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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
thyroidectomy technique
thyroidectomy technique
Published: 2016/08/04
Channel: KONSTANTINOS APOSTOLOPOULOS
Thyroid Surgery (Thyroidectomy)
Thyroid Surgery (Thyroidectomy)
Published: 2012/11/12
Channel: Nucleus Medical Media
MORE Surgery?!?! | My Thyroidectomy Recovery
MORE Surgery?!?! | My Thyroidectomy Recovery
Published: 2016/05/06
Channel: Ellen Kern
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
Total Thyroidectomy--Surgical tips- Rajnish Talwar.wmv
Total Thyroidectomy--Surgical tips- Rajnish Talwar.wmv
Published: 2012/08/07
Channel: Rajnish Talwar
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
Total Thyroidectomy for Multinodular Goitre - Dr G Sundhar Krishnan, Chennai
Total Thyroidectomy for Multinodular Goitre - Dr G Sundhar Krishnan, Chennai
Published: 2015/05/19
Channel: Krishna Eye and ENT Hospitals
Post thyroidectomy - Life with Mabel
Post thyroidectomy - Life with Mabel
Published: 2016/04/27
Channel: Life with Mabel
Thyroidectomy With Harmonic Scalpel
Thyroidectomy With Harmonic Scalpel
Published: 2013/02/02
Channel: trialfx .com
Thyroidectomy using HARMONIC FOCUS®+ Shears with Dr. Pellitteri
Thyroidectomy using HARMONIC FOCUS®+ Shears with Dr. Pellitteri
Published: 2017/02/02
Channel: Ethicon
Day One: Three Hours After A Total Thyroidectomy
Day One: Three Hours After A Total Thyroidectomy
Published: 2013/11/09
Channel: rlpalladino1
Prof. Fukunari
Prof. Fukunari' s Thyroid Surgery :Total Thyroidectomy + CND with LigaSure Small Jaw
Published: 2013/08/15
Channel: Nobuhiro Fukunari
MY THYROIDECTOMY STORY | Graves
MY THYROIDECTOMY STORY | Graves' Disease | Recovery | Story Time
Published: 2016/11/15
Channel: FranklyFranca
(Graphic for some) post op total Thyroidectomy
(Graphic for some) post op total Thyroidectomy
Published: 2017/05/20
Channel: Kristen Sprunger
Post Thyroidectomy (3)
Post Thyroidectomy (3)
Published: 2015/09/13
Channel: TuketheDuke
Total Thyroidectomy 30 minutes after surgery
Total Thyroidectomy 30 minutes after surgery
Published: 2016/11/30
Channel: Joyful Julie
Right Hemi thyroidectomy complete surgery
Right Hemi thyroidectomy complete surgery
Published: 2013/11/17
Channel: Laparoscopy Surgeon
Thyroidectomy Surgery Recovery
Thyroidectomy Surgery Recovery
Published: 2015/07/16
Channel: Bailey R
Total thyroidectomy plus central compartment neck dissection (PTC)
Total thyroidectomy plus central compartment neck dissection (PTC)
Published: 2015/09/26
Channel: Leon Li
Post Thyroidectomy
Post Thyroidectomy
Published: 2016/08/10
Channel: Fat Fit Beauty
Thyroidectomy
Thyroidectomy
Published: 2015/01/09
Channel: Dr Majid Ahmed Talikoti
My Thyroidectomy Story
My Thyroidectomy Story
Published: 2017/08/14
Channel: Kristen Lavigne
Thyroidectomy - Dr. Satish Jain ( Sir now a days advocating only Microscopic thyroidectomy )
Thyroidectomy - Dr. Satish Jain ( Sir now a days advocating only Microscopic thyroidectomy )
Published: 2016/10/15
Channel: Dr.Murali Chand Nallamothu
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
CA THYROID TOTAL THYROIDECTOMY
CA THYROID TOTAL THYROIDECTOMY
Published: 2013/07/09
Channel: saravanamuthu marimuthu
Life after Thyroidectomy/Thyroid Cancer (16 months)
Life after Thyroidectomy/Thyroid Cancer (16 months)
Published: 2015/01/02
Channel: marimuscles
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
Subtotal Thyroidectomy
Subtotal Thyroidectomy
Published: 2016/10/04
Channel: LotusScalpel
Total Thyroidectomy Removal Surgery by Dr Majid Ahmed Talikoti
Total Thyroidectomy Removal Surgery by Dr Majid Ahmed Talikoti
Published: 2015/01/05
Channel: MedFreelancers
Complete Total Thyroidectomy for Substernal Goiter
Complete Total Thyroidectomy for Substernal Goiter
Published: 2017/02/22
Channel: Clayman Thyroid Cancer Center
Two year total thyroidectomy anniversary update
Two year total thyroidectomy anniversary update
Published: 2017/10/20
Channel: meme1star
Conventional total thyroidectomy for Graves
Conventional total thyroidectomy for Graves' disease
Published: 2015/11/26
Channel: Francesco Feroci
WEIGHT GAIN AFTER THYROIDECTOMY? | ThyroidlessLex
WEIGHT GAIN AFTER THYROIDECTOMY? | ThyroidlessLex
Published: 2017/04/27
Channel: Thyroidless Lex
PREPARING FOR YOUR THYROIDECTOMY 🏥💉 ! | ThyroidlessLex
PREPARING FOR YOUR THYROIDECTOMY 🏥💉 ! | ThyroidlessLex
Published: 2017/06/29
Channel: Thyroidless Lex
What Does A Thyroidectomy Scar Look Like?
What Does A Thyroidectomy Scar Look Like?
Published: 2017/07/11
Channel: Emma Tara
Thyroidectomy | Nikki
Thyroidectomy | Nikki's Story
Published: 2014/05/06
Channel: Johns Hopkins Medicine
Post Thyroidectomy | Thyroid Cancer UPDATE
Post Thyroidectomy | Thyroid Cancer UPDATE
Published: 2016/12/14
Channel: Michelle Marino
Recovery: the day after my total thyroidectomy
Recovery: the day after my total thyroidectomy
Published: 2014/08/23
Channel: AndiCole
Microscopic Thyroidectomy ( Case 4 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Microscopic Thyroidectomy ( Case 4 ) UNEDITED - Dr. Satish Jain - www.skullbase360.in
Published: 2017/05/07
Channel: Dr.Murali Chand Nallamothu
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
Procedure To Remove Thyroid Gland / Thyroidectomy - Manipal Hospital
Procedure To Remove Thyroid Gland / Thyroidectomy - Manipal Hospital
Published: 2015/05/20
Channel: Manipal Hospitals
TransOral Endoscopic Thyroidectomy: Vestibular Approach, A new NOS of thyroid surgery.
TransOral Endoscopic Thyroidectomy: Vestibular Approach, A new NOS of thyroid surgery.
Published: 2014/07/01
Channel: pgh surgery channel
VOCAL CORD INJURIES - Post Thyroidectomy | ThyroidlessLex
VOCAL CORD INJURIES - Post Thyroidectomy | ThyroidlessLex
Published: 2017/02/09
Channel: Thyroidless Lex
POST-THYROIDECTOMY FOOD DIARY | Breakfast Bowls, Salads and Fancy Dinners | WHAT I EAT IN A DAY #1
POST-THYROIDECTOMY FOOD DIARY | Breakfast Bowls, Salads and Fancy Dinners | WHAT I EAT IN A DAY #1
Published: 2017/06/11
Channel: FranklyFranca
What happens to your singing voice after a Thyroidectomy?
What happens to your singing voice after a Thyroidectomy?
Published: 2017/08/07
Channel: Nuovo Cane
Treatment plan decided!!! After Thyroidectomy
Treatment plan decided!!! After Thyroidectomy
Published: 2017/03/30
Channel: Shannon Deitz
Top 5 Tips Post Thyroidectomy (Things You’ll Likely Forget About!) | ThyroidlessLex
Top 5 Tips Post Thyroidectomy (Things You’ll Likely Forget About!) | ThyroidlessLex
Published: 2017/08/10
Channel: Thyroidless Lex
total thyroidectomy for papillary ca thyroid Dr.Mudit Agarwal
total thyroidectomy for papillary ca thyroid Dr.Mudit Agarwal
Published: 2015/07/11
Channel: Mudit Agarwal
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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. General, Endocrine or Head and Neck 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[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. doi:10.1016/j.jss.2014.03.033. ISSN 1095-8673. PMC 5125385Freely accessible. PMID 24739508. 
  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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