Outcome of Thyroid Surgeries at Patan Hospital

Authors

  • Deepak Yadav Department of ENT- Head and Neck Surgery, patan Academy of Sciences, lagankhel
  • Bhawana Dangol Department of ENT- Head and Neck Surgery, patan Academy of Sciences, lagankhel
  • Anita GC Department of ENT- Head and Neck Surgery, patan Academy of Sciences, lagankhel
  • Namita Shrestha Department of ENT- Head and Neck Surgery, patan Academy of Sciences, lagankhel
  • Ishwor Raj Devkota Department of ENT- Head and Neck Surgery, patan Academy of Sciences, lagankhel
  • Ajit Nepal Department of ENT- Head and Neck Surgery, patan Academy of Sciences, lagankhel

DOI:

https://doi.org/10.3126/njenthns.v6i1.19435

Keywords:

Hypocalcaemia, Neck dissection, Recurrent Laryngeal Nerve, Thyroidectomy

Abstract

Objective: To assess the outcome of thyroid surgeries at Patan Hospital

Materials and Methods: It is a retrospective study of in-patient records of patients undergoing thyroid surgeries for various indications from April 2013 to January 2015 at Patan Hospital, Lalitpur.

Results: During the period of 21 months, 75 patients underwent thyroid surgeries. Majority of patients underwent hemithyroidectomy (35) followed by total thyroidectomy (28), subtotal thyroidectomy (7) and completion thyroidectomy (5). Out of 28 patients undergoing total thyroidectomy (TT), 11 underwent central compartment clearance (CCC), 5 underwent CCC and lateral neck dissection. Among 5 patients undergoing completion thyroidectomy, CCC was performed in all cases and in one patient lateral neck dissection was also performed.  A total of 13 patients developed unilateral recurrent laryngeal nerve palsy (RLN), among them 5 had permanent palsy. Tracheostomy had to be done in immediate postoperative period for stridor following total thyroidectomy (TT) in one case. Temporary hypocalcaemia was observed in 10 (10/28) cases following TT, out of which 8 had undergone CCC. Permanent hypocalcaemia was observed in 7 (7/28) cases following TT out of which 3 had undergone CCC. Chylous leak occurred in one of the patient undergoing left level II-IV neck dissection which was managed conservatively. None of the patient had to be transfused postoperatively.

Conclusion: Complications to thyroid surgery are not uncommon. Visualization of recurrent laryngeal nerve alone in our context is adequate in experienced hands. Identification of parathyroid during thyroidectomy is recommended to avoid hypocalcaemia. Meticulous dissection can reduce the complications.

Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015

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Abstract
2440

Published

2018-03-22

How to Cite

Yadav, D., Dangol, B., GC, A., Shrestha, N., Devkota, I. R., & Nepal, A. (2018). Outcome of Thyroid Surgeries at Patan Hospital. Nepalese Journal of ENT Head and Neck Surgery, 6(1), 11–14. https://doi.org/10.3126/njenthns.v6i1.19435

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Original Articles