Reminder

• Explain chronic pain
• Cicatricial neuropathies
• Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies.
  Description

Appearance in the month following surgery by anterior cervical approach (thyroid surgery, ENT surgery and cervical spine surgery mainly) of swallowing disorders and / or dysphonia.
Complementary examinations looking for organic lesions (in particular of the recurrent nerve) are negative.
These disorders may be associated with difficulty turning and/or tilting the head back.

The clinical examination found an abnormal sensitivity of the surgical scars to the rolling palpation maneuver.

Clinical case(s)

not described

Treatment

• Treatment of neuropathic pain
• Left ear neurostimulation treatment of the vagus nerve.

The full article is available by subscription for physicians