Thyroid Resection Improves Perception of Swallowing Function in Patients with Thyroid Disease
- 26 November 2008
- journal article
- research article
- Published by Wiley in World Journal of Surgery
- Vol. 33 (2), 255-260
- https://doi.org/10.1007/s00268-008-9837-9
Abstract
Background Patients with thyroid disease frequently complain of dysphagia. To date, there have been no prospective studies evaluating swallowing function before and after thyroid surgery. We used the swallowing quality of life (SWAL-QOL) validated outcomes assessment tool to measure changes in swallowing-related QOL in patients undergoing thyroid surgery. Methods Patients undergoing thyroid surgery from May 2002 to December 2004 completed the SWAL-QOL questionnaire before and one year after surgery. Data were collected on demographic and clinicopathologic variables, and comparisons were made to determine the effect of surgery on patients’ perceptions of swallowing function. Results Of 146 eligible patients, 116 (79%) completed the study. The mean patient age was 49 years, and 81% were female. Sixty-four patients (55%) underwent total thyroidectomy and the remainder received thyroid lobectomy. Thirty patients (26%) had thyroid cancer. The most frequent benign thyroid conditions were multinodular goiter (28%) and Hashimoto’s thyroiditis (27%). Mean preoperative SWAL-QOL scores were below 90 for nine of the eleven domains, indicating the perception of impaired swallowing and imperfect QOL. After surgery, significant improvements were seen in eight SWAL-QOL domains. Recurrent laryngeal nerve injury was associated with dramatic score decreases in multiple domains. Conclusions In patients with thyroid disease, uncomplicated thyroidectomy leads to significant improvements in many aspects of patient-reported swallowing-related QOL measured by the SWAL-QOL instrument.Keywords
Funding Information
- National Institutes of Health (T32 CA90217‐07)
This publication has 22 references indexed in Scilit:
- Lingual Thyroid in Children: A Rare Clinical EntityThe Laryngoscope, 2008
- Prevalence of Perceived Dysphagia and Quality-of-Life Impairment in a Geriatric PopulationDysphagia, 2008
- Quality of Life Related to Swallowing After Tongue Cancer TreatmentDysphagia, 2007
- Does Frozen Section Alter Surgical Management of Multinodular Thyroid Disease?Journal of Surgical Research, 2006
- Impact of dysphagia on quality-of-life in nasopharyngeal carcinomaHead & Neck, 2005
- Functional Lingual Thyroid as Unusual Cause of Progressive DysphagiaThyroid®, 2004
- The SWAL-QOL and SWAL-CARE Outcomes Tool for Oropharyngeal Dysphagia in Adults: III. Documentation of Reliability and ValidityDysphagia, 2002
- Hyperthyroidism Presenting as Dysphagia.Internal Medicine, 2000
- Prevalence of swallowing complaints and clinical findings among 50–79-year-old men and women in an urban populationDysphagia, 1991