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Prevalence of Upper Aerodigestive Symptoms in Patients Who Underwent Thyroidectomy with and without the use of Intraoperative Laryngeal Nerve Monitoring.
MedLine Citation:
PMID:  22545701     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Upper aerodigestive symptoms (UADS) have been reported by patients who have had thyroidectomies. This study evaluated the long-term prevalence of UADS after thyroidectomy in patients who did and who did not have intraoperative laryngeal nerve monitoring (IONM). Methods: This was a cross-sectional study of patients with normal vocal fold mobility who had a thyroidectomy. It included patients who did and did not have this surgery with IONM. All patients answered a questionnaire regarding UADS occurring one or more years after thyroidectomy. The questionnaire dealt with UADS relating to voice and swallowing symptoms and sought to quantify their severity. The 208 patients who underwent thyroidectomy without IONM were designated the CG group. The 100 patients who underwent thyroidectomy with IONM were designated the neuromonitored (NMG) group. Results: The proportion of patients in the CG group who reported UADS was 45%; 25.9% of these patients reported voice symptoms, and 33.6% reported swallowing symptoms. The proportion of patients in the NMG group who reported UADS was 39%; 27% of these patients reported voice symptoms, and 22% reported swallowing symptoms. Thus, patients in the CG group had more swallowing symptoms and a greater severity of UADS-related symptoms than patients in the NMG group. Conclusions: In this study, IONM had a favorable effect in terms of decreasing the prevalence and severity of UADS occurring one year or more after thyroidectomy.
Authors:
Isabel Cristina Medeiros Silva; Irene de Pedro Netto; Jose Guilherme Vartanian; Luiz Paulo Kowalski; Elisabete Carrara-de-Angelis
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-30
Journal Detail:
Title:  Thyroid : official journal of the American Thyroid Association     Volume:  -     ISSN:  1557-9077     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-5-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104317     Medline TA:  Thyroid     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
A.C. Camargo Hospital, Voice, Speech and Swallowing Rehabilitation Department, Sao Paulo, Sao Paulo, Brazil; bel.medeiros@yahoo.com.br.
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