- CODEN : IAJPBB
- issn 2349-7750
TITLE:
COMPLICATIONS AND MANAGEMENT OF THYROIDECTOMY IN SUBSTERNAL GOITRE
AUTHORS:
Dr Hafiz Muhammad Shafique ur Rehman, Dr Saira Naseer, Dr Nimra Mir
ABSTRACT:
Aim: To assess the need and complications of thyroidectomy in a Substernal goiter. Study design: descriptive retrospective study. Place and Duration: Ear, Nose and Throat, Head and Neck Surgery Department of Nishtar Hospital Multan for one-year duration from March 2019 to March 2020. Patients and Methods: Seventeen patients with Substernal goiter, both sexes and different ages, who underwent thyroidectomy were examined for indications and complications after thyroidectomy. Results: Only one patient (5.88%) experienced acute airway obstruction. Three (17.65%) patients complained of dyspnea in the supine position, dysphagia and hoarseness were found in two (11.76%) patients, and eleven (64.71%) patients had no apparent neck swelling. In fourteen cases (82.35%) total thyroidectomy was performed, and in three (17.65%) lobectomy with isthmectomy was performed. CT was performed in twelve (70.59%) of these cases. Most of our cases, ie sixteen (94.12%) were benign, while cancer occurred in only one (5.88%) patient. Complications such as hematoma in one (5.88%) patient, recurrent damage to the laryngeal nerve in two (11.76%), hypoparathyroidism (transient) in two (11.76%), and wound infection in one (5.88 %) patient. There was no pre- or postoperative mortality, none of them had permanent hypoparathyroidism, but one (5.88%) of our patient had unilateral recurrent pharyngeal trauma. Conclusion: Sub-sternal goiter is often asymptomatic and thyroidectomy is the treatment of choice with very low mortality and morbidity. Key words: Substernal goiter, total thyroidectomy, recurrent damage to the laryngeal nerve
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