Abstract
Since the year 1987 to 1996 all kinds of thyroid surgeries were performed at the ENT Department. Altogether 604 patients underwent 655 surgeries. Total lobectomy or total thyroidectomy represented the most common procedures. Due to a gentle surgical technique, which we call "preparation", good results were achieved in the morbidity of laryngeal recurrent nerve (permanent palsy in 0.6%), and in perioperative or postoperative bleeding (0.3% of wound revisions, 0.5% of blood transfusions). Postoperative hypoparythyroidism was found in 4.7% patients. There is no correlation between postoperative hoarseness and laryngeal recurrent nerve palsy. Laryngeal endoscopy immediately after surgery is the most valuable diagnostic procedure.
Highlights
Thyroid gland surgery was performed at our Department only occasionally until the year 1987
The patients treated for postoperative recurrent nerve palsy at the Department of Phoniatry stimulated our interest in the possibilities how to minimize their numbers
We have started with unilateral lobectomy mostly for adenomas or cysts, later we have performed total thyroidectomy for cancer and even later for some cases of thyreotoxicoses of Graves-Basedow’s autoimmune type
Summary
Thyroid gland surgery was performed at our Department only occasionally until the year 1987. The patients treated for postoperative recurrent nerve palsy at the Department of Phoniatry stimulated our interest in the possibilities how to minimize their numbers. Since November 1987 all types of thyroid gland surgery were adopted step by step in our Department. We have started with unilateral lobectomy mostly for adenomas or cysts, later we have performed total thyroidectomy for cancer and even later for some cases of thyreotoxicoses of Graves-Basedow’s autoimmune type. The number of operated patients rose every year (Table 1). Our surgical strategy is being based on:
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