Goiter surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]
Overview
Thyroid surgery may be advised in cases of goiter depending upon the symptoms and adverse effects associated with the development of goiter such as, compression related symptoms, thyroid hyper-function and thyroid cancer.
Surgery
- Thyroid surgery may be advised in cases of goiter depending upon the symptoms and adverse effects associated with the development of goiter such as, compression related symptoms, thyroid hyper-function and thyroid cancer.[1][2][3][4][5][6][7][8]
- Thyroid surgery involves thyroid lobectomy/hemi-thyroidectomy OR total thyroidectomy, depending on whether goiter or nodule is cancerous or not.
- Surgery helps relieve symptoms related to compression such as dysphagia, hoarseness, cough and dyspnea.
- Thyroid surgery helps supress the thyroid gland overactivity seen in goiter or nodules.
- Types of thyroid surgery (thyroidectomy) advised based on the condition:
- Subtotal thyroidectomy
- Near-total thyroidectomy
- Total thyroidectomy
- Thyroid nodulectomy
Indications
- Preoperative indications:
- Thyroid functional status should be determined
- The patient should be brought to a euthyroid state
- Indications for surgery:
- Cosmetic concerns
- Pressure symptoms
- Suspected malignancy
- Toxic goitre
References
- ↑ Heimann, P. (1968). "Pathophysiological Aspects on Surgical Treatment of Thyroid Disease". 7: 1–55. doi:10.1159/000386297. ISSN 0079-6824.
- ↑ Ríos, Antonio (2005). "Surgical Management of Multinodular Goiter With Compression Symptoms". Archives of Surgery. 140 (1): 49. doi:10.1001/archsurg.140.1.49. ISSN 0272-5533.
- ↑ Jackson, Arnold S. (1924). "CONCLUSIONS BASED ON A STUDY OF FOUR THOUSAND CASES OF GOITER*". Endocrinology. 8 (4): 525–531. doi:10.1210/endo-8-4-525. ISSN 0013-7227.
- ↑ De Courcy, Joseph L. (1924). "SURGERY OF THE THYROID". Endocrinology. 8 (3): 420–426. doi:10.1210/endo-8-3-420. ISSN 0013-7227.
- ↑ Blair, Edward G. (1924). "SECONDARY OPERATIONS FOR GOITRE". Endocrinology. 8 (3): 448–455. doi:10.1210/endo-8-3-448. ISSN 0013-7227.
- ↑ Taylor, Selwyn (1953). "THE EVOLUTION OF NODULAR GOITER". The Journal of Clinical Endocrinology & Metabolism. 13 (10): 1232–1247. doi:10.1210/jcem-13-10-1232. ISSN 0021-972X.
- ↑ Martin, Hayes (1954). "The surgery of thyroid tumors". Cancer. 7 (6): 1063–1099. doi:10.1002/1097-0142(195411)7:6<1063::AID-CNCR2820070603>3.0.CO;2-Z. ISSN 0008-543X.
- ↑ Beahrs, Oliver H.; Ryan, Robert F.; White, Roy A. (1956). "COMPLICATIONS OF THYROID SURGERY*". The Journal of Clinical Endocrinology & Metabolism. 16 (11): 1456–1469. doi:10.1210/jcem-16-11-1456. ISSN 0021-972X.