Type of Surgery
Last updated: 02/17/2009
The mortality of thyroidectomy is essentially zero. Hypothyroidism is thought to occur in 12â€“50% of persons in the first year after a thyroidectomy. Late-onset hypothyroidism develops among an additional 1â€“3% of persons each year. Although hypothyroidism...
may recur many years after a partial thyroidectomy, 43% of recurrences occur within five years.
Mortality from thyroid storm, an uncommon complication of thyroidectomy, is in the range of 20â€“30%. Thyroid storm is characterized by fever, weakness and wasting of the muscles, enlargement of the liver, restlessness, mood swings, change in mental status, and in some cases, coma. Thyroid storm is a medical emergency requiring immediate treatment. After a partial thyroidectomy, thyroid function returns to normal in 90â€“98% of persons.
A thyroidectomy involves the surgical removal of all or part of the thyroid gland. Surgeons often perform a thyroidectomy when a patient has thyroid cancer or some other condition of the thyroid gland (such as hyperthyroidism). Other indications for surgery include cosmetic (very enlarged thyroid), or symptomatic obstruction (causing difficulties in swallowing or breathing). One of the complications of "thyroidectomy" is voice change and patients are strongly advised to only be operated on by surgeons who protect the voice by using electronic nerve monitoring.
The development of the operative plan for a type of complex procedure requires weeks of planning and extensive study of the recipient patientâ€™s clinical exam, radiological studies, and prior operative history.
-Dr. Daniel Alam
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