The Impact of Thyroiditis on Morbidity and Safety in Patients Undergoing Total Thyroidectomy

Indian Journal of Endocrinology and Metabolism
Krishnan RavikumarSelladurai Periyasamy

Abstract

The indications for surgery in thyroiditis vary from compressive symptoms to cosmesis. We analyzed the complications in patients who underwent total thyroidectomy (TT) in goiters associated with thyroiditis. This retrospective study was done in an endocrine surgical center over 4 years. A total of 724 patients, who underwent TT for benign thyroid disorders, were included in the study. Patients were divided into two groups based on histopathology into Group A (nonthyroiditis cases) and Group B (thyroiditis cases); Group B is subdivided into Group B1 (nodular goiter with associated thyroiditis) and Group B2 (Hashimoto's thyroiditis). The preoperative parameters analyzed were serum calcium, serum Vitamin D, serum parathyroid hormone (PTH), and vocal cord status. The intraoperative parameters observed were operating time, parathyroid preservation, and autotransplantation and course of recurrent laryngeal nerve (RLN). Postoperative parameters monitored were serum calcium, serum PTH, serum magnesium, signs and symptoms of hypocalcemia, and vocal cord status. Follow-up was done at 6 months with serum calcium, serum PTH, and video laryngoscopy. Both groups were age and sex matched. All preoperative and intraoperative parameters were co...Continue Reading

Citations

Oct 23, 2020·Ear, Nose, & Throat Journal·Priyanka ThatipamalaLisa Orloff

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