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Published in: World Journal of Surgery 3/2016

01-03-2016 | Original Scientific Report

Changes of Laryngeal Mobility and Symptoms Following Thyroid Surgery: 6-Month Follow-Up

Authors: Antje E. Gohrbandt, Anna Aschoff, Bernhard Gohrbandt, Annemarie Keilmann, Hauke Lang, Thomas J. Musholt

Published in: World Journal of Surgery | Issue 3/2016

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Abstract

Objective

Swallowing disorders are frequent complaints after thyroidectomy even in the absence of recurrent laryngeal nerve palsy. The aim of this study was to assess different symptoms in relation to laryngeal mobility following thyroidectomy.

Materials and methods

53 patients (mean age 52.4 ± 12.5 years; 36 female) with initially benign diagnosis and intact recurrent nerve functioning were prospectively evaluated. Laryngeal movement was analyzed by ultrasound preoperatively and 1, 3, and 6 months postoperatively. In addition, a dysphagia and voice-specific quality-of-life questionnaire was used.

Results

Mean laryngeal movement differed between genders preoperatively and postoperatively resulting in a recovery predominantly in women (reduction of mobility at 1, 3, and 6 months postoperatively in females was 6.0, 3.7, and 1.5 mm, and in males 13.8, 11.7, and 10.3 mm, respectively). Mainly, women reported hoarseness (9 females) and cervical discomfort (7 females, 3 males) 1 month postoperatively. After 6 months, these complaints resolved (cervical discomfort 1 female).

Conclusion

Laryngeal mobility was significantly impaired postoperatively and only females revealed a recovery close to baseline after 6 months. Although showing only a small grade of recovery of laryngeal movement, subjective clinical symptoms were found to be rare in male patients.
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Metadata
Title
Changes of Laryngeal Mobility and Symptoms Following Thyroid Surgery: 6-Month Follow-Up
Authors
Antje E. Gohrbandt
Anna Aschoff
Bernhard Gohrbandt
Annemarie Keilmann
Hauke Lang
Thomas J. Musholt
Publication date
01-03-2016
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 3/2016
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-015-3323-y

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