Presentation
CONCLUSIONS: The present study shows that total thyroidectomy can be performed without increasing risk of complication, and it is an acceptable alternative for benign multinodular goiter, especially in endemic regions, where patients present with a huge [ncbi.nlm.nih.gov]
Entire Body System
- Myxedema
الصفحة 220 - Isolation and identification of the long acting thyroid stimulator and its relation to hyperthyroidism and circumscribed pretibial myxedema, J. Clin. Endocrinol. Metab., 24. 1005, 1964. 440. [books.google.com]
- Transient Hypothyroidism
hypothyroid stage 1 or 2 months after surgery (stage L). [ncbi.nlm.nih.gov]
- Internal Bleeding
Risks associated with the surgery Internal bleeding Infection Blood could form and lodge in the lungs, making it difficult to breath. Without the surgery, you risk, spreading cancer, or. [forerunnershealthcare.com]
Respiratoric
- Hoarseness
[…] usually alleviates symptoms. 2) Airway obstruction (compressing hematoma, trachiomalacia) Incidence of hematoma is 1-2%, tracheomalacia incidence is 3) Recurrent laryngeal nerve injury Incidence of injury is 0.77% for unilateral damage resulting in hoarseness [openanesthesia.org]
There is a 1% chance of permanent hoarseness and a 5% chance of temporary hoarseness ( Low blood calcium: There are parathyroid glands that lie behind your thyroid gland that help to control your blood calcium levels. [endocrine.surgery.ucsf.edu]
Indications: Proven neoplasm (FNAC) Suspected neoplasm Age: Extreme Sex: Male Hard, irregular texture and fixity Hoarseness of voice Enlarged cervical nodes Recurrent cysts Pressure symptoms due to goiter Patient’s wish or Cosmesis Types of thyroidectomy [epomedicine.com]
You may also have a hoarse voice or sore throat for a few days. There may be a drain from the site of the incision. It helps with healing and will later be removed. You’ll either stay overnight at the hospital, or go home the day of the surgery. [webmd.com]
Potential complications of thyroid surgery include: Temporary or permanent hoarseness or loss of voice. This can happen if the larynx (voice box) or windpipe is irritated by the breathing tube that was used during surgery. [cancer.org]
Skin
- Anhidrosis
Ophthalmic examination revealed eyelid ptosis, miosis and anhidrosis. Preoperative ultrasonography showed multiple isohyperechogenic solid nodules in each lobe, consistent with multinodular goitre. [ncbi.nlm.nih.gov]
Workup
Other Test Results
- Ejection Fraction Decreased
One year earlier, the patient was diagnosed with primary dilated cardiomyopathy with ejection fraction decreased to 25% and after coronary angiography, which revealed normal coronary arteries, he received implantable cardioverter-defibrillator (ICD). [ncbi.nlm.nih.gov]
Microbiology
- Staphylococcus Aureus
This sinus tract which extruded some sutures became infected with Staphylococcus aureus which prevented spontaneous closure. [ncbi.nlm.nih.gov]
Treatment
METHODS: Cost-effectiveness analysis was performed to compare operative strategies to medical treatment strategies for GD. [ncbi.nlm.nih.gov]
Prognosis
To clarify the difference of their prognosis and establish the appropriate thyroid surgery, we studied 105 patients with differentiated thyroid cancer who were treated with total or subtotal thyroidectomy, excluding those with small tumors, under uniform [ncbi.nlm.nih.gov]
Nursing priorities will include managing hyperthyroid state preoperatively, relieving pain, providing information about the surgical procedure, prognosis, and treatment needs, and preventing complications. [nurseslabs.com]
Also, the worsened prognosis observed in patients with locally advanced lesions, positive margins, and high-risk histologic WDTC variants – tall cell, columnar cell, and diffuse sclerosing – are indications for aggressive therapy that includes total thyroidectomy [larianmd.com]
Etiology
Chronic hypocalcemia, irrespectively of its etiology, can lead to severe impairment of the left ventricular (LV) contractility manifesting as dilated cardiomyopathy, usually defined as hypocalcemic cardiomyopathy (hypocaCM). [ncbi.nlm.nih.gov]
The etiology of postoperative hypoparathyroidism has been proven to be multifactorial, with the surgical technique, the devascularization and accidental resection of the parathyroid glands being the most significant factors. 11 It is also related to the [hormones.gr]
[…] thyroid screening INTRODUCTION Over 15% of all pregnancies, if strictly clinically diagnosed abortions are evaluated, excluding those that manifest themselves as polymenorrhea, result in fetal loss, at any time, from the conceiving until week 23. 1 Etiology [tmj.ro]
Epidemiology
Yet, a more recent outcome analysis of the Surveillance, Epidemiology, and End-Results (SEER) database demonstrated that lymph node status did significantly affect the outcome. [larianmd.com]
Malamos B, Koutras DA, Kostamis P, Kralios AC, Rigopoulos G, Zerefos N, 1966 Endemic goiter in Greece: epidemiologic and genetic studies. J Clin Endocrinol Metab 26: 688-695. 16. [hormones.gr]
The epidemiology of thyroid disease and implications for screening. Endocr Metab Clinics N Am 1997;26:189-218. 42. Surks MI, Ortiz E, Daniels GH, et al. Subclinical thyroid disease. JAMA. 2004;291:228-38. 43. Negro R, Formoso G, Mangieri T, et al. [tmj.ro]
The epidemiology of iodine-deficiency diseases in China. Am J Clin Nutr. 1993;57:264S–6S. PubMed Google Scholar Sun X, Shan Z, Teng W. Effects of increased iodine intake on thyroid disorders. Endocrinol Metab (Seoul). 2014;29:240–7. [wjso.biomedcentral.com]
Prevention
CONCLUSION: TT for Graves' disease prevented recurrent hyperthyroidism but did not prevent the progression of ophthalmopathy compared with BST. TRIAL REGISTRATION: ClinicalTrials.gov NCT01408368. [ncbi.nlm.nih.gov]