, Volume 30, Issue 5, pp 496–505 | Cite as

Videoendoscopic Evaluation of Swallowing After Thyroidectomy: 7 and 60 Days

  • Lica Arakawa-Sugueno
  • Alberto Rosseti Ferraz
  • Janaína Morandi
  • Dirce Maria Capobianco
  • Claudio Roberto Cernea
  • Maury Antônio Sampaio
  • Marco Aurélio Vamondes Kulcsar
  • César Augusto Simões
  • Lenine Garcia Brandão
Original Article


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.


Deglutition Deglutition disorders Vocal cord paralysis Thyroidectomy Laryngoscopy 



Endoscopy Section and TecHealth Brasil for the scientific assistance (Dirce Maria Capobianco and Taís Moreira). Alexandro Duarte for the writing review. “Research on Research” for templates on scientific writing [31] and literature review [32].

Conflict of interest

None of the authors have any conflicts of interest to declare.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Lica Arakawa-Sugueno
    • 1
  • Alberto Rosseti Ferraz
    • 1
  • Janaína Morandi
    • 1
  • Dirce Maria Capobianco
    • 1
  • Claudio Roberto Cernea
    • 1
  • Maury Antônio Sampaio
    • 1
  • Marco Aurélio Vamondes Kulcsar
    • 1
  • César Augusto Simões
    • 1
  • Lenine Garcia Brandão
    • 1
  1. 1.Department of Head and Neck SurgeryUniversity of São Paulo Medical SchoolSão PauloBrazil

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