Medical Science,
Journal Year:
2022,
Volume and Issue:
26(124), P. 1 - 9
Published: June 3, 2022
Colloid
Nodular
Goitre
is
the
most
common
form
of
goitre
seen
globally
and
it
also
one
endocrine
problems,
especially
in
nations
where
iodine
shortage
widespread,
like
India.A
40-year-old
female
presented
to
ENT
department
this
hospital
with
large
thyroid
swelling
on
left
side
after
investigations
diagnosed
multinodular
colloid
goiter
which
was
surgically
treated
by
right
hemithyroidectomy
under
general
anesthesia.Post-surgery,
neck
pain,
shoulder
tightness,
limitation
cervical
movements
difficulty
ADLS
were
main
concerns
patient.The
patient
referred
physiotherapy
these
problems.Physiotherapy
rehabilitation
resulted
reduction
discomfort,
improvement
muscle
strength
overall
quality
life
as
well
ease
performing
ADLS.The
current
case
demonstrated
that
post-surgery
can
improve
outcomes
make
him/
her
independent
activities
daily
living.
Thyroid Research,
Journal Year:
2024,
Volume and Issue:
17(1)
Published: July 8, 2024
Abstract
Background
The
incidence
of
hypothyroidism
following
hemithyroidectomy
and
risk
factors
associated
with
its
occurrence
are
not
completely
understood.
This
systematic
review
investigated
the
for
hypothyroidism,
thyroxine
supplementation
as
well
course
post-operative
including
time
to
transient
hypothyroidism.
Methods
Searches
were
conducted
in
MEDLINE,
EMBASE,
Scopus,
Cochrane
library
studies
reporting
or
hemithyroidectomy.
Results
Sixty-six
eligible
inclusion:
36
reported
factors,
27
Median
follow-up
was
25.2
months.
pooled
29%
(95%
CI,
25-34%;
P
<0.001).
Transient
occurred
34%
patients
21-47%;
23%
19-27%;
<0.001),
overt
4%
2-6%,
Risk
development
included
pre-operative
thyroid
stimulating
hormone
(TSH)
(WMD,
0.87;
95%
0.75-0.98;
TSH
≥
2
mIU/L
(RR,
2.87;
2.43-3.40;
female
sex
1.19;
1.08-1.32;
=0.007),
age
2.29;
1.20-3.38;
right
sided
1.35;
1.10-1.65,
=0.003),
presence
autoantibodies
anti-TPO
1.92;
1.49-2.48;
anti-Tg
1.53;
1.40-1.88;
Hashimoto’s
thyroiditis
2.05;
1.57-2.68;
=0.001).
Conclusion
A
significant
number
will
develop
require
An
awareness
patient
postoperative
function
assist
counselling
on
their
profile
guiding
management.
Ear Nose & Throat Journal,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 10, 2025
Purpose:
Hemithyroidectomy
is
an
appropriate
procedure
that
recommended
for
a
number
of
thyroid
conditions
to
preserve
the
functional
contralateral
lobe,
but
patients
who
underwent
hemithyroidectomy
still
run
risk
developing
hypothyroidism.
This
study
aimed
determine
incidence
hypothyroidism
following
as
well
predictive
factors.
Methods:
A
retrospective
analysis
was
carried
out
on
all
between
2016
and
2022.
Age,
gender,
preoperative
postoperative
stimulating
hormone
(TSH)
free
thyroxin
(FT4),
side,
volume
remaining
histologic
diagnosis,
were
examined
in
patients.
To
identify
predictors
hypothyroidism,
statistical
analyses,
both
univariate
multivariate,
conducted.
Results:
Out
224
patients,
18.25%
had
surgery.
complication
appeared
within
first
year
88%
cases.
Patients
with
thyroiditis
(
P
=
.036),
TSH
levels
greater
than
1.72
mIU/L
<
.001),
right
side
.017),
residual
lobe
less
3.57
cm
.001)
significantly
higher
Conclusion:
After
hemithyroidectomy,
major
should
be
carefully
evaluated
preoperatively
based
factors
Furthermore,
our
results
confirm
need
routine
serum
monitoring
minimum
1
hemithyroidectomy.
International Archives of Otorhinolaryngology,
Journal Year:
2025,
Volume and Issue:
29(02), P. 001 - 006
Published: April 1, 2025
Abstract
Introduction
Hemithyroidectomy
is
performed
for
the
treatment
of
symptomatic
unilateral
benign
nodules,
cytologically
indeterminate
and
some
cases
well-differentiated
thyroid
cancer.
Objective
To
evaluate
frequency
postlobectomy
hormone
replacement
(THR),
to
analyze
clinical-pathological
factors
predicting
L-thyroxine
(T4)
use
in
patients
undergoing
hemithyroidectomy.
Methods
We
conducted
an
observational,
retrospective
study
which
clinical,
biochemical,
anatomopathological
parameters
were
analyzed
correlated
with
need
THR
after
lobectomy.
Results
The
postoperative
was
63%.
preoperative
thyroid-stimulating
(TSH)
level
important
predictor
THR.
When
stratifying
TSH
levels,
frequencies
T4
each
quartile
varied,
being
more
frequent
increasing
presurgical
levels
(p
=
0.029).
cutoff
that
maximized
sensitivity
specificity
development
hypothyroidism
1.21
μIU/mL.
Conclusion
Our
results
demonstrated
a
significant
Higher
strong
risk
factor
postsurgical
hypothyroidism,
even
lower
within
normal
references
do
not
exclude