Study of surgical management of thyroid swelling with special emphasis on surgical technique for preservation of recurrent laryngeal nerve, external branch of superior laryngeal nerve and parathyroid gland
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 3
Abstract
Background: Thyroid swelling is a common presentation in otorhinolaryngogy department. This study aims to biochemical, pathological and radiological study to ascertain the nature of thyroid swelling and appropriate surgical management with special emphasis on technique to identify and preserve recurrent laryngeal nerve, external branch of superior laryngeal nerve and parathyroid gland. Method: This study was conducted at Sardar Patel Medical College, Bikaner from April 2016 to March 2017. Study of surgical management of thyroid swelling with special emphasis on technique for preservation of recurrent laryngeal nerve, external branch of superior laryngeal nerve and parathyroid gland. All collected data were tabulated and statistical analysis by using SPSS software. Result: Thyroid swelling mostly seen in the female of thirty one to fifty years. Mostly solitary thyroid nodule for which hemi-thyroidectomy done. On histopathological examination mostly reported colloid goitre. The main indication for surgery in our series was cosmetic problem. The complication like hypoparathyroidism, recurrent laryngeal nerve palsy and external branch of superior laryngeal nerve palsy is very rare. Conclusion: The result of our study confirms that iatrogenic injury to the parathyroid gland, recurrent laryngeal nerve or its branches can be avoided by seeking, identifying and exposing the nerve and by following its course carefully
Authors and Affiliations
Dr. Ramesh Kadela
Keywords
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