Open AccessMicroscopic Thyroidectomy: The Way We Do It
Author(s) -
Satish Jain,
Nitika Gupta,
Rohan Gupta,
Ajay Jain,
Tekyam Sreepathy Naidu
Publication year - 2020
Publication title -
indian journal of otolaryngology and head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 2231-3796
pISSN - 0973-7707
DOI - 10.1007/s12070-020-01853-6
Subject(s) - medicine , otorhinolaryngology , superior laryngeal nerve , paresis , thyroidectomy , surgery , recurrent laryngeal nerve , thyroid , head and neck surgery , palsy , general surgery , larynx , pathology , alternative medicine
The present study was conducted with an intent to document the reduced morbidity in terms of postoperative hypocalcemia, injury to recurrent laryngeal and external branch of superior laryngeal nerve, in patients undergoing microscope assisted thyroidectomy. The present study enrolled a total of 878 patrients who underwent hemi, total and completion thyroidectomies, over a period of 3 years at Jain ENT Hospital, Jaipur. In the present study, out of 1118 RL nerves dissected temporary paresis was found in 1.52% and permanent palsy in only 0.36%. Temporary hypocalcemia was seen in 8.12% while permanent hypocalcemia in 0.6% patients. EBSLN could be identified in 1082 of the 1118 nerves dissected. We recommend the use microscope routinely for all thyroid surgeries, starting from the very first step in view of the reduced morbidity that it offers.