Mesurement of Basedow's Disease as Head and Neck Surgeons

Abstract

Thirty two patients with Basedow's disease were operated in Yamada Red Cross Hospital for recent 14 years and 6 months. Total thyroidectomy were performed in 7 patients, and Subtotal thyroidectomy were in residual 25 patients. In 25 patients who were performed subtotal thyroidectomy, normalization of the thyroid function were observed in 11, and hypothyroid were in 6, but recurrence of hyperthyroidism were observed in 1 case. None of the 32 patients who were operated were observed postoperative recurrent nerve paresis and hypoparathyroidism. Thirteen patients were determined as surgical operation for poor controled thyroid function, and 5 patients were determined afraid of combined thyroid malignancy. Recently Medical measurement was adopted in our department, in short, slow reduction of methymazole and block and replacement. Furthermore, surgical indication is determined by our department. Thirty two patients who were operated in our department were reconsidered about the surgical indication, and 19 patients were determined that surgery were not hurried. It is important that head and neck surgeons aggressively perticipate for the measurement of Basedow's disease, and it is necessary that head and neck surgeons the take the initiative for the determination of surgical indication.