A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos

Nimkur Lohpon Tonga; Okoye Chukuma; Audu Modu; Zang Chuwang Nyam

doi:doi:10.11648/j.ijmcr.20220102.11

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A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos

Nimkur Lohpon Tonga, Okoye Chukuma, Audu Modu, Zang Chuwang Nyam

Published in International Journal of Medical Case Reports (Volume 1, Issue 2)

Received: 21 February 2022 Accepted: 21 March 2022 Published: 31 May 2022

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Abstract

Introduction: Thyroidectomy is the surgical procedure for the reduction or total removal of the thyroid gland – to achieve aesthesis or functional changes resulting from enlargement and pressure on the trachea or hyper function of the gland. Thyroidectomy as a procedure has developed significantly due to more understanding of the anatomy of the neck and the surgical technique. Thyroidectomy has common complications related to the procedure which include – haematoma formation, laryngeal nerve palsy and hypocalcaemia, depending on the nature of the procedure, the expertise of the surgeon involved and the technique. Method: A retrospective study over a three year period (Jan 2018-Dec 2020). Case notes were retrieved and the gender, age, indications, outcome of surgeries noted and analysed with the aim of highlighting the complications observed with conventional thyroidectomy in line with the expertise of the surgeon, the use of nerve monitor, pre/post operative vocal cord assessment and the use of suction drain to eliminate or reduce the complications. Results: 48 cases were included in the study, 42 females (87.5%) and 6 males (12.5%); male:female=1:7. Age range is 17 to 60 years (mean age-39.48). Patients were all euthyroid before surgery, all were FNAC negative for malignant features, subtotal thyroidectomy was performed for all patients, no permanent laryngeal nerve palsy or permanent hypocalcaemia and no haematoma formation in this study. Conclusion: Conventional thyroidectomy in a less technologically advanced environment with less prospects of replacement therapy can be practiced safely with minimal complications.

Published in	International Journal of Medical Case Reports (Volume 1, Issue 2)
DOI	10.11648/j.ijmcr.20220102.11
Page(s)	9-12
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Subtotal Thyroidectomy, Head and Neck Surgeon, Minimal Complications

References

[1]	Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid: official journal of the American Thyroid Association. 2016 Jan; [PubMed PMID: 26462967].
[2]	Giddings AE, The history of thyroidectomy. Journal of the Royal Society of Medicine. 1998; 91 (SUPP 33) 3-6. [PubMed PMID: 9816344].
[3]	Goldfarb, M, Rodgers, SS, Lew, JI. Appropriate surgical procedure for dominant thyroid nodules of the isthmus 1 cm or larger. Arch Surg 2012; 147: 881–884.
[4]	Ogbera AO, Kuku SF. Epidemiology of thyroid diseases in Africa. Indian Journal of Endocrinology and Metabolism. 2011; 15 (Suppl 2): S82-S88. Available online at DOI: 10.4103/2230-8210.83331.
[5]	Badoe, E A, E Q. Archampong, and M O. A. Jaja. Principles and Practice of Surgery Including Pathology in the Tropics. Tema, Ghana: Ghana Pub. Corp, 1986. Print.
[6]	Rahman GA. Possible risk factors for respiratory complications after thyroidectomy; an observational study. Ear Nose Throat J 2009; 88: 890-892.
[7]	AO Afolabi, OO Ayandipo, OO Afuwape, OA Ogundoyin. A fifteenth year experience of total thyroidectomy for the management of simple goitres in a low income country. South African Journal of Surgery. Vol. 54n, 4 Cape Town Nov. 2016.
[8]	Liu, Yu MD, PhD, et al. A new method of subtotal thyroidectomy for Grave’s disease leaving a unilateral remnant based on the upper pole. Medicine; Feb. 2017- Vol. 96- Issue 6-pg e 5919.
[9]	A review of Risk Factors and Timing for Postoperative Haematoma after Thyroidectomy: Is out Patient Thyroidectomy Really Safe? Open Access/ published 20 June 2012. World Journal of Surgery 36, 2497-2502 (2012).
[10]	A. Marques, MD. Paulo AL Pontes, MD Ruy, G Beyilacqui. Identification of the external branch of the superior Laryngeal nerve during thyroidectomy. The American Journal of Surgery Volume 164. Issue 6. December 1992. Pages 634-639.
[11]	Giuseppe Pappalardo, MD. Total Compared with Subtotal thyroidectomy in benign nodular disease: Personal Series and review of published reports. European Journal of Surgery Volume 164 Issue 7 August 1998 Pages 501-506.
[12]	JA Sosa, HM Bowman, JM Tielsch, TA Gordon and R Udelsman. The importance of Surgeon Experience for Clinical and economic outcome from thyroidectomy. Ann Surgery 1998 sep; 228 (3): 320-330.
[13]	Hyoung Shin Lee, MD, Bong Ju Lee, MD et al. Pattern of post-thyroidectomy Haemorrhage. Clin. Exp. Otorhinolaryngol. 2009 Jun, 2 (2). 72-77.
[14]	Robert M Steckler MD. Outpatient thyroidectomy: A feasibility study. The American Journal of Surgery. Volume 152, Issue 4, October 1986. Pages 412-419.
[15]	Courtney J Balentine MD, MPH and Rebecca S. Sippel MD. Outpatient Thyroidectomy. Is it safe? Surg. Oncol. Clin. N Am. 2016 Jan. 25 (1). 61-75.
[16]	Gaurav Agarwal & Vivek Agarwal. Is Total Thyroidectomy the Surgical Procedure of Choice for Benign Multinodular Goitre? An Evidence-Based Review. World Journal of Surgery 32 AN 1313 (2008 may).
[17]	Qiangi Liu MD. Goldiel Djuricin MS Richard A Prinz MD. Total thyroidectomy for benign thyroid disease. Surgery. Volume 123. Issue 1. January 1998. Pages 2-7.
[18]	Jay K, Harness MD, Lit Fung MD, Norman W, Thompson MD, Richard E, Burney MD & Michael K, McLeod MD. Total thyroidectomy: Complications and technique. World Journal of Surgery 10. 781-785 (1986 Oct.).
[19]	Norman W. Thompson MD, William R Olsen. MD, Gary L. Hoffman MD. The Continuing development of the technique of thyroidectomy. Surgery, volume 73, Issue 6. P913-927, June 01, 1973.
[20]	Mary Smithson, Ammar Asban, Jason Muller, Herbert Chen. Consideration for Thyroidectomy as Treatment for Graves Disease. Clinical Medicine Insights, Endocrinology and Diabetes 2019 10. 1177/.11795514119844523 Volume 12 April 24. 2019.
[21]	Naseem Baloch, Saima Tiaj, Marrivah Anwer and Masooma Naseem. Frequency of Hypocalcaemia following Total Thyroidectomy. Pak J med.sci. 2019 Jan-Feb, 35 (1) 261-265 PMCID: Pm < 6408675.
[22]	Chunlei Fan, Xin Zhou, Guogang Su, Yanming Zhou, Jingjun su, Mingxu Luo and Hui Li. Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis. BMC Sugery 19 article number: 98 2019. 24 July 2019.
[23]	Arman S, Vijendren A, Mochloulis G. The incidence of post-thyroidectomy hypocalcaemia: a retrospective single-centre audit. The Annals of the Royal College of surgeons of England Volume: 101, issue: 4, April 2019, PP 273-278.
[24]	Iyomasa RM, Taghliarini JV, Rodrigues SA, Tovares EL, Martins RH. Laryngeal and vocal aterations after thyroidectomy. Braz J Otorhinolarryngol. 2019; 85: 3-10.
[25]	Zhimei Chen, Qiyuan Zhao, Junlei Du, Ya Wang, Rongrong Hau, Caijuan Xu, Xiaofang Chen and Min Shu. Risk factors for postoperative hypocalcaemia after thyroidectomy: A systematic review and meta-analysis. Journal of international Medical Research 2021 49: 3.

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APA Style

Nimkur Lohpon Tonga, Okoye Chukuma, Audu Modu, Zang Chuwang Nyam. (2022). A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos. International Journal of Medical Case Reports, 1(2), 9-12. https://doi.org/10.11648/j.ijmcr.20220102.11

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ACS Style

Nimkur Lohpon Tonga; Okoye Chukuma; Audu Modu; Zang Chuwang Nyam. A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos. Int. J. Med. Case Rep. 2022, 1(2), 9-12. doi: 10.11648/j.ijmcr.20220102.11

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AMA Style

Nimkur Lohpon Tonga, Okoye Chukuma, Audu Modu, Zang Chuwang Nyam. A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos. Int J Med Case Rep. 2022;1(2):9-12. doi: 10.11648/j.ijmcr.20220102.11

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@article{10.11648/j.ijmcr.20220102.11,
  author = {Nimkur Lohpon Tonga and Okoye Chukuma and Audu Modu and Zang Chuwang Nyam},
  title = {A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos},
  journal = {International Journal of Medical Case Reports},
  volume = {1},
  number = {2},
  pages = {9-12},
  doi = {10.11648/j.ijmcr.20220102.11},
  url = {https://doi.org/10.11648/j.ijmcr.20220102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20220102.11},
  abstract = {Introduction: Thyroidectomy is the surgical procedure for the reduction or total removal of the thyroid gland – to achieve aesthesis or functional changes resulting from enlargement and pressure on the trachea or hyper function of the gland. Thyroidectomy as a procedure has developed significantly due to more understanding of the anatomy of the neck and the surgical technique. Thyroidectomy has common complications related to the procedure which include – haematoma formation, laryngeal nerve palsy and hypocalcaemia, depending on the nature of the procedure, the expertise of the surgeon involved and the technique. Method: A retrospective study over a three year period (Jan 2018-Dec 2020). Case notes were retrieved and the gender, age, indications, outcome of surgeries noted and analysed with the aim of highlighting the complications observed with conventional thyroidectomy in line with the expertise of the surgeon, the use of nerve monitor, pre/post operative vocal cord assessment and the use of suction drain to eliminate or reduce the complications. Results: 48 cases were included in the study, 42 females (87.5%) and 6 males (12.5%); male:female=1:7. Age range is 17 to 60 years (mean age-39.48). Patients were all euthyroid before surgery, all were FNAC negative for malignant features, subtotal thyroidectomy was performed for all patients, no permanent laryngeal nerve palsy or permanent hypocalcaemia and no haematoma formation in this study. Conclusion: Conventional thyroidectomy in a less technologically advanced environment with less prospects of replacement therapy can be practiced safely with minimal complications.},
 year = {2022}
}

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TY  - JOUR
T1  - A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos
AU  - Nimkur Lohpon Tonga
AU  - Okoye Chukuma
AU  - Audu Modu
AU  - Zang Chuwang Nyam
Y1  - 2022/05/31
PY  - 2022
N1  - https://doi.org/10.11648/j.ijmcr.20220102.11
DO  - 10.11648/j.ijmcr.20220102.11
T2  - International Journal of Medical Case Reports
JF  - International Journal of Medical Case Reports
JO  - International Journal of Medical Case Reports
SP  - 9
EP  - 12
PB  - Science Publishing Group
SN  - 2994-7049
UR  - https://doi.org/10.11648/j.ijmcr.20220102.11
AB  - Introduction: Thyroidectomy is the surgical procedure for the reduction or total removal of the thyroid gland – to achieve aesthesis or functional changes resulting from enlargement and pressure on the trachea or hyper function of the gland. Thyroidectomy as a procedure has developed significantly due to more understanding of the anatomy of the neck and the surgical technique. Thyroidectomy has common complications related to the procedure which include – haematoma formation, laryngeal nerve palsy and hypocalcaemia, depending on the nature of the procedure, the expertise of the surgeon involved and the technique. Method: A retrospective study over a three year period (Jan 2018-Dec 2020). Case notes were retrieved and the gender, age, indications, outcome of surgeries noted and analysed with the aim of highlighting the complications observed with conventional thyroidectomy in line with the expertise of the surgeon, the use of nerve monitor, pre/post operative vocal cord assessment and the use of suction drain to eliminate or reduce the complications. Results: 48 cases were included in the study, 42 females (87.5%) and 6 males (12.5%); male:female=1:7. Age range is 17 to 60 years (mean age-39.48). Patients were all euthyroid before surgery, all were FNAC negative for malignant features, subtotal thyroidectomy was performed for all patients, no permanent laryngeal nerve palsy or permanent hypocalcaemia and no haematoma formation in this study. Conclusion: Conventional thyroidectomy in a less technologically advanced environment with less prospects of replacement therapy can be practiced safely with minimal complications.
VL  - 1
IS  - 2
ER  -

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Author Information

Nimkur Lohpon Tonga

Department of ENT Head and Neck Surgery, Jos University Teaching Hospital, Jos, Nigeria
Okoye Chukuma

Department of ENT Head and Neck Surgery, Jos University Teaching Hospital, Jos, Nigeria
Audu Modu

Department of Surgery, ENT Unit, Bingham University Teaching Hospital, Jos, Nigeria
Zang Chuwang Nyam

Department of Surgery, ENT Unit, Bingham University Teaching Hospital, Jos, Nigeria

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APA Style

Nimkur Lohpon Tonga, Okoye Chukuma, Audu Modu, Zang Chuwang Nyam. (2022). A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos. International Journal of Medical Case Reports, 1(2), 9-12. https://doi.org/10.11648/j.ijmcr.20220102.11

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ACS Style

Nimkur Lohpon Tonga; Okoye Chukuma; Audu Modu; Zang Chuwang Nyam. A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos. Int. J. Med. Case Rep. 2022, 1(2), 9-12. doi: 10.11648/j.ijmcr.20220102.11

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AMA Style

Nimkur Lohpon Tonga, Okoye Chukuma, Audu Modu, Zang Chuwang Nyam. A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos. Int J Med Case Rep. 2022;1(2):9-12. doi: 10.11648/j.ijmcr.20220102.11

Copy | Download

@article{10.11648/j.ijmcr.20220102.11,
  author = {Nimkur Lohpon Tonga and Okoye Chukuma and Audu Modu and Zang Chuwang Nyam},
  title = {A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos},
  journal = {International Journal of Medical Case Reports},
  volume = {1},
  number = {2},
  pages = {9-12},
  doi = {10.11648/j.ijmcr.20220102.11},
  url = {https://doi.org/10.11648/j.ijmcr.20220102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20220102.11},
  abstract = {Introduction: Thyroidectomy is the surgical procedure for the reduction or total removal of the thyroid gland – to achieve aesthesis or functional changes resulting from enlargement and pressure on the trachea or hyper function of the gland. Thyroidectomy as a procedure has developed significantly due to more understanding of the anatomy of the neck and the surgical technique. Thyroidectomy has common complications related to the procedure which include – haematoma formation, laryngeal nerve palsy and hypocalcaemia, depending on the nature of the procedure, the expertise of the surgeon involved and the technique. Method: A retrospective study over a three year period (Jan 2018-Dec 2020). Case notes were retrieved and the gender, age, indications, outcome of surgeries noted and analysed with the aim of highlighting the complications observed with conventional thyroidectomy in line with the expertise of the surgeon, the use of nerve monitor, pre/post operative vocal cord assessment and the use of suction drain to eliminate or reduce the complications. Results: 48 cases were included in the study, 42 females (87.5%) and 6 males (12.5%); male:female=1:7. Age range is 17 to 60 years (mean age-39.48). Patients were all euthyroid before surgery, all were FNAC negative for malignant features, subtotal thyroidectomy was performed for all patients, no permanent laryngeal nerve palsy or permanent hypocalcaemia and no haematoma formation in this study. Conclusion: Conventional thyroidectomy in a less technologically advanced environment with less prospects of replacement therapy can be practiced safely with minimal complications.},
 year = {2022}
}

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TY  - JOUR
T1  - A Three Year Experience with Conventional Thyroidectomy (Subtotal Thyroidectomy) in the Management of Simple Goitres in Bingham University Teaching Hospital Jos
AU  - Nimkur Lohpon Tonga
AU  - Okoye Chukuma
AU  - Audu Modu
AU  - Zang Chuwang Nyam
Y1  - 2022/05/31
PY  - 2022
N1  - https://doi.org/10.11648/j.ijmcr.20220102.11
DO  - 10.11648/j.ijmcr.20220102.11
T2  - International Journal of Medical Case Reports
JF  - International Journal of Medical Case Reports
JO  - International Journal of Medical Case Reports
SP  - 9
EP  - 12
PB  - Science Publishing Group
SN  - 2994-7049
UR  - https://doi.org/10.11648/j.ijmcr.20220102.11
AB  - Introduction: Thyroidectomy is the surgical procedure for the reduction or total removal of the thyroid gland – to achieve aesthesis or functional changes resulting from enlargement and pressure on the trachea or hyper function of the gland. Thyroidectomy as a procedure has developed significantly due to more understanding of the anatomy of the neck and the surgical technique. Thyroidectomy has common complications related to the procedure which include – haematoma formation, laryngeal nerve palsy and hypocalcaemia, depending on the nature of the procedure, the expertise of the surgeon involved and the technique. Method: A retrospective study over a three year period (Jan 2018-Dec 2020). Case notes were retrieved and the gender, age, indications, outcome of surgeries noted and analysed with the aim of highlighting the complications observed with conventional thyroidectomy in line with the expertise of the surgeon, the use of nerve monitor, pre/post operative vocal cord assessment and the use of suction drain to eliminate or reduce the complications. Results: 48 cases were included in the study, 42 females (87.5%) and 6 males (12.5%); male:female=1:7. Age range is 17 to 60 years (mean age-39.48). Patients were all euthyroid before surgery, all were FNAC negative for malignant features, subtotal thyroidectomy was performed for all patients, no permanent laryngeal nerve palsy or permanent hypocalcaemia and no haematoma formation in this study. Conclusion: Conventional thyroidectomy in a less technologically advanced environment with less prospects of replacement therapy can be practiced safely with minimal complications.
VL  - 1
IS  - 2
ER  -

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