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Thyroidectomy
Thyroidectomy
Published: 2015/06/26
Channel: Medical Books
Total Thyroidectomy Dr John Chaplin Auckland New Zealand
Total Thyroidectomy Dr John Chaplin Auckland New Zealand
Published: 2013/03/25
Channel: headnnecksurgery
Thyroid Surgery (Thyroidectomy)
Thyroid Surgery (Thyroidectomy)
Published: 2012/11/12
Channel: Nucleus Medical Media
thyroidectomy technique
thyroidectomy technique
Published: 2016/08/04
Channel: KONSTANTINOS APOSTOLOPOULOS
MORE Surgery?!?! | My Thyroidectomy Recovery
MORE Surgery?!?! | My Thyroidectomy Recovery
Published: 2016/05/06
Channel: MsEllenMelon
Microscopic Thyroidectomy ( Case 3 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Microscopic Thyroidectomy ( Case 3 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Published: 2016/10/15
Channel: Dr.Murali Chand Nallamothu
Dr G Sundhar Krishnan, Chennai-Total thyroidectomy for multinodular goitre
Dr G Sundhar Krishnan, Chennai-Total thyroidectomy for multinodular goitre
Published: 2015/05/19
Channel: Dr G Sundhar Krishnan
Post thyroidectomy - Life with Mabel
Post thyroidectomy - Life with Mabel
Published: 2016/04/27
Channel: Life with Mabel
5 Tips for Weight Loss after Thyroidectomy: What your Doctor is Missing
5 Tips for Weight Loss after Thyroidectomy: What your Doctor is Missing
Published: 2016/10/14
Channel: Dr. Westin Childs
Thyroidectomy
Thyroidectomy
Published: 2015/01/09
Channel: Dr Majid Ahmed Talikoti
Total Thyroidectomy--Surgical tips- Rajnish Talwar.wmv
Total Thyroidectomy--Surgical tips- Rajnish Talwar.wmv
Published: 2012/08/07
Channel: Rajnish Talwar
What Does A Thyroidectomy Scar Look Like?
What Does A Thyroidectomy Scar Look Like?
Published: 2017/07/11
Channel: Emma Tara
Partial Thyroidectomy The Pre & Post Info You Just Might Want to Know! beforehand
Partial Thyroidectomy The Pre & Post Info You Just Might Want to Know! beforehand
Published: 2013/07/06
Channel: monica sheirich
Post Thyroidectomy (3)
Post Thyroidectomy (3)
Published: 2015/09/13
Channel: TuketheDuke
Post Thyroidectomy - 6 months
Post Thyroidectomy - 6 months
Published: 2016/10/30
Channel: Life with Mabel
Total Thyroidectomy 30 minutes after surgery
Total Thyroidectomy 30 minutes after surgery
Published: 2016/11/30
Channel: Joyful Julie
Life after Thyroidectomy/Thyroid Cancer (16 months)
Life after Thyroidectomy/Thyroid Cancer (16 months)
Published: 2015/01/02
Channel: Marisa Iacobelli
MY THYROIDECTOMY STORY | Graves
MY THYROIDECTOMY STORY | Graves' Disease | Recovery | Story Time
Published: 2016/11/15
Channel: FranklyFranca
Total Thyroidectomy Removal Surgery by Dr Majid Ahmed Talikoti
Total Thyroidectomy Removal Surgery by Dr Majid Ahmed Talikoti
Published: 2015/01/05
Channel: MedFreelancers
Day One: Three Hours After A Total Thyroidectomy
Day One: Three Hours After A Total Thyroidectomy
Published: 2013/11/09
Channel: rlpalladino1
Thyroidectomy With Harmonic Scalpel
Thyroidectomy With Harmonic Scalpel
Published: 2013/02/02
Channel: trialfx .com
HOW TO FADE SURGERY SCARS | Thyroidectomy | Scar Care | Graves
HOW TO FADE SURGERY SCARS | Thyroidectomy | Scar Care | Graves' Disease
Published: 2017/03/05
Channel: FranklyFranca
Thyroidectomy my 1st day after surgery
Thyroidectomy my 1st day after surgery
Published: 2015/11/18
Channel: Von Von
Thyroidectomy Post op
Thyroidectomy Post op
Published: 2017/06/06
Channel: Lally Os
Thyroidectomy Surgery Recovery
Thyroidectomy Surgery Recovery
Published: 2015/07/16
Channel: Bailey R
Right Hemi thyroidectomy complete surgery
Right Hemi thyroidectomy complete surgery
Published: 2013/11/17
Channel: Laparoscopy Surgeon
Microscopic Thyroidectomy ( Case 2 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Microscopic Thyroidectomy ( Case 2 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Published: 2016/08/29
Channel: Dr.Murali Chand Nallamothu
Thyroidectomy | Nikki
Thyroidectomy | Nikki's Story
Published: 2014/05/06
Channel: Johns Hopkins Medicine
Microscopic Thyroidectomy ( Case 1 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Microscopic Thyroidectomy ( Case 1 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Published: 2016/08/01
Channel: Dr.Murali Chand Nallamothu
Thyroid Cancer: Post Thyroidectomy/Radiation Preparation
Thyroid Cancer: Post Thyroidectomy/Radiation Preparation
Published: 2013/11/12
Channel: Marisa Iacobelli
Thyroidectomy | Thyroid Gland | Thyroid Cancer | Thyroid Surgery | Manipal Hospitals
Thyroidectomy | Thyroid Gland | Thyroid Cancer | Thyroid Surgery | Manipal Hospitals
Published: 2015/05/20
Channel: Manipal Hospitals
Recovery: the day after my total thyroidectomy
Recovery: the day after my total thyroidectomy
Published: 2014/08/23
Channel: AndiCole
WEIGHT GAIN AFTER THYROIDECTOMY? | ThyroidlessLex
WEIGHT GAIN AFTER THYROIDECTOMY? | ThyroidlessLex
Published: 2017/04/27
Channel: Thyroidless Lex
Thyroidectomy
Thyroidectomy
Published: 2016/03/08
Channel: Linkeo Canada
Prof. Fukunari
Prof. Fukunari' s Thyroid Surgery :Total Thyroidectomy + CND with LigaSure Small Jaw
Published: 2013/08/15
Channel: Nobuhiro Fukunari
THE SAM B. SHOW | MY 5K, MY THYROIDECTOMY, & WHERE I AM NOW!
THE SAM B. SHOW | MY 5K, MY THYROIDECTOMY, & WHERE I AM NOW!
Published: 2015/12/08
Channel: TheSamBShow
72 hrs after my partial thyroidectomy
72 hrs after my partial thyroidectomy
Published: 2016/01/29
Channel: Molly Hersage
Total Thyroidectomy with HARMONIC® Technology.flv
Total Thyroidectomy with HARMONIC® Technology.flv
Published: 2012/04/04
Channel: aras murad
My thyroidectomy journey post surgery
My thyroidectomy journey post surgery
Published: 2013/11/20
Channel: Maryrose McMahan
Dr.  Wen Shen - When Is Thyroidectomy Not A Good Option For Graves
Dr. Wen Shen - When Is Thyroidectomy Not A Good Option For Graves' Disease?
Published: 2017/06/02
Channel: GravesAndThyroid
Vlog: Thyroidectomy (6/12-13)
Vlog: Thyroidectomy (6/12-13)
Published: 2014/06/15
Channel: RoseInRealLife
Hypothyroid after Total Thyroidectomy
Hypothyroid after Total Thyroidectomy
Published: 2008/03/12
Channel: Diana de Avila
Surgical Techniques Of Robotic Transaxillary Thyroidectomy - Manipal Hospital
Surgical Techniques Of Robotic Transaxillary Thyroidectomy - Manipal Hospital
Published: 2015/05/20
Channel: Manipal Hospitals
Minimally Invasive Total Thyroidectomy Video
Minimally Invasive Total Thyroidectomy Video
Published: 2013/09/16
Channel: Columbia University Department of Surgery
Thyroidectomy Recovery  - "ABIDE" even in the darkest hour - Lizzett Alvarado
Thyroidectomy Recovery - "ABIDE" even in the darkest hour - Lizzett Alvarado
Published: 2014/08/28
Channel: Lizzett Alvarado
Dr. Jagdishwar Goud: Trans-Axillary Thyroidectomy
Dr. Jagdishwar Goud: Trans-Axillary Thyroidectomy
Published: 2015/05/18
Channel: Vattikuti Foundation
Post Thyroidectomy 3 month Update
Post Thyroidectomy 3 month Update
Published: 2016/11/20
Channel: Fat Fit Beauty
Endoscopic Transoral Thyroidectomy
Endoscopic Transoral Thyroidectomy
Published: 2014/09/04
Channel: poschong
Total thyroidectomy with bilateral neck dissection
Total thyroidectomy with bilateral neck dissection
Published: 2017/05/05
Channel: Dr.Shaikat Gupta
Advantages of Total Thyroidectomy for Thyroid Cancer
Advantages of Total Thyroidectomy for Thyroid Cancer
Published: 2017/02/27
Channel: Clayman Thyroid Cancer Center
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WIKIPEDIA ARTICLE

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Thyroidectomy
Thyroid Surgery.jpg
Thyroid surgery
ICD-9-CM 06.3-06.5
MeSH D013965

A thyroidectomy is an operation that involves the surgical removal of all or part of the thyroid gland. Head and Neck or Endocrine Surgeons often perform a thyroidectomy when a patient has thyroid cancer or some other condition of the thyroid gland (such as hyperthyroidism) or goiter. Other indications for surgery include cosmetic (very enlarged thyroid), or symptomatic obstruction (causing difficulties in swallowing or breathing). Thyroidectomy is a common surgical procedure that has several potential complications or sequelae including: temporary or permanent change in voice, temporary or permanently low calcium, need for lifelong thyroid hormone replacement, bleeding, infection, and the remote possibility of airway obstruction due to bilateral vocal cord paralysis. Complications are uncommon when the procedure is performed by an experienced surgeon.

The thyroid produces several hormones, such as thyroxine (T4), triiodothyronine (T3), and calcitonin.

After the removal of a thyroid, patients usually take a prescribed oral synthetic thyroid hormone - levothyroxine (Synthroid) - to prevent hypothyroidism.

Less extreme variants of thyroidectomy include:

  • "hemithyroidectomy" (or "unilateral lobectomy") -- removing only half of the thyroid
  • "isthmectomy"—removing the band of tissue (or isthmus) connecting the two lobes of the thyroid

A "thyroidectomy" should not be confused with a "thyroidotomy" ("thyrotomy"), which is a cutting into (-otomy) the thyroid, not a removal (-ectomy) of it. A thyroidotomy can be performed to get access for a median laryngotomy, or to perform a biopsy. (Although technically a biopsy involves removing some tissue, it is more frequently categorized as an -otomy than an -ectomy because the volume of tissue removed is minuscule.)

Traditionally, the thyroid has been removed through a neck incision that leaves a permanent scar. More recently, minimally invasive and "scarless" approaches such as transoral thyroidectomy have become popular in some parts of the world.

Indications[edit]

Types of thyroidectomy[edit]

A lobectomy of the thyroid gland
A total thyroidectomy
  • Hemithyroidectomy - Entire isthmus is removed along with 1 lobe. Done in benign diseases of only 1 lobe.
  • Subtotal thyroidectomy - Removal of majority of both lobes leaving behind 4-5 grams (equivalent to the size of a normal thyroid gland) of thyroid tissue on one or both sides - this used to be the most common operation for multinodular goitre.
  • Partial thyroidectomy - Removal of gland in front of trachea after mobilization. Done in nontoxic MNG. Its role is controversial.
  • Near total thyroidectomy - Both lobes are removed except for a small amount of thyroid tissue (on one or both sides) in the vicinity of the recurrent laryngeal nerve entry point and the superior parathyroid gland.
  • Total thyroidectomy - Entire gland is removed. Done in cases of papillary or follicular carcinoma of thyroid, medullary carcinoma of thyroid. This is now also the most common operation for multinodular goitre.
  • Hartley Dunhill operation - Removal of 1 entire lateral lobe with isthmus and partial/subtotal removal of opposite lateral lobe. Done in nontoxic MNG.

Complications[edit]

  • Hypothyroidism in up to 50% of patients after ten years.[citation needed]
  • Laryngeal nerve injury in about 1% of patients, in particular the recurrent laryngeal nerve: Unilateral damage results in a hoarse voice. Bilateral damage presents as laryngeal obstruction after surgery and can be a surgical emergency: an emergency tracheostomy may be needed. Recurrent Laryngeal nerve injury may occur during the ligature of the inferior thyroid artery.
  • Hypoparathyroidism temporary (transient) in many patients, but permanent in about 1-4% of patients
  • Anesthetic complications
  • Infection (at about a 2% rate. Drainage is an important part of treatment.),[2][3] possibly an increased risk with chronic pre-operative steroid use.[4]
  • Stitch granuloma
  • Chyle leak
  • Haemorrhage/Hematoma (This may compress the airway, becoming life-threatening.)
  • Removal or devascularization of the parathyroids

Illustrative complication rates outside of the US and Western Europe: - Study from Uzbekistan.[5]

See also[edit]

References[edit]

  1. ^ Mathur AK; GM Doherty (2010). "Ch. 1: Thyroidectomy and Neck Dissection". In Minter RM; GM Doherty. Current Procedures: Surgery. New York: McGraw-Hill. 
  2. ^ Dr. Gianlorenzo Dionigi, Francesca Rovera, Luigi Boni, Patrizia Castano, and Renzo Dionigi. Surgical Infections. Summer 2006, 7(supplement 2): s-117-s-120. http://online.liebertpub.com/doi/abs/10.1089/sur.2006.7.s2-117
  3. ^ Elfenbein, Dawn M.; Schneider, David F.; Chen, Herbert; Sippel, Rebecca S. (2014-07-01). "Surgical site infection after thyroidectomy: a rare but significant complication". The Journal of Surgical Research. 190 (1): 170–176. ISSN 1095-8673. PMC 5125385Freely accessible. PMID 24739508. doi:10.1016/j.jss.2014.03.033. 
  4. ^ Identifying preoperative risk factors for surgical wound infections in clean cases, retrieved 2016-10-30 
  5. ^ http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=1399&Type=FREE&TYP=TOP&IN=~/eJournals/images/JPLOGO.gif&IID=118&isPDF=YES

External links[edit]

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