Inferior approach in thyroid surgery a study at al-Hussain General and Amel Private Hospital in Nassyria

Abstract EN

192 patients with clinical thyroid enlargement were studied over a period of 2 years (sep 2008 / Sep 2010) in AL-HUSSAIN GENERAL and AMAL PRIVATE hospitals in NASSYRIA to evaluate the inferior approach as the best technique to achieve near total or total thyroidectomy.

patients was selected for surgery according to the classical indications.

The mean age was( 36 year).

Female / male ratio was( 15 / 1).

initial steps of thyroidectomy was the standard……..strap muscle division not routine, gland mobilization started from the lower pole rather than the classical middle thyroid vein then upper and lower pole division.

Complications was less than the classical percent : postoperative haemorrhage (0.52 percent).

respiratory obstruction(0.52 percnt), reccurent larengeal nerve paralysis(1.04 percent)and parathyroid insufficiency(1.04 percent).

conclucion......inferior approach of thyroidectomy was reliable, rapid, and easy technique to achieve near total or total thyroidectomy with less postoperative complications than the standard technique.