What causes a neck bulge after partial thyroidectomy?

Question

Hello doctor,

I had a partial thyroidectomy a year ago, and since then, I have noticed a palpable bulge in the front of my throat, just above my thyroid. This causes a feeling of pressure, especially when something like a blanket touches the area. My surgeon mentioned that it was my larynx but suspected a rheumatology-related issue as to why it appeared swollen. However, my rheumatologist did not think it was related and had no explanation. An ear, nose, and throat (ENT) specialist examined my vocal cords, which were fine, and suggested that it might be acid reflux. Could you please help me understand why my larynx (or something in that area) might be enlarged and whether there is anything I can do to relieve the discomfort?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on your symptoms, you may have developed post-thyroidectomy adhesion, where the surrounding tissues become weak and swollen. I do not believe the swelling is related to the larynx or other surrounding structures. However, to assess your condition more accurately, I would recommend sending a picture of the neck bulge. For management, you can apply topical 0.05 percent Dexamethasone cream twice daily for one month. This may help reduce inflammation and discomfort. If you have any further concerns or questions, please feel free to schedule a direct appointment or follow up via chat, phone, or video consultation.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.