Post-Thyroid Tumor Surgery: Swelling and Recovery Concerns - Otolaryngology

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Post-thyroid tumor surgery


Hello: On April 10, I underwent surgery to remove a benign tumor from the right side of my thyroid.
Postoperatively, I have not experienced any swallowing issues when bending down to eat, and there is minimal pain.
I was discharged on April 13, and it has been over two weeks since then.
The wound is healing well, but after discharge, I noticed a prominent swelling in the thyroid area when swallowing, accompanied by slight pressure when not swallowing, and significant pressure when swallowing.
I did not have this issue before the surgery.
Is this normal? Could it be that I have not fully recovered yet, which is causing the swelling?

din, 40~49 year old female. Ask Date: 2019/04/30

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is recommended to schedule a follow-up appointment with the original surgeon for a check-up.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/04/30

More Info


After undergoing thyroid surgery, particularly for the removal of a benign tumor, it is not uncommon to experience some swelling in the neck area, especially around the surgical site. This swelling can be attributed to several factors, including the body's natural healing response, inflammation, and the manipulation of tissues during surgery.
In your case, since you mentioned that you had surgery on April 10 and were discharged on April 13, it has only been a little over two weeks since the procedure. During this early recovery phase, it is typical for patients to experience some degree of swelling. The thyroid gland is located in a sensitive area of the neck, and any surgical intervention can lead to temporary changes in the surrounding tissues.
The fact that you are not experiencing significant pain and have no swallowing issues is a positive sign. However, the noticeable swelling that you describe, particularly when swallowing, can be concerning. It is essential to differentiate between normal postoperative swelling and potential complications. Normal swelling should gradually decrease over time as the tissues heal. If the swelling persists or worsens, or if you develop new symptoms such as increased pain, difficulty swallowing, or fever, it is crucial to contact your healthcare provider.

The pressure sensation you feel while swallowing could be due to the swelling pressing against the esophagus or other structures in the neck. This sensation should improve as the swelling subsides. However, if it does not improve or if you have concerns about the swelling, it is advisable to follow up with your surgeon or healthcare provider. They may want to perform an examination or imaging studies to ensure that there are no complications, such as hematoma (a localized collection of blood outside of blood vessels) or infection.

In terms of recovery, it is essential to follow your surgeon's postoperative care instructions, which may include recommendations for diet, activity level, and wound care. Staying hydrated, eating soft foods, and avoiding strenuous activities can help facilitate healing. Additionally, if you have been prescribed any medications, such as pain relievers or thyroid hormone replacement therapy, be sure to take them as directed.

Overall, while some swelling and pressure sensations are expected after thyroid surgery, it is essential to monitor your symptoms closely. If you have any doubts or if your symptoms change, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide reassurance and help ensure that your recovery proceeds smoothly.

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