It's a 3 hour surgery awake! its hard not fluid I mean really (unbelievable). What happens if i cough during total thyroidectomy surgery? Side effects, such as neck pain and stiffness or sore throat, are common after surgery. In the operating room, you will be in a semi-seated position, with or without your chin tilted back and with support under your neck and shoulders. Anatomic characteristics, identification, and protection of the nonrecurrent laryngeal nerve during thyroidectomy. I need advice! It came after resuming some "normal" activity and to be truthful, lifting a few things I shouldn't have. This lateral neck dissection I had one week ago seems worse than the TT I had last year! I was basically cut from ear-to-ear plus another cut on the left side neck almost perpendicular to the main cut. Light housekeeping and walking are usually fine once you arrive home. Kim, I am so sorry for your discomfort but thank you for sharing. sharing sensitive information, make sure youre on a federal Swollen incision site. I am so grateful for all of the information that is exchanged on this forum, and wanted to share my recent experience at Mayo with Ethanol Ablation. My concern is that if they don't find anything i don't want to do RAi unless absolutely necessary. Did you also have lymph nodes removed? Head & Neck. So I had my thyroidectomy on 4/9/19. Epub 2017 Apr 17. Seek urgent medical care if you experience any swelling of your neck, increased pain, shortness of breath, fever, or difficulty breathing. A 46-year-old woman is hospitalized in Riga, Latvia, 1 month after suddenly developing an enlarged chin, which is swollen and tender. <>>> My left vocal cord nerve had already been invaded and stopped working prior to surgery. Last week out of the blue my left cheek near my ear felt "bruised". The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. I love it and my insurance paid for it. When I smile, my lower left lip doesn't operate and I pretty much have the appearance of a stroke. In fact, I didn't sleep a wink the night it swelled up bad because I was scared I'd suffocate in my sleep. Swelling in Right thyroid lobe since one month.at that time fever and neck pain was there.After consultation of physician antibiotics was used &gradually fever disappear.Now external swelling not there but in ultra sound scanning swelling is observed.and slightly T3,T4 levels raised but TSH is about 0.01. Generally speaking, you will usually need to return to the surgeon for a follow-up visit around one to two weeks after surgery. Joo JY, Jin J, Seo ST, Lim YC, Rha KS, Koo BS. stream now have what I can only describe as a bowling ball in my neck. . An infection, benign growths, cancer, or an injury are just a few of the causes of lumping. Factors that increase the risk of hypoparathyroidism after thyroid surgery include a diagnosis of thyroid cancer, a longer duration of thyroid disease before surgery, a central incision, and the removal of a large amount of thyroid tissue. I had a tumor embedded in the laryngeal nerve and my half of my right vocal chord doesn't function. A seroma is a collection of fluid that can occur after many types of surgery. Center) First, I will say (and it's been said on this board here before) going to Mayo was the BEST decision and BEST medical experience of my entire life. My surgeon prescribed thyroid replacement meds and I had to have my blood pressure medicine changed due to a recall. Post-thyroidectomy patients have a central neck scar. I had a neck dissection where nodes were positive, positive fatty tissue was removed and my thymus (which ended up coming through clear). What will be my physical restrictions following surgery? Of course, during COVID-19, protocols or normal ways of doing things are different. If any of these symptoms occur, immediate evaluation by a healthcare provider or an ear, nose, and throat (ENT) doctor is recommended. Post surgery and Endo calls were virtual or just by phone. Achesbadly, is probably more accurate, Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. If you are having thyroid surgery, known as a thyroidectomy, to remove all or part of your thyroid glanda butterfly shaped organ at the base of your neckit's important to know what to expect as you recover. Should I have imaging? It causes either unusually high or low levels of thyroid hormones in the blood. is a 1.5" diameter x 3" long swelling needing narcotics typical? In some cases, more than one lump may develop. Advertising on our site helps support our mission. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. -FT3 = 5.63 pg/mL (2.30- 4.20) It's almost in the same spot that the initial lymph nodes popped up when I was diagnosed. Did RAI too but not responded so I had Radiation theraphy on my neck. 1 Complications occur in only about 3%-5% of patients after thyroidectomy, with tracheal perforation occurring in approximately 0.06% of cases. Copyright 2016 Elsevier Ltd. All rights reserved. Deep, noticeable lines on your palms and soles I am almost 6 months after my TT and left neck dissection (51 lymph nodes) and 4 months since RAI. The ThyCa: Thyroid Cancer Survivors' Association Support Community connects patients, families, friends and caregivers for support and inspiration. Size has not grown since. The Effect of Prophylactic Central Neck Dissection on Locoregional Recurrence in Papillary Thyroid Cancer After Total Thyroidectomy: A Systematic Review and Meta-Analysis : pCND for the Locoregional Recurrence of Papillary Thyroid Cancer. I sleep practically sitting up +surgeon's suggestion) and it hasn't helped. Thank you Katie! Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. The pain was bad the first two days then basically went away. Injury or trauma can be treated based on the cause and symptoms of the injury. By Mary Shomon The procedure went well and I was surprised that I felt as good as I did shortly afterwards. doi:10.1097/MD.0000000000002812, Almquist M, Hallgrimsson P, Nordenstrm E, Bergenfelz A. Has anyone else had this type of papillary thyroid cancer where your thyroid was normal and they could not locate the primary tumour? Thyroid cancer - Symptoms and causes - Mayo Clinic Darker skin in the creases of your palms, on your gums, or elsewhere in your mouth I don't believe it is due to the RAI damage as I had these same aches before I was diagnosed and now they seem to be back 11 months after my TT and RAI. My freaking neck hurts! Kate, thank you for sharing your pictures. Please would like to hear from you any thoughts? Prediction of permanent hypoparathyroidism after total thyroidectomy. The excess activity could increase your chance of developing a hematoma or keep your wound from healing properly. I used to see a therapist and it really helped. Some of these require prompt treatment, so it's important to be aware of them. Epub 2013 Jul 16. I don't know about your swelling I took along time to heal and the scar tissue was horrible I think it was the hardest surgery to recovery because its always being irritated from food. Are you sure you want to block this member? I had no idea it would be like this- the internet makes TT seem like a piece of cake. Keywords: July 5th, 2012 just had another right neck dissection to remove even more lymph nodes. #,OuLjRhbTwZF'! Did he put in drainage tubes? Keep in mind, as well, that the likelihood of a complication occurring is much less with an experienced surgeon. 2013;23(10):1193-202. doi:10.1089/thy.2013.0049. If hypocalcemia is severe, the condition can progress to symptoms of abnormal heart rhythms (arrhythmias), difficulty breathing (due to muscle spasms in the voice box), kidney stones, heart failure, and/or seizures. My blood work came out perfect, except for sightly high cholesterol & triglycerides, and my eosinophil (whatever that is) was high at 614. Get our printable guide for your next healthcare provider's appointment to help you ask the right questions. Thyroidectomy: What It Is, Complications & Recovery - Cleveland Clinic Its so great to have found a support site and to feel that we are not alone:) My journey with thyroid cancer has been a whirlwind of mixed emotions. Firstly, hello! What Is Causing This Woman's Swollen Chin? | MedPage Today Kalus AA, Chien AJ, et al. If you have any questions or concerns about your thyroidectomy, feel free to talk to your endocrinologist or surgeon. But I don't know if it's because I also had 33 lymph nodes (including way up by my jaw) removed, or if I just suck at recovery. Thyroid disease: A checklist of skin, hair, and nail changes The doc said the swelling would be worse in the mornings due to the loss of so many lymph nodes and subsequent scar tissue. If calcium supplementation is not used and the condition is permanent, further symptoms may include tingling and numbness of the bottoms of the feet, muscle cramps and twitches, anxiety, depression, and headaches. I'm not well versed in blood test readings and such yet, this topic concerns my surgery complications and I hope someone can shed some light. Right side was OK. Excision biopsy was done to remove the 2.5cm swollen LN, Sep 2012. That would help me regain better voice volume and proper breathing. Neck swelling after thyroid surgery - Practo Thyroiditis - NHS Left side surgical was hard & slightly numb to feel anything. STIs are the most common cause of genital sores. Under local anesthesia so they can monitor my voice function during surgery. No major symptoms of hypo yet, and one more scan to complete this coming Friday. Hello, Hi Everyone- You are at potential anesthesia risk!! How big did it get? Swelling after thyroid surgery 3 days ago, the left lobe (a 4 cm nodule was on it) and the isthmus ? Of course, I just saw my endo this am and didn't ask her about it. I will definitely ask about neck swelling. Dr. Philip Kern answered. Before my TT operation I had had a CT scan and a nuclear iodine full body scan which both came back as clear. If your throat is sore or if swallowing is painful, eating a diet of soft foods will be more comfortable. Is it just swelling that goes away? They initially coagulate then liquefy after 1-2 weeks. It occurs in roughly one in 2,000 surgeries. 8600 Rockville Pike Fascinating. )L{`,;0|ZE&wn)*SEo{n>xl|ZG[LqXe9|F9"6X)<5*S #e'om. Complications are rare but can be serious and even potentially life-threatening if they do occur. American Thyroid Association. Careers. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. JAK inhibitors are helping patients with alopecia areata, eczema/atopic dermatitis, psoriasis, and vitiligo. Anyway im back out having had some very limited bloods done. If youve had a hemi-thyroidectomy or thyroid lobectomy, theres a 60% chance you wont need to take thyroid medication unless youre already on thyroid medication for low thyroid hormone levels (hypothyroidism) or blood tests reveal that your thyroid isnt making enough hormones. A seroma is a fluid-filled pocket that can develop after breast surgery. When you have your follow-up appointment, your surgeon will check your blood calcium level. As others have said, he knows your story before you get there (they all do!) Bleeding after surgery that could lead to, Injury to a recurrent laryngeal nerve, which can cause temporary or permanent, Damage to your parathyroid glands, which are located behind your thyroid. I called my surgeon a couple times because I was sure it was lymphedema. undefined will no longer be visible to you including posts, replies, and photos. ThyCa: Thyroid Cancer Survivors' Association, Inc. Depending on your reason for needing a thyroidectomy, in the weeks before your surgery: Youll need to fast (not eat or drink anything except water) for several hours before your surgery. Increased swelling, redness, or drainage from the incision. Could this be connected? I also haven't been able to find any photos or much info on neck lymphedema. It does get better though, just slowly. Recurrence in regional lymph nodes after total thyroidectomy and neck dissection in patients with papillary thyroid cancer. Till then, I m concerned & will like to seek advice from those who have gone through this experience. If the nerve was injured, more severe symptoms may be noted after surgery. Give the compression garment they told you to use a chance. My voice is strong, but slightly raspy. To view profiles and participate in discussions please. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. It is hard to describe like the area is swelling and like it is being squeezed at the same time. Close surveillance may be necessary for early detection of lateral LN recurrence in PTC patients with tumor size 1cm, and central LN metastasis with extranodal extension. Blood test taken in Mar 2013 showed thyroglobulin at 2.9 (limits 2.0 - 70.0). I am having a weird puffing/swelling on either side of my incision along with skin and area becoming hard to the touch, beginning about a week and a half after initial central and lateral neck dissection to remove thyroid and a bunch of nodes (at Johns Hopkins Otolaryngology). I went to minute clinic today because I feel like I have a ear/sinus infection. Dr. Hay is a genius, Dr. Lee and Dr. Fazzio are amazing at performing the ablation - and I am so happy that I did this - and encourage anyone with recurrence to at least see if they are good candidate for this treatment before getting more surgery. My surgeon told me I could do anything I wanted including exercise but even 5-6 weeks post opt I could not lift weights or barely jog without swelling shortly after. I was told to try warm compresses which brought the swelling down but now it's coming back again :-( Check it out for sure I think you need more time to heal, Hi after my partial thyroidectomy it took a good few weeks for the swelling and pain and discomfort to subside I also used bio oil on the scar tissue to minimise the scar as for swallowing it was uncomfortable for a while but normally disappears eventually. Thanks for puttng my mind at ease that this swelling could be normal. Most of your thyroid (near-total thyroidectomy). I am going in for a neck ultrasound today. I alos have pain and tightness in sternal area and towars my left shoulder. This article explores common side effects of thyroid surgery, what to expect during the recovery process, and warning signs of complications. I'm considering surgery to treat my overactive thyroid as the medication is not improving it, are there any dangerous side effects of thyroidectomy? Especially, extranodal extension of a metastatic central LN (OR, 38.82; 95% CI, 5.71-264.10; p<0.001) was an independent predictor of lateral LN recurrence. Verywell Health's content is for informational and educational purposes only. American Thyroid Association statement on outpatient thyroidectomy. Thanks Kate! What Do Herpes Sores Look Like at Different Stages. Accessibility I didnt say much at the time as I knew all I needed to do was ask on this brilliant platform. Predictive factors for lateral LN recurrence were evaluated using the chi-square test. How soon after a 7 day course of provera (medroxyprogesterone) can a total thyroidectomy be performed? Binary logistic regression was used for the multivariate analysis. Doughy and swollen face, especially on your eyelids, lips, and tongue Conclusions: When things get really full, sometimes I use kinesio tape in addition. I had a total TT and left neck dissection 4 weeks ago and am still recovering from the op. my left shoulder pain and neck swelling is unbearable at the moment ( think that has a lot to do with being back at work last week and working at a computer for most of the day) but otherwise the actual thyroid op went well, no complications with calcium levels and effect to my voice. Since it's common for the parathyroid glands to function poorly after a thyroidectomy, you may be sent home with calcium and vitamin D supplements. However, it is now May 2016 and my neck in that area still feels very odd. Widening nose Re: when you lay down, and I know this is something just psychological, but I found that having a gentle fan blowing on me helped me to feel less short of breath. Be patient 2 weeks is not very long you have quite a while of healing to go. These dermatologists' tips tell you how to protect your skin. Anatomic characteristics, identification, and protection of the nonrecurrent laryngeal nerve during thyroidectomy. Its weird because original swelling already went down and now this? Occurring in roughly one in 300 procedures, most hematomas occur within 24 hours of surgery, though research indicates they may occur later in 10% to 28% of cases. Methods: It is uncommon, but when it occurs after thyroidectomy, it is usually associated with Grave's disease. Kimcam how's the incision? For me the incision site wasFor me the incision site was decently swollen for about 1 week, but it is still (since march) got a bit of a bump across the scar (about the thickness of a pencil).When is your followup for your surgery? Hope you feel better soon! Thyroidectomy | Johns Hopkins Medicine For people with hyperthyroidism, the doctor will administer medications to keep thyroid hormones in balance during and after surgery. Have any of you had an increasing feeling of a lump in your throat at the surgery site the farther out from surgery you get? I feel VERY lucky that I feel pretty good; have had 2 days of some nausea and a few days of lack of concentration and short term memory. Had 6 months tests about a month ago, Tg is undetectable and lymph node ultrasound was normal. I was still finding it difficult to make sense of the results and thought of asking my questions here since the community had been really helpful earlier. If hoarseness persists, especially if it is still present six months after surgery, it's likely that the recurrent laryngeal nerve was injured. Your throat may be sore due to the breathing tube your healthcare team placed during the surgery. The lymphedema therapist concocted some velcro/ace band together to put around my neck. Nausea and vomiting after thyroidectomy was the norm at one time, and people may be concerned if they talk with others who had this procedure in the past. Results: I was shocked that she uttered those words and I excitedly told her I had been obsessively researching this treatment - but wasn't sure re: RAI. Another blood test is recommended in Jul 2013, followed by a low dose radio iodine scan. Thanks:), Hello All! During this time, your healthcare provider will monitor your calcium levels to determine when you can stop using your supplements (or much less commonly, if you will need to continue these indefinitely). I am hoping someone here can shed some light, share some insight or has been down a similar path I asked numerous GP's about it and they all said it wasn't attached to anything so should disappear by itself and is probably just a swollen lymph node. I figure I need to call the surgeon anyway, but just thought I'd ask about other's experience ~ 3 weeks post-op. Then they made my appointments for October 9th. and they all talk - ongoing talk - just about you! This site needs JavaScript to work properly. Xu S, Huang H, Huang Y, Wang X, Xu Z, Liu S, Liu J. BMC Cancer. I felt like such a nag calling my surgeon so often, but I didn't feel that prepared for the swelling and massive discomfort. 2017 Jun;69:128. doi: 10.1016/j.oraloncology.2017.04.006. When I took the outer strips off and tilted my chin up, it seemed like all of my insides (whatever is left) was pushing towards where they did my TT. Epub 2016 Dec 2. I just looked at my Tg results and I'm really happy that number dropped from 20 back in April to .6, which is where my Tg was at its lowest after my TT and central neck dissection. 2017 Feb;161(2):465-471. doi: 10.1016/j.surg.2016.07.031. Ask your therapist if this is an option for you. Elevate the head of your bed 30 to 45o for the first 3 to 4 days to decrease swelling. This is uncommon and primarily a concern if both nerves are damaged. I spoke with the Doctor on-call and he said that if I go to the ER it will be 6-7 hours of waiting. I had to advocate just to get blood work. Do anyone have problem sleeping after the throid surgery.It seem like every position I try might hurt my surgery . Or at least the last year . I have been doing my physical therapy exercises daily in attempts to help with the swelling. Your surgeon will likely recommend that you limit more intense physical activities for a week or two. Yes, about a week after my TT (performed on August 4th) I had significant swelling on the right side of my neck below the stitches. Swelling after thyroidectomy??? - Thyroid cancer - Inspire Prediction of Cervical Lymph Node Metastasis Using MRI Radiomics Approach in Papillary Thyroid Carcinoma: A Feasibility Study. If so, how long does swelling last? I realize that travel and expenses etc to get to Mayo may preclude you from this option -- but if there are resources or any opportunities to do so -- go for it. This really depends on how the surgery went. Anyone else have this issue? It could be an infection. I haven't had my surgery yet but my sister has and that does not seem right to me. But I do have clearly defined swelling - mostly above the incision, but also below. Thanks! heavy lifting, strenuous exercise, etc.). Last Updated January 17, 2020. I am very discouraged. Thinning hair or balding patches It has been difficult but I am trying to be positive and hoping that things would get better. Fever with a temperature higher than 101.5. If you saw my other thread, you know I've had an allergic reaction to steri-strips so that might be causing some swelling. Has anyone else experienced this or something like it? In the multivariate analysis, tumor size >1cm (odds ratio [OR], 8.14; 95% confidence interval [CI], 1.01-65.68; p=0.049) and central LN metastasis (OR, 10.59; 95% CI, 1.32-85.17; p=0.026) were independent predictive factors of lateral LN recurrence. You can expect permanent results in all but one area. New upper neck mass after thyroidectomy, radioactive iodine - Healio Anderson CK, Miller OF. The thyroid gland wraps around and lays on top of lymph nodes (the central section is the biggest culprit of hidden lurkers) so that after you take out the thyroid, you are bound to have lymph node involvement in the area behind the thyroid where the cancer was found. They sent me to a lymphedema therapist as they call it which has only been in existence for three years as I was told. Ive learned so many helpful tips and suggestions. if it is soon (next week or so) then i would wait for the appointment. Hormones are chemicals that coordinate different functions in your body by carrying messages through your blood to your organs, skin, muscles and other tissues. You have a large goiter that goes below your collarbone into the top of your chest (substernal goiter). Doctors typically provide answers within 24 hours. Thanks so much for making me feel so much better today with hope for the future! Lymph node; Metastasis; Papillary thyroid cancer; Recurrence. Health care providers perform thyroidectomy to treat thyroid disorders. I was reading some of your other posts and saw that you have been doing well after your procedure. I am 30 years old. Columbia Thyroid Center. The doctor said it is probably a seroma. But again, less invasive and temporary pain with no side effects compared to having my neck slit open! I have my post op on Friday but its worrying me so Id thought Id ask you all beforehand. I will ask more questions on Friday during my post op appointment. After completing this course of medication, I could feel that the swelling had slightly gone down but then the swelling came back around April 13 when I tested positive for COVID.