Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease

Robert Saadi, Alyssa Brandt, Yesul Kim, Elizabeth Cottrill, Brian Saunders, Eric Schaefer, David Goldenberg

Research output: Contribution to journalArticle

Abstract

Background: Our goal was to elucidate the differences in degree of technical difficulty of thyroidectomy in patients with autoimmune thyroid diseases. Methods: Charts of adult patients who had undergone thyroidectomy were reviewed. Patients with Hashimoto's Thyroiditis (HT) or Graves' Disease (GD) were individually compared to a control group of patients with early stage malignancy or goiter. Results: The HT (n = 65) group was significantly more likely to have friable (P =.001) and fibrotic (P <.001) thyroids, longer operative times (P =.02), and a 22-modifier (P =.005). The GD (n = 169) group was significantly more likely to have friable (P <.001), vascular (P <.001), fibrotic (P =.038), and heavy (P =.002) thyroids, longer operative times (P =.03), increased length of stay (P =.01) and a 22-modifier (P =.01). Conclusion: Our experience at an institution with a high-volume thyroid practice demonstrates that patients with autoimmune thyroid disease have consistent qualitative changes of the thyroid and significantly increased operative times and surgical difficulty.

Original languageEnglish (US)
Pages (from-to)262-268
Number of pages7
JournalHead and Neck
Volume42
Issue number2
DOIs
StatePublished - Feb 1 2020

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Thyroid Diseases
Thyroidectomy
Autoimmune Diseases
Thyroid Gland
Operative Time
Hashimoto Disease
Graves Disease
Goiter
Blood Vessels
Length of Stay
Control Groups
Neoplasms

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Saadi, R., Brandt, A., Kim, Y., Cottrill, E., Saunders, B., Schaefer, E., & Goldenberg, D. (2020). Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease. Head and Neck, 42(2), 262-268. https://doi.org/10.1002/hed.25991
Saadi, Robert ; Brandt, Alyssa ; Kim, Yesul ; Cottrill, Elizabeth ; Saunders, Brian ; Schaefer, Eric ; Goldenberg, David. / Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease. In: Head and Neck. 2020 ; Vol. 42, No. 2. pp. 262-268.
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Saadi, R, Brandt, A, Kim, Y, Cottrill, E, Saunders, B, Schaefer, E & Goldenberg, D 2020, 'Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease', Head and Neck, vol. 42, no. 2, pp. 262-268. https://doi.org/10.1002/hed.25991

Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease. / Saadi, Robert; Brandt, Alyssa; Kim, Yesul; Cottrill, Elizabeth; Saunders, Brian; Schaefer, Eric; Goldenberg, David.

In: Head and Neck, Vol. 42, No. 2, 01.02.2020, p. 262-268.

Research output: Contribution to journalArticle

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Saadi R, Brandt A, Kim Y, Cottrill E, Saunders B, Schaefer E et al. Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease. Head and Neck. 2020 Feb 1;42(2):262-268. https://doi.org/10.1002/hed.25991