{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:20:43Z","timestamp":1787311243794,"version":"build-2736575974"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T00:00:00Z","timestamp":1634688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2003Thyroidectomy is a common procedure. Certain swallowing problems could happen after this surgery and affect the quality of life of the patient.<\/jats:p>\n                  <jats:p>Objective\u2003To evaluate swallowing after thyroidectomy in the early and late postoperative periods and to correlate subjective and objective parameters.<\/jats:p>\n                  <jats:p>Methods\u2003A prospective study with100 patients who underwent total thyroidectomy at our institution from April 2018 to September 2019. Each patient was assessed by the Arabic version of the Eating Assessment Tool (EAT-10) questionnaire and the fiberoptic endoscopic evaluation of swallowing (FEES) preoperatively, and in the early postoperative (EPO) and late postoperative (LPO) periods.<\/jats:p>\n                  <jats:p>Results\u2003The rate of dysphagia was of 82% in the EPO period, and of 36% in the LPO period. Two groups were compared regarding vocal fold mobility using the FEES. Group I included 89 patients with normal vocal fold mobility, 42% of whom had early dysphagia, and only 22% had late dysphagia. Regarding swallowing, we found that in the EPO period, the rates of delayed triggering, aspiration, penetration and residue were of 12.4%, 0%, 0%, and 42.7% respectively. Group II (unilateral immobile vocal fold) included 11 patients in the EPO evaluation, and all of them had early dysphagia.<\/jats:p>\n                  <jats:p>Conclusion\u2003Swallowing problems can occur in patients after thyroidectomy regardless of alterations in larynx mobility, and they are characterized by delayed triggering and stasis of food, which are also noticed in the LPO period, though more frequently in the EPO period. Moreover, there is a highly significant correlation between the subjective and objective parameters of swallowing in both EPO and LPO periods.<\/jats:p>","DOI":"10.1055\/s-0041-1730302","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T18:48:56Z","timestamp":1634755736000},"page":"e327-e333","source":"Crossref","is-referenced-by-count":9,"title":["Swallowing Problems after Thyroidectomy"],"prefix":"10.1055","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6836-5258","authenticated-orcid":false,"given":"Yasser Mohammed","family":"Elbeltagy","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4547-4846","authenticated-orcid":false,"given":"Samia Elsayed","family":"Bassiouny","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0571-622X","authenticated-orcid":false,"given":"Tamer Shokry","family":"Sobhy","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4824-631X","authenticated-orcid":false,"given":"Ahmed Essameldin","family":"Ismail","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4886-7407","authenticated-orcid":false,"given":"Ahmed Abdelmoneim","family":"Teaima","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,10,20]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"2319","DOI":"10.1002\/lary.23850","article-title":"Morbidity after thyroid surgery: patient perspective","volume":"123","author":"G Grover","year":"2013","journal-title":"Laryngoscope"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1080\/00015458.2006.11679911","article-title":"Laryngeal dysfunction after thyroid surgery: diagnosis, evaluation and treatment","volume":"106","author":"C Finck","year":"2006","journal-title":"Acta Chir Belg"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1016\/j.surg.2009.09.010","article-title":"Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms","volume":"146","author":"C P Lombardi","year":"2009","journal-title":"Surgery"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1089\/thy.2011.0118","article-title":"Prevalence of upper aerodigestive symptoms in patients who underwent thyroidectomy with and without the use of intraoperative laryngeal nerve monitoring","volume":"22","author":"I C Silva","year":"2012","journal-title":"Thyroid"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1002\/hed.20480","article-title":"Voice and vocal self-assessment after thyroidectomy","volume":"28","author":"I de Pedro Netto","year":"2006","journal-title":"Head Neck"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/s00455-015-9628-z","article-title":"Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 Days","volume":"30","author":"L Arakawa-Sugueno","year":"2015","journal-title":"Dysphagia"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s00455-016-9775-x","article-title":"History of Fiberoptic Endoscopic Evaluation of Swallowing for Evaluation and Management of Pharyngeal Dysphagia: Changes over the Years","volume":"32","author":"S E Langmore","year":"2017","journal-title":"Dysphagia"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1177\/1553350610376394","article-title":"Total thyroidectomy performed with the Starion vessel sealing system versus the conventional technique: a prospective randomized trial","volume":"17","author":"G Scerrino","year":"2010","journal-title":"Surg Innov"},{"issue":"02","key":"ref9","first-page":"67","article-title":"Symptoms and signs of swallowing changes after thyroidectomy","volume":"38","author":"A T Senise","year":"2009","journal-title":"Rev Bras Cir Cabe\u00e7a Pesco\u00e7o."},{"issue":"12","key":"ref10","doi-asserted-by":"crossref","first-page":"3869","DOI":"10.1245\/s10434-013-3163-7","article-title":"A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. A randomized controlled study","volume":"20","author":"S P Jung","year":"2013","journal-title":"Ann Surg Oncol"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1177\/000348940811701210","article-title":"Validity and reliability of the Eating Assessment Tool (EAT-10)","volume":"117","author":"P C Belafsky","year":"2008","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1177\/0003489414558107","article-title":"The Ability of the 10-Item Eating Assessment Tool (EAT-10) to Predict Aspiration Risk in Persons With Dysphagia","volume":"124","author":"D M Cheney","year":"2015","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1177\/0003489417751472","article-title":"Changes in Voice- and Swallowing-Related Symptoms After Thyroidectomy: One-Year Follow-Up Study","volume":"127","author":"Y M Park","year":"2018","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s00455-018-9949-9","article-title":"Longitudinal Kinematic Evaluation of Pharyngeal Swallowing Impairment in Thyroidectomy Patients","volume":"34","author":"I Im","year":"2019","journal-title":"Dysphagia"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.asjsur.2019.04.013","article-title":"Objective analysis of swallowing and functional voice outcomes after thyroidectomy: A prospective cohort study","volume":"43","author":"T Gumus","year":"2020","journal-title":"Asian J Surg"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1730302.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T20:08:39Z","timestamp":1657829319000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1730302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,20]]},"references-count":15,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,7,14]]},"published-print":{"date-parts":[[2022,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1730302","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,20]]}}}