Gregorio Scerrino1, Chiara Tudisca2, Sebastiano Bonventre3, Cristina Raspanti4, Dario Picone5, Calogero Porrello6, Nunzia Cinzia Paladino7, Federica Vernuccio8, Francesco Cupido9, Gianfranco Cocorullo10, Giuseppe Lo Re11, Gaspare Gulotta12. 1. Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, 90127, Palermo, Italy. Electronic address: gregorio.scerrino@tiscali.it. 2. Section of Radiological Sciences, DIBIMED, University of Palermo, 90127, Palermo, Italy. Electronic address: chiara.tudisca@unipa.it. 3. Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, 90127, Palermo, Italy. Electronic address: sebastiano.bonventre@unipa.it. 4. Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, 90127, Palermo, Italy. Electronic address: cristinaraspanti@yahoo.it. 5. Section of Radiological Sciences, DIBIMED, University of Palermo, 90127, Palermo, Italy. Electronic address: dario.picone@unipa.it. 6. Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, 90127, Palermo, Italy. Electronic address: calogero.porrello@unipa.it. 7. Unit of General, Endocrine and Metabolic Surgery, CHU AP-HM Hôpital de la Conception (Marseille), 147, Boulevard Baille, 13385, Marseille Cedex 5, Italy. Electronic address: nunzia.paladino@AP-HM.fr. 8. Section of Radiological Sciences, DIBIMED, University of Palermo, 90127, Palermo, Italy. Electronic address: federica.vernuccio@unipa.it. 9. Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, 90127, Palermo, Italy. Electronic address: francesco.cupido@unipa.it. 10. Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, 90127, Palermo, Italy. Electronic address: gianfranco.cocorullo@unipa.it. 11. Section of Radiological Sciences, DIBIMED, University of Palermo, 90127, Palermo, Italy. Electronic address: giuseppe.lore@unipa.it. 12. Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, 90127, Palermo, Italy. Electronic address: gaspare.gulotta@unipa.it.
Abstract
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.
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.
Authors: G Melfa; C Porello; G Cocorullo; C Raspanti; G Rotolo; A Attard; R Gullo; S Bonventre; G Gulotta; G Scerrino Journal: G Chir Date: 2018 Jan-Feb
Authors: Alexis Mok; Jakob Allen; Megan M Haney; Ian Deninger; Brayton Ballenger; Victoria Caywood; Kate L Osman; Bradford Zitsch; Bridget L Hopewell; Aaron Thiessen; Marlena Szewczyk; Daniel Ohlhausen; Christopher I Newberry; Emily Leary; Teresa E Lever Journal: Dysphagia Date: 2019-08-06 Impact factor: 3.438
Authors: G Lo Re; F Vernuccio; M L Di Vittorio; L Scopelliti; A Di Piazza; M C Terranova; D Picone; C Tudisca; S Salerno Journal: Acta Otorhinolaryngol Ital Date: 2019-03-25 Impact factor: 2.124
Authors: Tae Kwun Ha; Dong Wook Kim; Ha Kyoung Park; Gi Won Shin; Young Jin Heo; Jin Wook Baek; Yoo Jin Lee; Hye Jung Choo; Do Hun Kim; Soo Jin Jung; Ji Sun Park; Sung Ho Moon; Ki Jung Ahn; Hye Jin Baek; Taewoo Kang Journal: Front Endocrinol (Lausanne) Date: 2018-07-19 Impact factor: 5.555