Goiter surgery: Difference between revisions
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==Surgery== | ==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. <ref name="Heimann1968">{{cite journal|last1=Heimann|first1=P.|title=Pathophysiological Aspects on Surgical Treatment of Thyroid Disease|volume=7|year=1968|pages=1–55|issn=0079-6824|doi=10.1159/000386297}}</ref> <ref name="Ríos2005">{{cite journal|last1=Ríos|first1=Antonio|title=Surgical Management of Multinodular Goiter With Compression Symptoms|journal=Archives of Surgery|volume=140|issue=1|year=2005|pages=49|issn=0272-5533|doi=10.1001/archsurg.140.1.49 | *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. <ref name="Heimann1968">{{cite journal|last1=Heimann|first1=P.|title=Pathophysiological Aspects on Surgical Treatment of Thyroid Disease|volume=7|year=1968|pages=1–55|issn=0079-6824|doi=10.1159/000386297}}</ref> <ref name="Ríos2005">{{cite journal|last1=Ríos|first1=Antonio|title=Surgical Management of Multinodular Goiter With Compression Symptoms|journal=Archives of Surgery|volume=140|issue=1|year=2005|pages=49|issn=0272-5533|doi=10.1001/archsurg.140.1.49}}</ref> <ref name="Jackson1924">{{cite journal|last1=Jackson|first1=Arnold S.|title=CONCLUSIONS BASED ON A STUDY OF FOUR THOUSAND CASES OF GOITER*|journal=Endocrinology|volume=8|issue=4|year=1924|pages=525–531|issn=0013-7227|doi=10.1210/endo-8-4-525}}</ref> <ref name="De Courcy1924">{{cite journal|last1=De Courcy|first1=Joseph L.|title=SURGERY OF THE THYROID|journal=Endocrinology|volume=8|issue=3|year=1924|pages=420–426|issn=0013-7227|doi=10.1210/endo-8-3-420}}</ref> <ref name="Blair1924">{{cite journal|last1=Blair|first1=Edward G.|title=SECONDARY OPERATIONS FOR GOITRE|journal=Endocrinology|volume=8|issue=3|year=1924|pages=448–455|issn=0013-7227|doi=10.1210/endo-8-3-448}}</ref> <ref name="Taylor1953">{{cite journal|last1=Taylor|first1=Selwyn|title=THE EVOLUTION OF NODULAR GOITER|journal=The Journal of Clinical Endocrinology & Metabolism|volume=13|issue=10|year=1953|pages=1232–1247|issn=0021-972X|doi=10.1210/jcem-13-10-1232}}</ref> <ref name="BeahrsRyan1956">{{cite journal|last1=Beahrs|first1=Oliver H.|last2=Ryan|first2=Robert F.|last3=White|first3=Roy A.|title=COMPLICATIONS OF THYROID SURGERY*|journal=The Journal of Clinical Endocrinology & Metabolism|volume=16|issue=11|year=1956|pages=1456–1469|issn=0021-972X|doi=10.1210/jcem-16-11-1456}}</ref> | ||
*Thyroid surgery involves thyroid lobectomy/hemi-thyroidectomy OR total thyroidectomy, depending on whether goiter or nodule is cancerous or not. | *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. | *Surgery helps relieve compression and symptoms related to dysphagia, hosarseness, cough and dyspnea. | ||
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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] [3] [4] [5] [6] [7]
- 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.
- ↑ 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.
- ↑ 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.