International Journal of Head and Neck Surgery

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VOLUME 8 , ISSUE 4 ( October-December, 2017 ) > List of Articles

ORIGINAL RESEARCH

Outcome of Microscopic-assisted Thyroid Surgery: An Institutional Retrospective Study

Harendra Kumar Gautam, Devendra Maurya, Sanjay Sharma

Keywords : Microscopic, Recurrent laryngeal nerve palsy and hypocalcemia, Thyroid

Citation Information : Gautam HK, Maurya D, Sharma S. Outcome of Microscopic-assisted Thyroid Surgery: An Institutional Retrospective Study. Int J Head Neck Surg 2017; 8 (4):140-144.

DOI: 10.5005/jp-journals-10001-1323

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Microscopic-assisted thyroid surgery approach helps surgical performance and prevents complications. Aims and Objectives: The aim of the present retrospective study was to review the thyroid surgery performed by using microscope in a single institution and analyze the outcomes with respect to those reported in the literature. Materials and Methods: A total of 30 patients were included with more than 11 years of age presented with thyroid nodule, and thyroidectomy was done under microscopic vision. Results: Majority of the patients were between 21 years and 40 years of age. Female:male ratio was about 5.6:1. Swelling in front of the neck was the most common presentation. Most common solitary thyroid swelling was the colloid goiter. Commonest surgery performed was hemithyroidectomy (93.34%). Among the 30 patients, only two patients (0.6%) had unilateral vocal fold immobility treated with medical therapy, phoniatric and neck physiotherapy. All two patients showed complete laryngeal recovery of motility within 6-8 weeks after treatment. There were no cases of permanent unilateral or bilateral vocal cord palsy. In three patients, there were signs and symptoms of hypocalcemia. In three patients (10%), the restoring of biochemical parameters and the resolution of symptoms occurred between 2 weeks and 6 weeks. Conclusion: Microscopic-assisted thyroidectomy is a feasible and efficacious surgical procedure. It significantly reduces the complications without increasing the operating time in thyroid surgery procedures.


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