Swallowing disorders as warning sign for thyroid disorders.

Abdelmoneim, Rasha Ahmed; Abdelhak, Balegh; Mokhtar, Mohamed; Hassan, Ebtesam Esmail; Mahmoud, Zienab Khalaf

doi:10.21608/mjmr.2025.352008.1875

Swallowing disorders as warning sign for thyroid disorders.

Articles in Press

Document Type : Original Article

Authors

¹ ENT Department Faculty of Medicine Minia University

² ENT Department,Faculty of Medicine, Minia University ,Egypt

³ Institute of oncology in Minia , Faculty of medicine Minia University, Egypt

⁴ community medicine, faculty of medicine, minia university, minia , egypt

⁵ ENT, faculty of medicine, Minia university

10.21608/mjmr.2025.352008.1875

Abstract

Background: Thyroid diseases are the second most prevalent endocrine disorder. Dysphagia may arise in individuals with thyroid disorders as a result of pressure of larger gland or invasion by thyroid cancer

Aim of the work: to explore the incidence of swallowing disorders and their characteristics as preliminary warning signs for different thyroid disorders and compare the swallowing disorder character between the different types of thyroid disorders.

Subject and methods: A retrospective study was conducted at the clinic of ‎ENT, in Minia Oncology Center during the period from ‎January 2021 to December 2021. Through A retrospective review of the clinical records of patients with thyroid disorders was examined.‎

Results: The prevalence of swallowing disorders preliminaryto diagnosis of thyroid disorders was 50.8%. The swallowing disorder in the majority of the reported cases (74.01%) was neck pressure and nearly half (52.8%) complained of sore throat while only 32.2% had a Globus sensation. Regarding the onset 81.9% had gradual onset and 63.7% had progressive course. The most reported associated ENT symptoms or signs were having difficult indirect laryngeal examination and neck pain. the highest benign lesion with swallowing disorder was Nodular goiter as (72.2%) followed by diffuse goiter (68.0%), follicular ‎adenoma (66.7%) and Toxic goiter (51.0%). As regard to malignant lesions, the majority of the reported cases had swallowing disorder with the highest percent among MNG with ‎lymphocytic ‎infiltration (77.8%).

Conclusion: Swallowing disorders is considered apreliminary warning sign for different thyroid disorders.

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