compressive complaints in cervical region 4 , and these symptoms associated to the disease may influence the worsening of the voice self-assessment. In addition, in a prior research 20 with a similar population, it was found that the worsening of vocal self-assessment is correlated to the increase of voice negative impact in the quality of life, which stresses the fact of other factors besides the vocal signal deviated contribute to the perception that the individual has about his own voice.…”

Section: Resultsmentioning

confidence: 99%

Autoavaliação vocal e avaliação perceptivo-auditiva da voz em mulheres com doença tireoidiana

Costa

Pernambuco

2014

Rev. CEFAC

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Objetivo comparar a autoavaliação vocal e a avaliação perceptivo-auditiva da voz em mulheres com doença tireoidiana. Métodos o estudo foi realizado com 40 pacientes do sexo feminino, idade média de 49,50±10,40 anos, utilizando a escala analógica-visual (EAV) para realizar a autoavaliação vocal e a análise perceptivo-auditiva pelo fonoaudiólogo. A paciente considerou a emissão habitual do dia a dia na sua autoavaliação e para a análise fonoaudiológica da voz foram gravadas amostras da contagem de 1 a 20. A análise considerou o tamanho total da amostra e também sua categorização grupos de acordo com a presença ou não de queixa e por faixa etária. A análise descritiva das variáveis considerou média, mediana e desvio-padrão. Foram aplicados os testes de Wilcoxon e Mann-Whitney para comparação de médias e o teste de Spearman para testar correlação entre as duas avaliações.O nível de significância foi de 5%. Resultados 19 (47,5%) pacientes relataram queixa de disfonia. A média e desvio-padrão da EAV das pacientes e da EAV do fonoaudiólogo foram 32,58±27,99 e 37,23±15,92, respectivamente, sem diferença estatisticamente significante. Pacientes com queixa vocal apresentaram pior média na autoavaliação quando comparadas às que não tiveram queixa. Não houve diferença estatisticamente significante entre esses grupos em relação à avaliação perceptivo-auditiva. Não foi encontrada correlação estatisticamente significante entre a percepção que a paciente tem sobre sua voz e a avaliação do fonoaudiólogo. Conclusão não houve diferença entre as médias da autoavaliação vocal e da avaliação perceptivo-auditiva; a autoavaliação da voz foi pior em pacientes com queixa vocal; não houve correlação entre as duas avaliações estudadas.

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Thyroid disease and compressive symptoms

Abstract: Patients with thyroid disease frequently present with compressive symptoms, and the majority of patients experience relief postoperatively. The volume of the thyroid gland is associated with compressive symptoms along with additional contributing factors.

Cited by 63 publications

References 12 publications

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review

Qualidade de vida em voz de pacientes no pré-operatório de tireoidectomia

Autoavaliação vocal e avaliação perceptivo-auditiva da voz em mulheres com doença tireoidiana

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