Local neck symptoms before and after thyroidectomy: a possible correlation with reXux laryngopharyngitis
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Eugenio Fiorentino · Calogero Cipolla · Giuseppa GraceVa · Alessia Cusimano · Francesco Cupido · Giuseppe Lo Re · Domenica Matranga · Mario AdelWo Lat
- چاپ و سال / کشور: 2011
Description
Local symptoms in the neck such as swallowing and voice disorders, and throat discomfort might be related to a goiter if present, but are also reported by patients suVering from reXux laryngopharyngitis. The aim of our study was to investigate the presence of reXux laryngopharyngitis in patients with nodular goiter before and after uncomplicated total thyroidectomy (TT) using a prospective study in University Hospital setting. We considered 25 patients, aVected by nontoxic nodular goiter and candidates for TT, who complained of local symptoms in the neck. All the patients were carefully interviewed, with emphasis on swallowing and voice disorders, throat discomfort and reXux-related symptoms and underwent a videolaryngoscopy (VLS) and a videoXuoroscopic swallowing study (VFSS) before and 3 months after TT. Before thyroidectomy, reXux laryngopharyngitis-related alterations were present in 68 and 50% at VLS and VFSS, respectively. After thyroidectomy, the swallowing and voice disorders persisted in 79 and 75%, respectively, while throat discomfort persisted in 91%. The results show that patients with a non-toxic nodular goiter who complain of local neck symptoms, before surgery it is appropriate to see if a reXux laryngopharyngitis is present; VLS and VFSS could be indicated for this and if necessary an antireXux treatment should be administered
Eur Arch Otorhinolaryngol (2011) 268:715–720, Received: 24 May 2010 / Accepted: 21 September 2010 / Published online: 10 October 2010 © Springer-Verlag 2010
