Study of Complications Following Thyroidectomy for Benign Thyroid Diseases
Background: Surgery of thyroid takes place in the area of complicated anatomy in which a number of vital physiological functions and special senses are controlled.
Method: Fifty patients having cytological evidence of benign thyroid disease were selected for study. Every patient underwent thyroid-stimulating hormone, T3, T4, analysis, ultrasonography of neck, and aspiration of cytology from suspected area. Computed tomography scan in tracheal compression patients and indirect laryngoscopy was done preoperatively to assess the position of vocal cords. Thyroidectomy was done under general anesthesia and administered by endothracheal intubation. Flexible laryngoscopy was done when indirect laryngoscopy was inconclusive.
Results: Six (12%) were hyperthyroidism, 14 (28%) were retro-sternal extension, 17 (34%) were firm feel, 3 (6%) were tracheal compression, and 10 (20%) were adhesion. Patients with palsy were 1 (2%) anterior relation to inferior thyroid artery, 2 (4%) branching variation of recurrent laryngeal nerve (RLN), 3 (6%) RLN close to anterior entry, vocal cord palsy 2 (4%) in retro-sternal, 2 (4%) in firm gland, and 3 (6%) in adhesion of gland cases.
Conclusion: It is confirmed that meticulous surgical dissection and thorough knowledge of anatomy can minimize the post-surgical complications.
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