swelling under chin after thyroidectomy swelling under chin after thyroidectomy

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. 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). Know that thyroidectomies are a common surgery and are generally safe if performed by a qualified and experienced surgeon. Im 2 and half weeks after total thyroidectomy and although incision healing well I have considerable swelling still just below it. I would rather know ahead of time than be blindsided. If you have any questions or concerns about your thyroidectomy, feel free to talk to your endocrinologist or surgeon. I have no clue what is "normal" on part of my discharge papers it says swelling can last for up to 4 weeks, in another part it says to call the doctor if there is swelling. Partner with the expert for the best care. Hello all. Those work really well. Help, I don't want to be a lumpy neck (especially with my already short neck) forever! It isn't as obvious visually, but I know there is something not normal in my neck. Ai J, Leonhardt JM, et al. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Your thyroid is a small, butterfly-shaped gland located at the front of your neck under your skin. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Good luck to you and keep us updated on your progress. )-hx2B,M4H&lcpaeGt?~;kq*C fs (F'z,u6uy[,+D ofgyc_GHL4qa8d4em^-' +>A,jZRXma |zZHI|tz@. The U/S revealed the positive PTC recurrence finding, as well as new "much bigger" spot that was very disturbing to the radiologist and could prevent me from getting the ethanol ablation. Before your surgery, an anesthesiologist will give you general anesthesia to relax your muscles, prevent pain and make you fall asleep. Fascinating. The exact causes of seromas are not clear, but they are common in the breast area of people who have undergone surgery to . After my TT, I had a TG of 70 un-stimulated, so did RAI at 100mci. Thyroidectomy is surgery to remove all or part of your thyroid gland. Impact of Multifocality on the Recurrence of Papillary Thyroid Carcinoma. Your provider may check your vocal cord function. Sad. Once your surgeon is done, theyll close the incision with stitches (sutures). 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. Recovering from TT/Neck Dis; Bullfrog neck! Rashes, especially in the creases of your skin Accessibility If you have a subtotal thyroidectomy, which means all but a small portion of your thyroid is removed to try to preserve thyroid function, hypothyroidism sometimes still occurs and you will need monitoring to see if replacement therapy is needed. Did RAI too but not responded so I had Radiation theraphy on my neck. Hi, I'm 4 months out of surgery, TT and 143 lymph nodes removed from my neck with 26 being cancerous. Before The procedure went well and I was surprised that I felt as good as I did shortly afterwards. Thank you for your help and yes I will write a list for Friday. I went to see my surgeon, and he said I should massage it daily, and that it would go away eventually. Any thoughts on why I am having severe fatigue? At times my ears and just underneath the ear hurt as well. Thanks Kate! Careers. Slowly raise your arms overhead, and then slowly lower them back down against your body. I haven't had RAI yet because I was given iodine in a CT after surgery and was told I had to wait 6 months. stream 13 posterior LNs were free. He asked if I had a fever, which I don't (unless you count 99.4, which I don't think is a big deal), and whether I could breath normally, etc. Advertising on our site helps support our mission. Elevate the head of your bed 30 to 45o for the first 3 to 4 days to decrease swelling. If you're experiencing any of the following symptoms or situations after your thyroidectomy, it's important to call your healthcare provider: Swelling at the incision site. Thanks. Are there other forms of treatment for my condition? Hope you feel better soon! Using pain medication after surgery may reduce discomfort, making it easier for you to keep moving your neck so that you have less stiffness later on. Have you been scheduled for a follow up with your doctor? What Is a Parathyroid Hormone Blood Test? For potential or actual medical emergencies, immediately call 911 or your local emergency service. Only do so if they tell you to. During this time, the staff will monitor you closely for any signs of neck swelling that could indicate a neck hematoma. Right now i am so confused and angry and wish I had more definite answers on the prognosis. I sleep practically sitting up +surgeon's suggestion) and it hasn't helped. Applying a warm compress may also help. Before you leave the hospital, your healthcare provider will go over any instructions and talk about when you should follow up with your surgeon. I had the same thing with a huge double chin and choking feeling. 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. My voice is very weak amd I sound like Elmo. They commonly include: Most often calcium levels improve in a few weeks but may continue to be low for up to six months. Last reviewed by a Cleveland Clinic medical professional on 09/08/2022. My doctor continues to say that this is all normal. Thanks! Avoid any activity that raises your blood pressure for one week (eg. its hard not fluid My surgeon didn't do a drainage tube and I can't help but think that I may have benefited from one. The risk of infection is present with any type of surgery but is relatively rare with thyroid surgery. Widening nose 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. The knowledge and experience here is amazing and Im so grateful as Im sure everyone is. eCollection 2022. Thyroid surgery: There are many lumps in your throat, most of which are normal structures. Recurrence in regional lymph nodes after total thyroidectomy and neck dissection in patients with papillary thyroid cancer. Has anyone else been told what is causing it? 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. Having a total thyroidectomy on tuesday for gd but ptu (propylthiouracil) has caused low t4/ft3 (ft3 0.8) i know i can't have the surgery hyper but is hypo a problem. By using this Site you agree to the following, By using this Site you agree to the following. Yellowish-orange color on your palms and soles I'm a younger guy (32) and while not really vain, I just want to look like "me" again. I am almost 6 months after my TT and left neck dissection (51 lymph nodes) and 4 months since RAI. There are two main parts of your thyroid: the two halves (lobes) and the middle of the thyroid that connects the two lobes (thyroid isthmus). Prediction of permanent hypoparathyroidism after total thyroidectomy. Painless lumps and patches of scaly, discolored skin, and the affected skin feels hard and waxy This article explores common side effects of thyroid surgery, what to expect during the recovery process, and warning signs of complications. <> In fact, I didn't sleep a wink the night it swelled up bad because I was scared I'd suffocate in my sleep. Diabetes mellitus and other endocrine diseases. In Wolff K et al. These are normal sensations. Hi All, I will definitely ask about neck swelling. Has anyone else experienced swelling in the neck region so soon after their surgery? Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. 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!. Hormones are chemicals that coordinate different functions in your body by carrying messages through your blood to your organs, skin, muscles and other tissues. Right side was OK. Excision biopsy was done to remove the 2.5cm swollen LN, Sep 2012. In the meantime, be sure to contact your thyroid-care team if you have any questions regarding your recovery process. Your throat may be sore due to the breathing tube your healthcare team placed during the surgery. The doctor said it is probably a seroma. Then they made my appointments for October 9th. -Tg= 1.8 ng/mL (1.7- 55.60) My Endo said RAI could happen anytime within 6 months ideally. There is a lot of swelling afterwards so you have to stay 1 - 2 days in the hospital for monitoring and they use steroids to reduce swelling. To learn more, please visit our. Dermatologists care for people of all ages. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. You can expect permanent results in all but one area. In addition to the swelling I have also symptoms and found this forum. It is not a substitute for professional medical advice. I have lost 15 lbs because I am limited in what I can eat. 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. Thanks:), Hello All! I have my first blood test on Friday which is about 5 weeks post surgery. Many surgeons recommend doing gentle stretching and range-of-motion exercises to reduce stiffness. Rotate both shoulders forward in a circular motion. There can be some minor swelling above the scar; If the patient has lost the notch between the insertion points of the sternocleidomastoid muscles (if no longer concave and now convex) then this is a sign there may be some clinically significant post-op swelling; Any oedema/dimpling of the skin When eyes protrude, its often a sign of thyroid disease. 2015 Feb;51(2):164-9. doi: 10.1016/j.oraloncology.2014.11.004. 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. Of course, I just saw my endo this am and didn't ask her about it. I'm glad I'm giving you hope, because I definitely remember how scared and hopeless I felt and that it wouldn't ever get better. Could this be connected? Is this a reaction of LN with RI ?? Im so tired of asking my PA questions and feeling stupid because whatever it is is no big deal, do I thought Id ask you guys. Most often, neck stiffness lasts for only a few days to a few weeks after surgery. prognosis of it? )L{`,;0|ZE&wn)*SEo{n>xl|ZG[LqXe9|F9"6X)<5*S #e'om. 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. The use of iodine was thought to reduce the risk, but a 2017 study questioned the benefit. There is a heavy emphasis on preventing Lymphedema and how to reverse it if it happens. Reddish spots on the skin that come and go. A seroma is a fluid-filled pocket that can develop after breast surgery. Kate, thank you for sharing your pictures. Thyroid Surgery Recovery, Side Effects, and Complications. Till then, I m concerned & will like to seek advice from those who have gone through this experience. Thyroid surgery will only remove the thyroid. He said that obviously if I have trouble breathing or swallowing I need to get in immediately. I have my post op on Friday but its worrying me so Id thought Id ask you all beforehand. Types of Thyroidectomy Traditional Thyroidectomy. The other nerve controls my smile. American Thyroid Association. After showering, you can lightly pat your neck dry or use a hair dryer set on the "cool" setting. Hi all, 2022 Dec 1;22(1):1246. doi: 10.1186/s12885-022-10326-8. They sent me to a lymphedema therapist as they call it which has only been in existence for three years as I was told. Youll likely be able to go back to your normal, light activities the first day after your thyroidectomy. 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. I get very breathless when talking. Firstly, hello! #oBTVLyno-JpG=_[k&\&.h8N/9 If your healthcare provider prescribes thyroid replacement therapy, be sure to have a conversation with them before leaving the hospital about when to start the medication, which medication you need, and at what dosage. This is very common and expected during the first week or two after surgery. Could swelling of a LN take place within 2-3 months ?? I even walked the town and went out for dinner after having the procedure -- I felt a bit nauseas that evening, and very tired the next day -- other than little bruising and swelling, I was good to go! Blood test taken in Mar 2013 showed thyroglobulin at 2.9 (limits 2.0 - 70.0). Did any of you guys experienced similar problems? Treatment in the intensive care unit includes cooling, intravenous fluids, medications such as propylthiouracil (PTU), and management of arrhythmias. But, each day I feel more and more like I have a lump in my throat, which seems to have become worse since starting to massage the area. HHS Vulnerability Disclosure, Help With the right dose, should I expect the FT3, FT4 and TSH to be within the normal reference ranges? I went to my appointment and forgot most of what I was going to ask or say please let us know how you get on if that's ok. It hurts to the touch and hasnt gone away. TT was done in Oct 2012 & several LNs on the left side were removed using modified radical dissection. Safety and effectiveness of total thyroidectomy and its comparison with subtotal thyroidectomy and other thyroid surgeries: a systematic review. Int J Surg. When thyroid disease goes untreated for years, it can lead to a dangerously slow (or fast) heartbeat, an injury that refuses to heal, or unrelenting pain. Peel, crumble, or break easily For some reason I seem to get the worst symptoms on Sunday, when the only way to see a doctor is through the E.R. You should not drive as long as you continue to need pain medications, and some surgeons recommend abstaining from driving for the first week after surgery altogether. Eur Arch Otorhinolaryngol. Generally speaking, you will usually need to return to the surgeon for a follow-up visit around one to two weeks after surgery. So I had my thyroidectomy on 4/9/19. Could it just be extra lymphatic fluid floating around without a place to go? My left vocal cord nerve had already been invaded and stopped working prior to surgery. Has anyone else ever had this issue with tongue swelling after neck dissection? I m 58, male otherwise healthy, has been on healthy diet since Oct 2012. Most of these will be temporary, but some may persist. So the surgeon now wants me to have an RAI full body scan in 3 weeks (ill be taking thyrogen injections 2 days before) then after the scan depending on what they find they will decide on the day whether or not to book me in for 3 days isolation for RAI ablation therapy. 3 0 obj Does it get better? it feels like there are hands wringing my neck at all times, and its hard to move my head. It's not excrutiating pain, but I have to be very careful when I'm washing my neck and it's still tight when I turn my head to the right. Be patient 2 weeks is not very long you have quite a while of healing to go. This is uncommon and primarily a concern if both nerves are damaged. I mean really (unbelievable). The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Lymphedema and swallowing issues after surgery, Papillary and follicular thyroid cancer (differentiated), Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants, Lymphedema of the Neck after total Thyroidectomy. And then there is Dr. Hay - who is incredibly brilliant and so patient focussed --it is really beyond belief. 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. July 2010 #5. Now I feel a ridge or small obstruction when I swallow. The surgeon says it is very rare, that they cannot source the primary tumor and that the cancer only showed up in a lump towards the left back of my neck. How big did it get? I've read swelling is more common when they remove lymph nodes. Binary logistic regression was used for the multivariate analysis. For people with hyperthyroidism, the doctor will administer medications to keep thyroid hormones in balance during and after surgery. Side effects, such as neck pain and stiffness or sore throat, are common after surgery. Oral Oncol. 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. We do not endorse non-Cleveland Clinic products or services. So i'm currently finishing up my isolation from RAI (150 dose) and the scar is healing nicely. 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. Its my 5th week after my radiation treatment. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 2 0 obj Your thyroids main job is to control the speed of your metabolism (metabolic rate), which is the process of how your body transforms the food you consume into energy. She directed me to massage my neck but I don't see any results. So not true. It's either from the thyroid meds, or from surgery, but I never feel strong hunger pangs and I never feel "full". The ablation procedure is much like an FNA, though my tumor was deep and it was pretty painful. Would you like email updates of new search results? 2016;95(7):e2812. In time, your incision will turn pink and then white, and most are completely healed in six to nine months. It occurs in roughly one in 2,000 surgeries. 2014 Jun;271(6):1355-60. doi: 10.1007/s00405-013-2630-x. 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).