Aggravation of Reflux Finding Score (RFS) after thyroidectomy.

Laryngopharyngeal reflux (LPR) has been suggested as a possible cause of post-thyroidectomy syndrome. However, the pathophysiology and relationship between thyroidectomy and LPR have not been well investigated. We aimed to evaluate the correlation between thyroidectomy and LPR by assessing changes i...

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Autores principales:	Hyung-Joon Yoon, Hee Ryung Kim, Chang Myeon Song, Ji Young Lee, You Hern Ahn, Kyung Tae
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fb0d1a427c9b48e7a84a9644256dfa9f
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spelling	oai:doaj.org-article:fb0d1a427c9b48e7a84a9644256dfa9f2021-12-02T20:04:50ZAggravation of Reflux Finding Score (RFS) after thyroidectomy.1932-620310.1371/journal.pone.0254235https://doaj.org/article/fb0d1a427c9b48e7a84a9644256dfa9f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254235https://doaj.org/toc/1932-6203Laryngopharyngeal reflux (LPR) has been suggested as a possible cause of post-thyroidectomy syndrome. However, the pathophysiology and relationship between thyroidectomy and LPR have not been well investigated. We aimed to evaluate the correlation between thyroidectomy and LPR by assessing changes in LPR-related symptoms and laryngoscopic findings before and after thyroidectomy. Ninety-five patients who underwent thyroidectomy with or without central neck dissection were included. The reflux finding score (RFS) and reflux symptom index (RSI) were investigated one day before surgery and two, four, six, and twelve months after surgery. The RFS scores increased significantly after thyroidectomy and decreased to the preoperative level 12 months after surgery. The RSI scores increased after surgery and decreased gradually by 12 months postoperatively, although it was not statistically significant. The RSI and RFS scores improved with the administration of proton pump inhibitors. In conclusion, LPR-related laryngoscopic findings were exacerbated after uncomplicated thyroidectomy. Further studies using pH-monitoring and esophageal manometry are required to investigate the possible deterioration of LPR itself and the UES pressure after thyroidectomy.Hyung-Joon YoonHee Ryung KimChang Myeon SongJi Young LeeYou Hern AhnKyung TaePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254235 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hyung-Joon Yoon Hee Ryung Kim Chang Myeon Song Ji Young Lee You Hern Ahn Kyung Tae Aggravation of Reflux Finding Score (RFS) after thyroidectomy.
description	Laryngopharyngeal reflux (LPR) has been suggested as a possible cause of post-thyroidectomy syndrome. However, the pathophysiology and relationship between thyroidectomy and LPR have not been well investigated. We aimed to evaluate the correlation between thyroidectomy and LPR by assessing changes in LPR-related symptoms and laryngoscopic findings before and after thyroidectomy. Ninety-five patients who underwent thyroidectomy with or without central neck dissection were included. The reflux finding score (RFS) and reflux symptom index (RSI) were investigated one day before surgery and two, four, six, and twelve months after surgery. The RFS scores increased significantly after thyroidectomy and decreased to the preoperative level 12 months after surgery. The RSI scores increased after surgery and decreased gradually by 12 months postoperatively, although it was not statistically significant. The RSI and RFS scores improved with the administration of proton pump inhibitors. In conclusion, LPR-related laryngoscopic findings were exacerbated after uncomplicated thyroidectomy. Further studies using pH-monitoring and esophageal manometry are required to investigate the possible deterioration of LPR itself and the UES pressure after thyroidectomy.
format	article
author	Hyung-Joon Yoon Hee Ryung Kim Chang Myeon Song Ji Young Lee You Hern Ahn Kyung Tae
author_facet	Hyung-Joon Yoon Hee Ryung Kim Chang Myeon Song Ji Young Lee You Hern Ahn Kyung Tae
author_sort	Hyung-Joon Yoon
title	Aggravation of Reflux Finding Score (RFS) after thyroidectomy.
title_short	Aggravation of Reflux Finding Score (RFS) after thyroidectomy.
title_full	Aggravation of Reflux Finding Score (RFS) after thyroidectomy.
title_fullStr	Aggravation of Reflux Finding Score (RFS) after thyroidectomy.
title_full_unstemmed	Aggravation of Reflux Finding Score (RFS) after thyroidectomy.
title_sort	aggravation of reflux finding score (rfs) after thyroidectomy.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/fb0d1a427c9b48e7a84a9644256dfa9f
work_keys_str_mv	AT hyungjoonyoon aggravationofrefluxfindingscorerfsafterthyroidectomy AT heeryungkim aggravationofrefluxfindingscorerfsafterthyroidectomy AT changmyeonsong aggravationofrefluxfindingscorerfsafterthyroidectomy AT jiyounglee aggravationofrefluxfindingscorerfsafterthyroidectomy AT youhernahn aggravationofrefluxfindingscorerfsafterthyroidectomy AT kyungtae aggravationofrefluxfindingscorerfsafterthyroidectomy
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Aggravation of Reflux Finding Score (RFS) after thyroidectomy.

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