Toxic multinodular goiter surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2],Sunny Kumar MD [3]
Overview
- Surgical intervention is not recommended for the management of [disease name].
OR
- Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
- The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
- The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
- Surgery is the mainstay of treatment for [disease or malignancy].
Surgery
Surgery is the mainstay of treatment for Toxic multinodular goiter.
Indications
Indications of surgery for multinodular goiter (MNG) includes:
- Recent growth of goiter
- Recent growth of nodules
- FNAC is positive or suspicious of malignancy
- Compression of trachea, esophagus, and other neck structures
Surgical procedures
Almost all multinodular goiters can be surgically removed through a collar incision. An additional thoracotomy is very rarely necessary.
Subtotal thyroidectomy
Bilateral subtotal thyroidectomy is effective in the treatment of multinodular goiter (with hot or cold nodules)
Unilateral Lobectomy
A unilateral lobectomy may be performed if only one thyroid lobe is enlarged.
Side effects of surgery
The side effects associated with thyroidectomy include:
- Post-operative hypothyroidism
- Recurrent laryngeal palsy
- Hypocalcaemia