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OBJECTIVE: To assess the presentation, management and outcome of surgery of thyroid swellings.
DESIGN: Retrospective study
PLACE AND DURATION OF STUDY: Department of Otorhinolaryngology-Head & Neck Surgery,
Dow Medical College and Civil Hospital Karachi (CHK), from Jan 2004 to June 2010.
PATIENTS AND METHODS: Retrospective review of 184 consecutive cases of thyroid swellings
admitted and operated, irrespective of age, sex and socioeconomic status. Physiological goiter
and previously operated thyroid swellings were excluded from the study. Demographic data,
clinical features, investigations, surgical management details and complications were assessed.
RESULT: Among 184 cases of thyroid swellings 62.5% were between 21 to 40 years of age, with
female preponderance (79.9%). Majority (71.7%) cases belonged to lower socioeconomic status.
Right lobe was involved in 32.60%, left in 15.7% while both lobes were involved in 51.5% cases.
Multinodular goiter were seen in 54.8% cases while 39.1% cases had solitary nodule. Total thyroidectomy was performed in 23.3% cases, near total thyroidectomy in 9.8%, subtotal thyroidectomy in 31% and lobectomy (with isthemectomy) in 35.9% cases. In postoperative period,
hoarseness was seen in 0.5% cases; while other complications like bleeding due to slipping of
ligature, wound infection and hypoparathyroidism was seen in 1.6%, 2.2% and 2.2% cases respectively.
CONCLUSION: With female preponderance and low socioeconomic status, thyroid swellings are
mostly seen between the ages of 21 to 40 years. Solitary nodule and multinodular goiter are
common findings. Surgical management performed by ENT - Head and Neck surgeons ranges
from total thyroidectomy to lobectomy, gives good results and few complications.
Mahboob Afzal Jawaid, Danish Ur Rahim, Mushtaq Ali Memon, Pir Bux Magsi, Salman Mutiullah Shaikh, Muhammad Saleem Marfani . (2012) Presentation, Management and Outcome of Surgery PF Thyroid Swellings by ENT & Head and Neck Surgeons at Civil Hospital Karachi , Journal of Liaquat University of Medical and Health Sciences, Volume-11, Issue-2.
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