{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T11:27:31Z","timestamp":1787225251164,"version":"build-2736575974"},"reference-count":71,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100022817","name":"Lanzhou University Second Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100022817","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:p>Thyroid surgery is generally safe; however, satisfactory postoperative recovery is not determined solely by traditional complications such as recurrent laryngeal nerve injury, bleeding, or hypocalcemia. A subset of patients develop interrelated symptoms\u2014including voice changes, swallowing discomfort, anterior neck pain or tightness, restricted cervical mobility, and sensory abnormalities\u2014that are considered here within a proposed framework of post-thyroidectomy anterior neck dysfunction. In this review, the term is used as a working conceptual framework rather than a formally established diagnostic entity. Plausible mechanisms include neural injury, anterior neck muscle injury, restricted laryngotracheal motion, adhesion and fibrosis, and altered sensory input. Using a structured narrative synthesis of the available literature, we summarize the clinical phenotypes, natural history, potential mechanisms, risk factors, assessment tools, and prevention and treatment strategies relevant to this framework.<\/jats:p>","DOI":"10.3389\/fendo.2026.1859968","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T10:59:30Z","timestamp":1787223570000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-thyroidectomy anterior neck dysfunction: clinical phenotypes, mechanisms, and comprehensive management"],"prefix":"10.3389","volume":"17","author":[{"given":"Xiaokang","family":"Liu","sequence":"first","affiliation":[{"name":"Department of General Surgery, Lanzhou University Second Hospital, Lanzhou University","place":["Lanzhou, 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