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- Title
Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease.
- Authors
Saadi, Robert; Brandt, Alyssa; Kim, Yesul; Cottrill, Elizabeth; Saunders, Brian; Schaefer, Eric; Goldenberg, David
- Abstract
Background: Our goal was to elucidate the differences in degree of technical difficulty of thyroidectomy in patients with autoimmune thyroid diseases. Methods: Charts of adult patients who had undergone thyroidectomy were reviewed. Patients with Hashimoto's Thyroiditis (HT) or Graves' Disease (GD) were individually compared to a control group of patients with early stage malignancy or goiter. Results: The HT (n = 65) group was significantly more likely to have friable (P =.001) and fibrotic (P <.001) thyroids, longer operative times (P =.02), and a 22‐modifier (P =.005). The GD (n = 169) group was significantly more likely to have friable (P <.001), vascular (P <.001), fibrotic (P =.038), and heavy (P =.002) thyroids, longer operative times (P =.03), increased length of stay (P =.01) and a 22‐modifier (P =.01). Conclusion: Our experience at an institution with a high‐volume thyroid practice demonstrates that patients with autoimmune thyroid disease have consistent qualitative changes of the thyroid and significantly increased operative times and surgical difficulty.
- Subjects
THYROIDECTOMY; AUTOIMMUNE thyroiditis; AUTOIMMUNE diseases; THYROID diseases; LENGTH of stay in hospitals
- Publication
Head & Neck, 2020, Vol 42, Issue 2, p262
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.25991