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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