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Revista de otorrinolaringología y cirugía de cabeza y cuello

versión On-line ISSN 0718-4816

Resumen

UNDURRAGA P, Gabriel et al. Clinical experience in total thyroidectomy of the Department of Otolaryngology and Head and Neck Surgery of Guillermo Grant Benavente Hospital. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2016, vol.76, n.3, pp.280-285. ISSN 0718-4816.  http://dx.doi.org/10.4067/S0718-48162016000300005.

Introduction: Thyroidectomy is one of the most common surgeries performed in head and neck. There are few reports of experience in thyroidectomy in otolaryngology services in Chile. Aim: To analyze the clinical experience with total thyroidectomy performed in the service of ENT and Head and Neck Surgery of our hospital. Material and method: Retrospective descriptive study. Review of medical records of patients undergoing total thyroidectomy (TT) between 2010 and 2014 in our service records. Results: A total of 271 thyroidectomy were performed. The most frequent indication was size (51%). The most frequent diagnoses were papillary carcinomas (46%) and follicular colloid hyperplasia (37%). We found 2.5% of transient recurrent laryngeal nerve injury and 2.9% had persistent lesions. Transient hypocalcemia occurred in 25% of patients. Discussion: Our series shows good agreement with literature, it has a low rate of complications, which are mainly seen in patients with neck dissection and/or observed 2 or less parathyroid during surgery. Conclusions: Total thyroidectomy is a safe surgical technique, and our experience shows consistent results to those reported in international literature.

Palabras clave : Total thyroidectomy; hypocalcemia; recurrent laryngeal nerve injury.

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