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Total thyroidectomy: Safe and curative treatment option for hyperthyroidism
Author(s) -
Frank Ethan D.,
Park Joshua S.,
Watson WayAnne,
Chong Esther,
Yang Sara,
Simental Alfred A.
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26148
Subject(s) - medicine , euthyroid , recurrent laryngeal nerve , thyroidectomy , complication , surgery , hematoma , thyroid disease , graves' disease , thyroid , malignancy , retrospective cohort study
Background While use of total thyroidectomy has increased in management of hyperthyroidism, concerns exist about increased surgical complication rates; most notably, hematoma, recurrent laryngeal nerve (RLN) injury, and hypocalcemia. Methods Retrospective cohort study of 454 patients undergoing total thyroidectomy between 2003 and 2015. All patients had surgery for hyperthyroidism, benign euthyroid disease, or thyroid malignancy. Results Total thyroidectomy for hyperthyroidism was not associated with an increased risk for any postoperative complication. Transient hypocalcemia, temporary dysphonia, and postoperative hematoma rates were not significantly different for patients with hyperthyroid (n = 91), euthyroid benign (n = 237), and malignant (n = 126) disease. Permanent hypocalcemia and recurrent laryngeal nerve injury were not noted in any hyperthyroid patients. Complication rates were similar for hyperthyroid patients with Graves' disease vs toxic multinodular goiter. Conclusion This study affirms safety and efficacy of total thyroidectomy as standard treatment for hyperthyroidism.