Issue N# 1 - 2002
CERVICO-FACIAL CARCINOLOGY
Thyroid surgery (356 cases): risk and complications.
Authors : S. Benzarti, I. Miled, T. Bassoumi, B. Ben Mrad, K. Akkari, O. Bacha, M. K. Chebbi (Montfleury Tunis)
Ref. : Rev Laryngol Otol Rhinol. 2002;123,1:33-37.
Article published in french 
Downloadable PDF document french
Summary :
The purpose of this study was to evaluate the risks and complication rate of thyroid surgery. The authors present a retrospective study of 356 patients surgically treated for thyroid nodules, between 1987 and 1998, at the military hospital of Tunis. The patients were categorised into 3 groups: group I: 238 solitary thyroid nodules (66.8%); group II: 92 multinodular goitres (25.8%) included 12 retrosternal goitres (3.37%) and group III: 26 cases of Basedow's disease (7.4%). Patients benefitted from unilateral surgery in 72% of cases and from bilateral surgery (total or subtotal thyroidectomy) in the remaining 28% of cases. Malignancy was found in 34 cases (9.5%). The complications observed were haemorrhage (0.56% of cases), unilateral post operative recurrent laryngeal palsy (1.12% of cases), and permanent hypoparathyroidism in 0.81% of cases. Experienced surgeons and the use of a meticulous surgical technique can reduce the incidence of post operative complications in thyroid surgery.
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