SAFETY OF THYROIDECTOMY IN RESIDENCY - A REVIEW OF 186 CONSECUTIVE CASES

Citation
Ml. Shindo et al., SAFETY OF THYROIDECTOMY IN RESIDENCY - A REVIEW OF 186 CONSECUTIVE CASES, The Laryngoscope, 105(11), 1995, pp. 1173-1175
Citations number
8
Categorie Soggetti
Otorhinolaryngology,"Instument & Instrumentation
Journal title
ISSN journal
0023852X
Volume
105
Issue
11
Year of publication
1995
Pages
1173 - 1175
Database
ISI
SICI code
0023-852X(1995)105:11<1173:SOTIR->2.0.ZU;2-D
Abstract
A retrospective review was performed to assess the surgical complicati ons of thyroidectomy performed by otolaryngology residents under close supervision by faculty, One hundred eighty-six consecutive cases of t hyroidectomy performed by the residents in the Department of Otolaryng ology-Head and Neck Surgery at the University of Southern California w ere reviewed. Sixty-nine percent of thyroidectomies were performed for malignant or possible malignant diseases, and 31% were performed for benign conditions, Transient (less than 2 weeks in duration) hypocalce mia occurred in 26% of the patients; the vast majority of cases resolv ed within the first week. Five percent of the patients developed persi stent hypocalcemia requiring prolonged replacement therapy. The incide nce of unexpected postoperative permanent vocal cord paralysis was 0.9 %. These complication rates are comparable to those in previously publ ished large series on results of thyroidectomy. Thyroidectomy performe d in an otolaryngology residency training program is a safe procedure when closely supervised by experienced faculty.