Swallowing disorders after thyroidectomy: What we know and where we are. A systematic review
| Autor: | Dario Picone, Sebastiano Bonventre, C Raspanti, Chiara Tudisca, Calogero Porrello, Nunzia Cinzia Paladino, Francesco Cupido, Gianfranco Cocorullo, Federica Vernuccio, Gregorio Scerrino, Gaspare Gulotta, Giuseppe Lo Re |
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| Přispěvatelé: | Scerrino, G., Tudisca, C., Bonventre, S., Raspanti, C., Picone, D., Porrello, C., Paladino, N., Vernuccio, F., Cupido, F., Cocorullo, G., Lo Re, G., Gulotta, G |
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Laryngoscopy Ph monitoring 03 medical and health sciences 0302 clinical medicine Postoperative Complications Swallowing Laryngeal nerve medicine Recurrent Laryngeal Nerve Injurie Humans Deglutition Disorder Gastroesophageal reflux Laryngeal nerves Thyroidectomy Surgery medicine.diagnostic_test business.industry Swallowing Disorders Gold standard General Medicine Middle Aged Dysphagia Endoscopy Settore MED/18 - Chirurgia Generale 030220 oncology & carcinogenesis Recurrent Laryngeal Nerve Injuries 030211 gastroenterology & hepatology Postoperative Complication medicine.symptom business Deglutition Disorders Human |
| Zdroj: | International journal of surgery (London, England). 41 |
| ISSN: | 1743-9159 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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