Surgery. TT was done in Oct 2012 & several LNs on the left side were removed using modified radical dissection. I still have trouble swallowing at times. My freaking neck hurts! Most people are advised to take roughly two weeks off from work to recuperate, depending on their occupation. Lymph node; Metastasis; Papillary thyroid cancer; Recurrence. Didn't find the answer you were looking for? Otolaryngol Head Neck Surg. Since then, the swelling has gone down, but the lower right side of my face (my chin and lower right of my mouth) feel numb and sort of paralyzed - a bit like it feels when I get novacaine at the dentist and it starts to wear off. Dermatologic manifestations in patients with systemic disease. In: Bolognia JL, et al. Recurrence-free survival rates were estimated by the Kaplan-Meier and Cox regression methods. 2022 Apr 26;10(12):3709-3719. doi: 10.12998/wjcc.v10.i12.3709. 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. Peel, crumble, or break easily A lump under the chin is a bump, mass, or swollen area that appears under the chin, along the jawline, or on the front part of the neck. Dr. Philip Kern answered. Has anyone had similar issues of concern? At your follow-up appointment, your surgeon will determine if you need to remain on calcium and vitamin D. If you were started on hormone replacement therapy, a thyroid-stimulating hormone test (TSH) should be checked about six weeks after surgery. Herpes spreads by oral, vaginal and anal sex. Triad of exophthalmos, pretibial myxedema, and acropachy in a patient with Graves' disease. J Am Acad Dermatol. Most of your thyroid (near-total thyroidectomy). I'm eating too much and getting depressed. 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. In addition to reviewing, I had blood work drawn, a vocal chord check and U/S. There is no relationship between when you take Provera and have a thyroidectomy. Left side surgical was hard & slightly numb to feel anything. I have loss of voice function (mostly producing volume) and problems breathing upon exertion. If youre experiencing any of the following symptoms or situations after your thyroidectomy, its important to call your healthcare provider: It can be stressful to undergo surgery. Some of these require prompt treatment, so it's important to be aware of them. JAK inhibitors are helping patients with alopecia areata, eczema/atopic dermatitis, psoriasis, and vitiligo. Thyroid. It's a 3 hour surgery awake! Thyroid surgery: common questions and concerns, Impact of potassium iodide on thyroidectomy for Graves disease: Implications for safety and operative difficulty, Factors associated with neck hematoma after thyroidectomy: a retrospective analysis using a japanese inpatient database. Examples include foods with sauces or gravy, cooked vegetables, and casseroles. Terris DJ, Snyder S, Carneiro-pla D, et al. Some days it seems to improve and then it gets worse again. Unable to load your collection due to an error, Unable to load your delegates due to an error. Doughy and swollen face, especially on your eyelids, lips, and tongue Heres how long botox tends to last. Since then, the neck swelling has gone down quite a bit, but I still wake up with a "bullfrog neck", which is both uncomfortable and not really pleasing to look at. While around 1% of people may have damage to the nerves supplying the vocal cords, around 5% to 10% of people will have temporary symptoms due to irritation of the nerves during surgery or inflammation around the nerves afterward. #oBTVLyno-JpG=_[k&\&.h8N/9 You are at potential anesthesia risk!! Hi everyone, hope you are all having a great weekend! now have what I can only describe as a bowling ball in my neck. 3 0 obj One Gp even did a white blood cell count blood test to check for any cancer markers and all was clear. I was just wondering if anyone has experienced pain to the touch in their neck weeks following a neck dissection. The worst was 4 days post TT. And I kept having this weird dream where my esophagus was made out of bacon and the bacon was coming up and into my mouth and choking me. Never ignore your gut feelings on how you feel and if you think you'll forget things to ask when you see your endo questions or just exactly how your feeling write it down that's what I should of done. Anyway im back out having had some very limited bloods done. He said it was normal. Find out what can help. Dr said this is recommended 6 to 12 months after initial RAI. So i'm currently finishing up my isolation from RAI (150 dose) and the scar is healing nicely. 13 posterior LNs were free. It is good she has ' no metastasis ' need more information , histological type , when surger Hi. the whole area (including right under my chin) is huge. She said she strongly feel that this condition is reversible with a little double behind it because it's been 2 months and they should have sent me to her earlier as she stated. After these results, he has reduced the dose to 100 mg and 125 mg on alternate days and get these tests done again in 4 weeks. Has anyone else experienced swelling in the neck region so soon after their surgery? After a couple of weeks of not eating fat (was not fun!) Can someone help me understand my thyroid sonogram results? Youre undergoing a second thyroid surgery. Roughly 5% of people may have temporary symptoms of a low calcium level, known as hypocalcemia, for at least a few weeks after thyroid surgery. OMG! I went to a very prestigious doctor in NYC Weill Cornell recommended by my endo at Sloan. At Mayo, it really is "all about YOU" :) - Anyhoo - Dr. Hay reviewed all my previous medical records and explained that although my surgical record said "no lymph node dissection warranted because ultrasound showed no lymph node involvement" that NO ONE can see the lymph nodes by ultrasound that are BEHIND the Thyroid BEFORE it's taken out!. My Doctor seemed puzzled which didn't make me feel any better. 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. I found out t Hello, how are you now? My freaking neck hurts! Less than 1% of people having a thyroidectomy will experience damage to either the recurrent laryngeal nerve or the external branch of the superior laryngeal nerve. How do doctors decide the THR doses? And every day after that got a tiny bit better (though I noticed more of a difference after every few days). It may also improve the safety of the procedure for those with Graves disease. I am scheduled to start Dabrafenib (which says not to crush) and Trametinib on Sept 24th for two months in an attempt to redifferentiate my RAI-resistant cancer. Lump under the chin: Symptoms and causes - Medical News Today Everything was in check - and I was off for my ablation. The risk of infection is present with any type of surgery but is relatively rare with thyroid surgery. I've read swelling is more common when they remove lymph nodes. I finally had my TT with bilateral neck dissection on Feb 26 of this year. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Over the past month or so I am noticing a swelling in my left neck. Pn9/@RHw\F7F).z^t6qmk\[Ry)&:r6{[;12+W;5Rl@|CFzB^ if;Qeh;a]e]O[r w{>) K}Rx((- +pKP-1X"LkJ o Till then, I m concerned & will like to seek advice from those who have gone through this experience. Did any of you guys experienced similar problems? As the area started to heal & soften, I could feel a swollen LN about 1.5cm sometime in Jan 2013. I didnt say much at the time as I knew all I needed to do was ask on this brilliant platform. An official website of the United States government. So, his answer was to see my surgeon first thing in the morning- arggh. Seroma: Causes, treatment, and recovery - Medical News Today Werner and Ingbar'sThe Thyroid: A Fundamental and Clinical Text. He said that obviously if I have trouble breathing or swallowing I need to get in immediately. Wen Q, Wang Z, Traverso A, Liu Y, Xu R, Feng Y, Qian L. Front Endocrinol (Lausanne). It's also important to talk about how to properly take your medication, as food and many drugs and supplements can interfere with absorption. Kim, I am so sorry for your discomfort but thank you for sharing. Eating soft foods for the first few days can be helpful. Answer Question Read Responses (5+) Follow How long does the swelling and tightness last? Achesbadly, is probably more accurate. Knowing what to expect before your thyroid surgery is helpful for coping with potential side effects, reducing complications, and undergoing an easier recovery process. This nerve controls the muscles that move the vocal cords. I am the one who suggested doing it sooner rather than later, because we are already in quarantine as a society with the virus, so I thought~ lets just do this now while Im in the habit! Has anyone else had this type of papillary thyroid cancer where your thyroid was normal and they could not locate the primary tumour? These glands control the calcium levels in your blood by releasing, You have an invasive tumor and/or the cancer has spread to nearby. official website and that any information you provide is encrypted I was told by my endo you have to heal internally also you mentioned that you have a post op appointment soon voice your concerns to him I hope you feel better soon hugs x. Thanks so much, this group is more knowledgeable and trustworthy than the doctors!! Discuss what's on your mind with your healthcare provider. The trachea wall was so thin after removing the cancer that my surgeon had to use some of my muscle to reinforce it. Now I feel a ridge or small obstruction when I swallow. Before you leave the hospital, your healthcare provider will go over any instructions and talk about when you should follow up with your surgeon. Just over a year ago I noticed a lump on the left side of my neck. Feb 14th, 2012 had massive dose of RAI. July 2010 #5. Copyright 2016 Elsevier Ltd. All rights reserved. Keep in mind, as well, that the likelihood of a complication occurring is much less with an experienced surgeon. My surgeon didn't do a drainage tube and I can't help but think that I may have benefited from one. World J Clin Cases. It took several days and occassional ice on it but, it went back down and looks great now. I was reading some of your other posts and saw that you have been doing well after your procedure. Could this be connected? How long did it stick around? It was fluid from the void where my thyroid used to be. The throat area is a scary place to be swollen! [deleted] 2 yr. ago Ok thank you. Once your surgeon is done, theyll close the incision with stitches (sutures). Hi, Im looking for some experiences or insight. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. Thanks for puttng my mind at ease that this swelling could be normal. Side effects of thyroid surgery are common and include neck pain, a sore throat, difficulty swallowing, hoarseness, and temporary hypoparathyroidism that usually resolves within a few weeks. The site is secure. Ryu YJ, Kang SJ, Cho JS, Yoon JH, Park MH. Looking great now! which I can. Is it just swelling that goes away? For example, more experienced surgeons may agree to take on more challenging cases that are likely to have a higher complication rate, and less experienced surgeons may limit themselves to low-risk cases. Does it get better? While Im eager to get RAI behind me, I want to be sure Im healed enough to handle the process well. Recommended exercises may include: Suggested frequency: 10 repetitions, three times day. If your not happy with your lymphedema therapist find another one. Epub 2016 Dec 2. .After my surgery I was really swollen for a very long time. What Is Causing This Woman's Swollen Chin? | MedPage Today Lateral lymph node recurrence after total thyroidectomy and central Thus, many "recurrences" are really just lymph nodes that were effected by cancer cells seeping through the back side of the thyroid and into the lymph node(s) behind it. A thyroidectomy is the surgical removal of all (total thyroidectomy) or part (partial thyroidectomy) of your thyroid gland the butterfly-shaped organ in your neck. Did you find any tricks to help it go away? It causes either unusually high or low levels of thyroid hormones in the blood. The doc removed 85 lymph nodes, with several on the larger side, and 25 came back positive for papillary. I had to advocate just to get blood work. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. Incision still swollen from total thyroidectomy - Cancer Survivors Network 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. numbness after neck surgery - Thyroid Disorders - MedHelp 2. Surgery to remove your whole thyroid may take up to four hours. The content on this site is for informational purposes only. Swollen lymph nodes are often a sign of a viral or bacterial infection, but swelling can. I had no idea it would be like this- the internet makes TT seem like a piece of cake. Once you have recovered from anesthesia and are fully awake, youll likely be able to have something light to eat and drink. I was thinking it was lucky I didn't get sick closer to my TT. Though thyroid surgery is considered a relatively safe procedure, complications may sometimes occur. I used to see a therapist and it really helped. myramarie. it feels like there are hands wringing my neck at all times, and its hard to move my head. The sides of my head and ears are totally numb and my chest is numb. I'm assuming it's normal, but will probably call my dr just to make sure. Quick background: Full TT performed in May 2013 at Hopkins for several nodules, only one with cancer - a 7mm nodule PTC - BRAF+, No lymph node involvement, margins "invasive carcinoma deep in to the margins". Advertising on our site helps support our mission. J Clin Med. My voice is very weak amd I sound like Elmo. Hoping someone here can reassure me. Mary Shomon is a writer and hormonal health and thyroid advocate. Methods: A retrospective analysis was performed on 246 patients with PTC who underwent total thyroidectomy and central neck dissection from 2004 to 2010. FOIA That would help me regain better voice volume and proper breathing. 2 of 5 central LNs were infiltrated with papillary Ca. Oral Oncol. If you have any questions or concerns about your thyroidectomy, feel free to talk to your endocrinologist or surgeon. So I went back to him and this time he operated and took the whole lump out in October, which came back positive for papillary thyroid cancer. I went to minute clinic today because I feel like I have a ear/sinus infection. Incision itself is a tiny line in the fold of my neck, however there is a "hole" about an inch above it that people are asking me about all the time. These are normal sensations. 2017 Feb;161(2):465-471. doi: 10.1016/j.surg.2016.07.031. %PDF-1.5 Braverman, MD, Lewis E., and Robert D. Utiger, MD. Thanks. Doctors typically provide answers within 24 hours. If your able to get the pump even better. The skin above the incision may look swollen after lying down for a few hours. While temporary in some cases, hypoparathyroidism caused by the injury or removal of parathyroid glands can be permanent. Anyone else have this issue? Oral Oncol. 2017;76(5):871-8. Sad. Darker skin in the creases of your palms, on your gums, or elsewhere in your mouth Treatment in the intensive care unit includes cooling, intravenous fluids, medications such as propylthiouracil (PTU), and management of arrhythmias. Lymphedema of the Neck after total Thyroidectomy - Thyroid cancer - Inspire There is a heavy emphasis on preventing Lymphedema and how to reverse it if it happens. You should wait at least 10 days to two weeks before returning to vigorous sports and activities, such as swimming and heavy lifting. You can expect permanent results in all but one area. Your thyroid is a butterfly-shaped gland located in the front of your neck. 8 days post total thyroidectomy-swelling? - MedHelp Many surgeons recommend doing gentle stretching and range-of-motion exercises to reduce stiffness. Seek urgent medical care if you experience any swelling of your neck, increased pain, shortness of breath, fever, or difficulty breathing. I have lymphedema in my chin and neck, with swelling. Although papillary with a follicular variant, my TC has behaved more aggressively than typical. Lateral lymph node recurrence after total thyroidectomy and central neck dissection in patients with papillary thyroid cancer without clinical evidence of lateral neck metastasis: Comment on data sparsity. Also, to add, I have Meneieres Disease and ringing in my ears and dizziness on and off anyway from that!