title: Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 Days.
abstract: 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.
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil. lica.sugueno@gmail.com.
authors.forename: Lica
authors.initials: L
authors.lastname: Arakawa-Sugueno
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: Alberto Rosseti
authors.initials: AR
authors.lastname: Ferraz
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: Janaína
authors.initials: J
authors.lastname: Morandi
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: Dirce Maria
authors.initials: DM
authors.lastname: Capobianco
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: Claudio Roberto
authors.initials: CR
authors.lastname: Cernea
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: Maury Antônio
authors.initials: MA
authors.lastname: Sampaio
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: Marco Aurélio Vamondes
authors.initials: MA
authors.lastname: Kulcsar
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: César Augusto
authors.initials: CA
authors.lastname: Simões
authors.affiliation: Department of Head and Neck Surgery, University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 255, ICHC - floor 8th (8° andar), room 8174 (sala 8174), São Paulo, 05403-000, Brazil.
authors.forename: Lenine Garcia
authors.initials: LG
authors.lastname: Brandão
mesh_terms: D000328:Adult; D000368:Aged; D003679:Deglutition; D003680:Deglutition Disorders / Q000503:physiopathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013965:Thyroidectomy; D013997:Time Factors; D014743:Videotape Recording
keywords: Deglutition; Deglutition disorders; Laryngoscopy; Thyroidectomy; Vocal cord paralysis