THE place for thyroidectomy in the treatment of disease of the thyroid gland is now well established. It has for long been practised by surgeons to relieve the pressure symptoms caused by simple non-toxic goitres, but it was not until the end of the first decade of this century that its use in the treatment of thyrotoxicosis was first described. Mayo, in 1907, reported on 110 operations for thy...

ORBITAL DECOMPRESSION P. R. R. CLARKE (Middlesbrough) discussed a series of 20 patients with endocrine exophthalmos treated by lateral orbital decompression. There had been 14 bilateral decompressions, and in six patients a unilateral operation only had been performed. One patient had needed reoperation. Four patients had no thyroid abnormality, and two had untreated hyperthyroidism. In 14 pati...

Abstract Aim Total thyroidectomy, being a common surgical option, for multinodular goitre and selective cases of Graves’ disease, is associated with risks related to temporary hypocalcaemia vocal quality dysfunction. Dexamethasone, as steroid, has well-established anti-inflammatory immune-modulating effects. As researchers continue understand its pathophysiology on voice quality, we aim assess ...

EXTRACAPSULAR TOTAL THYROIDECTOMY IN THE BENIGN THYROID DISEASE (Abstract): The extracapsular total thyroidectomy is the surgical technique for the monobloc resection of the thyroid parenchyma, between the Charpy fascia and the thyroid gland’s own capsule with the preservation of the recurrent nerve, parathyroids, and the exterior branch of the superior laryngeal nerve. Even though this techniq...

BACKGROUND Endoscopic thyroidectomy has been applied prudently to malignant thyroid tumors. The purpose of our study was to compare the surgical outcomes of endoscopic thyroidectomy (ET) and conventional open thyroidectomy (COT) for micropapillary thyroid carcinoma. METHODS From October 2002 to December 2008, 78 patients underwent unilateral lobectomy and isthmectomy with central lymph node d...

OBJECTIVES To prevent hypoparathyroidism after thyroidectomy, preservation of the parathyroid glands and their vascularity are essential. The aim of this study was to determine the association between postoperative parathyroid function and the viability of the parathyroid glands during thyroidectomy. METHODS We prospectively analyzed 111 patients who underwent total thyroidectomy and in whom ...

PURPOSE Hypocalcemia is the most common complication after total thyroidectomy. The purpose of this study was to determine whether measurement of intact parathyroid hormone (i-PTH) level in thyroidectomy patients could predict hypocalcemia. MATERIALS AND METHODS We performed a prospective study of patients undergoing total thyroidectomy. Serum concentration of i-PTH, total calcium (Ca), ioniz...

Robotic surgery is an innovation in thyroid surgery that may compensate for the drawbacks of conventional endoscopic surgery. A surgical robot provides strong advantages, including three-dimensional imaging, motion scaling, tremor elimination, and additional degrees of freedom. We review here recent adaptations, experience and applications of robotics in thyroid surgery. Robotic thyroid surgeri...