Journal of Allergy & Therapy

Complications of surgery of malignant thyroid gland

9^th International Conference on Otology, Rhinology and Laryngology

November 10, 2023 | Webinar

Muhammad imran bhatti

Liaquat University, Pakistan.

Scientific Tracks Abstracts: J Allergy Ther

Abstract:

Objective: To determine the frequency of the postoperative complications of malignant thyroid disease. Introduction: Thyroidectomy is a very common surgical procedure worldwide and is performed by surgeon with varied training and background such as general surgery, thoracic surgery endocrine surgery otolaryngology oncology surgery and head and neck surgery. Thyroid surgery includes lobectomy, isthmectomy subtotal thyroidectomy and total thyroidectomy. As my topic concerned to the surgery of malignant disease of thyroid so we discuss the complications of total thyroidectomy. The outcome and complication rates are largely depend on surgeon’s skill and experience. Common complications of thyroidectomy are seroma, haematoma, chyle fistula, hypoparathyroidism, hypothyroidism recurrent laryngeal nerve palsy and airway obstruction. Patient and methodology: It is a retrospective study carried out in ENT head and neck surgery in department of JPMC karachi. All the patients were attended during the period of five year from 2011 to 2015. 98 cases of postoperative, complications of CA thyroid were studied,. These patients with diagnosis of CA thyroid on FNAC having neck node negative were enrolled. Inclusion criteria: Palpable thyroid gland on physical examination, all patients with post thyroid surgery for CAthyroid having negative node (having papillary CA, follicular CA , anaplastic lesion, hurthle cell carcinoma Exclusion criteria: Previous thyroid surgery , thyroid irradiation therapy , prior vocal cord paralysis diagnosed on IDL, CA with node positive, medullary CA and lymphoma of thyroid and distant metastasis.All patients had enlisted from OPD and ward of ent jpmc khi and an informed consent was taken from the patients. All the patient from CA thyroid with negative node was planned for surgery. Thyroid surgery had performed by surgeon having greater than five years of experience. All patients had their vocal cord checked at the time of extubation. All patients have serum calcium analysis on the day of surgery and on two subsequent days. Investigation like thyroid function test, serum calcium, thyroid scan and ultrasound had performed. Result: 98 patients with post-operative complication of malignant thyroid diseases were included . out of 98 patients, 88 patients having papillary CA , 6 pts having follicular CA , 2 pts having anaplastic lesion and 2 having hurthle cell CA. These all CA with negative node. Out of these 98 pts , 35 patients were suffering from hypoparathyroidism , 33 having hypothyroidism, 15 having vocal cord palsy, 10 having airway obstruction, 3 having seroma , 1 having haematoma and 1 having chyle fistula. In my study most common complication was hypoparathyroidism followed by hypothyroidism vocal cord palsy, airway obstruction, seroma ,haematoma and chyle fistula.

Biography :

Muhammad imran bhatti an ENT and head and neck surgeon he did MBBS from liaquat university of medical and health science jamshoro sindh pakistan in 2012 after that he did internship from jinnah postgraduate medical centre karachi in 2013. Than he started his 4th years postgraduate trainee in ENT and head and neck surgery in the department of ENT and head and neck surgery from 2015 to 2019 he has cleared his fellowship exame in ENT and head and neck surgery from college of physcian and surgeons of pakistan in 2021. Currently Muhammad imran bhatti is working as a Senior registrar in the department of ENT and head and neck surgery of liaquat university of medical and health science jamshoro sindh from February 2023 during this period he has attended national and international ENT conferences and present research papers in multiple ENT conferences he has published 6 article.