International Journal of Head and Neck Surgery

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VOLUME 6 , ISSUE 4 ( October-December, 2015 ) > List of Articles

RESEARCH ARTICLE

Importance of Preserving Parathyroids in Surgery for Hemiagenesis of Thyroid: Analysis with Review of Literature

Sudhir Naik, Rajshekar Halkud, RM Deekshith, P Sathya, Purshottam Chavan, Mohan Appaji, S Ravishankar Bhat

Citation Information : Naik S, Halkud R, Deekshith R, Sathya P, Chavan P, Appaji M, Bhat SR. Importance of Preserving Parathyroids in Surgery for Hemiagenesis of Thyroid: Analysis with Review of Literature. Int J Head Neck Surg 2015; 6 (4):146-148.

DOI: 10.5005/jp-journals-10001-1244

Published Online: 00-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background/objectives

As congenital anomalies of the thyroid are rare and the pathology associated with it warranting total thyroidectomies is still rare, so the inadvertent parathyroidectomies are rarely reported. Unilateral or bilateral hypoplasia or agenesis of one or both thyroid lobes, with or without isthmic agenesis, is a rare developmental anomaly. Meticulous subcapsular dissection with preserving the vascular twigs to the parathyroid is very important in avoiding complications.

Materials and methods

We report two cases of thyroid hemiagenesis in our medical college institution over a period of 10 years. Both were females in the 6th decade with swelling in the neck. One had a right-sided swelling and the second had a left-sided swelling, both measuring about 5 ⨯ 5 cm.

Conclusion

So the total thyroidectomy surgery in hemiagenesis cases poses a risk to the parathyroids as the altered anatomy. So the time-tested technique of subcapsular dissection and meticulous preservation of the multiple vasculature of the parathyroids in the fascial compartment provides better results with least morbidity.

How to cite this article

Naik SM, Halkud R, Chavan P, Appaji M, Sathya P, Bhat SR, Deekshith RM. Importance of Preserving Parathyroids in Surgery for Hemiagenesis of Thyroid: Analysis with Review of Literature. Int J Head Neck Surg 2015;6(4):146-148.


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