Issue N# 2 - 2003
Surgery for hyperthyroidism: 43 patients report.
Authors : A. Viot, E. Babin, A. Bequignon, M. Vadillo, A. Valdazo (Caen)
Ref. : Rev Laryngol Otol Rhinol. 2003;124,2:117-125.
Article published in french
Downloadable PDF document french
Treatment of hyperthyroidy uses surgery as well radioactive iodine and antithyroid agents. Objectives: the study analyses the modalities of hyperthyroidy surgery, describes its complications and the population undergoing surgical treatment. Population and methods: it is a retrospective study on 43 patients with hyperthyroidy treated by thyroidectomy from January first 1998 until 31 January 2002. Results: the mean age is 48 years. The sex ratio showed a predominance of women (with 36 women and 7 men). The most frequent aetiology is Graves'disease and toxic multinodular goiter. Total thyroidectomy is applied to Graves'disease and toxic multinodular goiter while single toxic nodules are treated by lobo-isthmectomy. Surgery for hyperthyroidy have a low morbidity (1/43 haematoma, 0/43 hypoparathyoidy, 1/43 palsy of recurrent nerve). Conclusions: in this conditions, the hyperthyroidy surgery is fast, effective and does not need a heavy follow-up. Surgery seems to be a good alternative to antithyroid agents, which are constraining and often ineffective in the long term, and to radioactive iodine who leads to a long follow-up because of induced hypothyroidy.
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