The relation between preoperative ultrasonographic thyroid volume analysis and thyroidectomy complications

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dc.authorscopusid56044149100
dc.authorscopusid15065888400
dc.authorscopusid24780735400
dc.authorscopusid21740509200
dc.authorscopusid27868082700
dc.authorscopusid7004172444
dc.authorscopusid6603307334
dc.contributor.authorKarabeyoglu M.
dc.contributor.authorUnal B.
dc.contributor.authorDirican A.
dc.contributor.authorKocer B.
dc.contributor.authorSerhat Gur A.
dc.contributor.authorBozkurt B.
dc.contributor.authorCengiz O.
dc.date.accessioned2024-08-04T20:00:50Z
dc.date.available2024-08-04T20:00:50Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective. To determine the relation between thyroid volume (ThV) and thyroidectomy complications using preoperative ultrasound and ellipsoid volumetric analysis in Turkish patients. Patients and Methods. This prospective study included a total of 500 patients (401 females =80.2% and 99 males = 19.8%) who were operated for benign goiter. According to their ThV estimated by ultrasound hey were classified in three groups: 1.less than 50 ml (n = 269; 53.8%), 2. between 50 and 100 ml (n = 151; 30.2%), 3. more than 100 ml (n = 80; 15.6%). By comparing the association of thyroid volume with peroperative and postoperative complications it was evaluated whether the thyroid volume could be an effective factor participating in morbidity and mortality of patients. Results. Total peroperative complication rate was 2% (n= 10) with trachea injury in 2 (0.4%), bleeding in 8 (1.6%) patients. Peroperative complications were significantly more frequent in patients with large volume (p=0.003). Temporary hypocalcemia rate in patients with less than 50 ml volume was highly significant (p<0.001). Volume average was low in patients with hypocalcemia as compared to patients without hypocalcemia (p<0.001). Both the temporary and permanent vocal cord paralysis (VCP) were significantly more frequent in patients with larger volumes (p=0.002). All four patients with permanent VCP had more than 100 ml volume. Conclusion. Thyroid volume is an important factor affecting thyroidectomy complications. In patients with smaller ThV increased risk of hypocalcemia was found, whereas in those with larger ThV increased risk of recurrent nerve damage and peroperative bleeding was observed.en_US
dc.identifier.endpage87en_US
dc.identifier.issn1210-0668
dc.identifier.issue2en_US
dc.identifier.pmid19856713en_US
dc.identifier.scopus2-s2.0-70350783905en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage83en_US
dc.identifier.urihttps://hdl.handle.net/11616/91040
dc.identifier.volume43en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofEndocrine Regulationsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPeroperative complicationsen_US
dc.subjectThyroid volumeen_US
dc.subjectThyroidectomyen_US
dc.subjectUltrasonouden_US
dc.titleThe relation between preoperative ultrasonographic thyroid volume analysis and thyroidectomy complicationsen_US
dc.typeArticleen_US

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