Study of Complications Following Thyroidectomy for Benign Thyroid Lesions in Rajasthan Population
Background: Surgery of the thyroid gland takes place in the area of complicated anatomy in which a number of vital physiological
functions and special senses are controlled. Moreover, variations of blood supply to the thyroid are one of major complications
during and after surgery.
Materials and Methods: Fifty patients having cytological and radiological evidences of benign thyroid disease were studied. Every
patient underwent thyroid-stimulating hormone, T3, T4, and ultrasound of the neck, aspiration of fluid for cytological study from
the suspected area. Computed tomography scan in tracheal compression patients, indirect laryngoscopy was done under preoperatively
to assess the position of vocal cords. Thyroidectomy was done general anaesthesia and administrated by endotracheal
intubation. Flexible strobolaryngoscopy was done when indirect laryngoscope was inconclusive.
Results: Seven (14%) hyperthyroidism, 13 (26%) retro-sternal extension, 3 (6%) tracheal compression, 16 (32%) firm feel, and
11 (22%) adhesion. Anatomical variations were - 8 (16%) anterior relation to inferior thyroid artery, and 1 (2%) had palsy, 13 (26%)
had branching of recurrent laryngeal nerve (RLN), 2 (4%) had palsy, 29 (58%) had RLN close to anterior entry, and 3 (6%) had
palsy. Vocal cord palsy 2 (4%) had retro-sternal extension, 2 (4%) had firm gland, and 3 (6%) adhesion.
Conclusion: The present pragmatic surgical study has proved that meticulous surgical dissection and thorough knowledge of
the anatomy of the thyroid can minimize the post-surgical complications.
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