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Target Concepts:
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Query: UMLS:C0011168 (
dysphagia
)
15,644
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Deglutition complaints are frequent after thyroidectomy. The purpose of this study was to follow-up on patients with thyroidectomy indication to compare the videoendoscopic evaluation of swallowing on the seventh day (early postoperative, EPO) and on the 60th day after thyroidectomy, (late postoperative,
LPO
) and to compare patients that evolved with normal laryngeal mobility (NLM) and abnormal laryngeal mobility (ALM). Nasofibroscopic evaluation was performed preoperatively (PRE), on the EPO and
LPO
. Two groups were compared: ALM and NLM. The majority of people were women, age bracket 46-65, who underwent total thyroidectomy and with high frequency of carcinoma. 30 out of the 54 patients in the study had change in swallowing (55 %).
Dysphagia
occurred in 87 % (13/15) of patients with ALM in the EPO and remained in 67 % of them in the
LPO
. In the NLM group,
dysphagia
occurred in 44 % (17/39) in EPO and 25 % in
LPO
. There was a statistical difference between PRE and EPO, and PRE and
LPO
(P < 0,001). In the ALM group, liquid penetration and aspiration were identified in 33 % of the cases during EPO (P = 0,014); retention of food occurred in 87 % in EPO and in 60 % in
LPO
(P < 0,001).
Dysphagia
occurs in patients after thyroid surgery (regardless of larynx mobility alteration) and characterized by stasis of food in the oro and hypopharynx, which is also noticed in
LPO
, though more frequently in EPO.
Dysphagia
2015 Oct
PMID:Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 Days. 2608 1