Total thyroidectomy in the treatment of thyroid disease

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Abstract

In a review of thyroid surgery during the past 12 years, total thyroidectomy was performed in 20% of the caues. Forty percent were done for malignant disease and 60% for benign disease. Our indications for using this operation in benign thyroid disease include bilateral nodular goiter, Graves’ disease, chronic thyroiditis, and cases in which the rapid frozen diagnosis is equivocal for carcinoma. We feel that the risks of reoperation for recurrent thyroid disease are greater than the risks of a total thyroidectomy as the initial surgical procedure. With the increased use of total thyroidectomy the incidence of permanent hypoparathyroidism can be decreased. We reviewed our preoperative work-up, indications for total thyroidectomy, surgical technique, diagnostic accuracy of needle biopsy, accuracy of rapid frozen section reports, and postoperative complications.

Original languageEnglish
Pages (from-to)897-900
Number of pages4
JournalLaryngoscope
Volume97
Issue number8
DOIs
StatePublished - Aug 1987

ASJC Scopus Subject Areas

  • Otorhinolaryngology

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