ArticleFrontiers in endocrinology2025
Influence of intraoperative electromyographic changes and surgical extent on post-thyroidectomy esophageal motility: a prospective cohort study.
Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Long-Term Swallowing Outcomes Following Thyroidectomy: Clinical Determinants of Persistent Swallowing Symptoms in Endocrine Surgical Oncology Care.Healthcare (Basel, Switzerland) · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Thyroidectomy may lead to postoperative swallowing difficulties. This study aimed to evaluate the relationship between electromyographic (EMG) changes observed during intraoperative neuromonitoring (IONM) and swallowing problems following lobectomy, total thyroidectomy (TTx), and total thyroidectomy with central lymph node dissection (TTx+CLND), as assessed using high-resolution manometry (HRM). Methods: This prospective study included 36 patients who underwent thyroid lobectomy (n=9), TTx (n=15), or TTx+CLND (n=12) by using IONM. All patients were questioned about dysphagia and underwent HRM preoperatively and at postoperative 6th month. Demographic data, the dominant nodule size, total thyroid volume, IONM findings and HRM results were recorded. The pre-and postoperative changes in HRM results were evaluated according to the clinical characteristics, extent of surgery and IONM data. Results: Five (14%) reported Conclusion: This prospective clinical study demonstrated that UESRP decreases after thyroidectomy even in patients without IONM evidence of nerve injuries. Patients with large nodules, high thyroid volume, and new-onset dysphagia tended to show greater reductions in UESRP, whereas those with intraoperative adverse EMG changes exhibited less pronounced decreases. These heterogeneous responses may reflect complex neuromuscular adaptations involving the cricopharyngeus muscle.
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