Goiter surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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]
- Thyroid surgery involves thyroid lobectomy/hemi-thyroidectomy OR total thyroidectomy, depending on whether goiter or nodule is cancerous or not.
- Surgery helps relieve compression and symptoms related to dysphagia, hosarseness, 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.