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Răspunsuri la întrebări (880)
December 16, 2012
Mary V:
Buna seara,
Am 58 de ani,1,56 cm si 67kg. Am fost operata in data de 12.11.2012 practicandu-se tiroidectomie totala cu disectie limfatica lateralo-cervicala dreapta si centrala. La examenul anatomopatologic am primit urmatorul rezultat si anume microcarcinom papilar multifocal, bloc adenopatic LCD cu metastaze izostructurale – 7 linfoganglioni reactivi.
Problema mea, in prezent, este faptul ca la 5 zile dupa operatie nu am mai putut vorbi decat in soapta, iar in urma unui control ORL mi s-a pus diagnostic de paralizie coarda vocala dreapta.Am facut un ecograf si s-a constatat ca nervul recurent a fost strangulat de edemul rezultat in urma operatiei.Va rog sa-mi comunicati parerea dumneavoastra in legatura cu aceasta problema. Va multumesc
Raspuns:
– afectarea nervilor laringieni recurenti este o complicatie posibila a operatiilor de indepartare a troidei, mai ales cand e vorba de tumori maligne, unde este important sa se scoata cat mai complet tesutul tiroidian; in cele mai multe cazuri aceste probleme se rezolva (complet sau partial) pe masura ce trece timpul de la interventia chirurgicala;
– ca regula generala, imbunatatiri se pot observa pana la 6-12 luni de la operatie; dupa 1 an, problemele care raman tind sa devina permamente;
– in esenta, edemul de la nivelul gatului se va retrage; deci, daca asta e cauza principala, se poate spera la o buna recuperare a functiei motorii a nervului respectiv;
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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