Identification of Levator Glandulae Thyroideae under Loupe Magnification during Thyroidectomy- A Hospital-Based Cross-Sectional Study
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 11
Abstract
Levator glandulae thyroideae, an embryological remnant found in association with pyramidal lobe in the thyroid gland is often encountered during thyroidectomy. Complete removal of these structures will prevent the incidence of recurrence. In this context, we studied the use of a surgical loupe in increasing the identification rate of levator glandulae thyroideae. This cross-sectional study was conducted in the department of surgery in a tertiary care centre from February 2015 to July 2015 with data collected from randomly selected patients posted for thyroidectomy. Age, sex, presence of the pyramidal lobes and levator glandulae thyroideae were studied. Statistical analysis was done with R statistical programming software version 3.2.0. There were 45 patients in the study. The median age was 41 years (range 22-57). There were 9(20%) males and 36 (80%) females. Levator glandulae thyroideae was dissected out in 33(73.3%) of the patients. This was attached to pyramidal lobe in 31(93.94%)and only in 2(6.06)cases it arose from the isthmus. In patients with pyramidal lobe present,31(83.8%) 31(83.8% )patients had levator glandulae thyroideae and there was a statistically significant association between pyramidal lobe and levator glandulae thyroideae. This study showed that with the help of a surgical loupe, more than 73 percent of the levator glandulae thyroideae can be dissected out. Inclusion of a magnifying surgical loupe in the surgical armamentarium during routine thyroidectomy could potentially reduce the recurrence of goiter.
Authors and Affiliations
Induprabha Yadev Prabhakaran
A Study of Vitamin D Status in Insulin Resistant Type 2 Diabetics in a Tertiary Care Hospital
The aim of this study was to assess vitamin D status in insulin resistant type 2 diabetics in a tertiary care hospital. The study was conducted on thirty newly diagnosed type 2 diabetics. Age and sex matched control popu...
Peripartum Management of Placenta Previa and Abruption Placenta in Rural Perspectives: A Real Test of Obstetrician’s Clinical and Surgical Skills
Introduction: Antepartum haemorrhage (APH) complicates 3-5% of all pregnancies. Abruption placenta and placenta previa contributes 60-70% of total causes of APH. It also predisposes a patient further for PPH and makes he...
Prospective Study to find out whether Continuous Curvilinear Capsulorrhexis is mandatory to achieve a Good Result in Phacoemulsification
Aim of this study is to find out whether it is mandatory to do Curvilinear continuous capsulorhexis(CCC) to achieve a good result in phacoemulsification. Materials and methods consisted of a prospective, randomised study...
Prevalence of Asymptomatic Bacteriuria in Pregnancy and Its Outcome
Background-Urinary tract infections are disease processes with short and long term implications especially in pregnant females. Adequate understanding, routine screening and timely initiation of therapy may play a key ro...
Spectrum of Hemoglobinopathies Diagnosed by High-Performance Liquid Chromatography in Western Odisha
Hemoglobinopathies are the most common genetic disorders reported in the World. The aim of our study was to establish the spectrum of the different haemoglobinopathies presenting in a tertiary medical college in western...