Our Summary

This research paper discusses the importance of properly removing the affected part of the thyroid gland when performing a laryngectomy, a surgery to remove the larynx (voice box). The authors suggest a method for effectively removing the damaged thyroid tissue, based on existing research and their own experience in managing the thyroid gland during laryngeal surgeries. The goal is to achieve the best possible long-term health and cancer-related outcomes. The findings are based on a clinical examination, cross-sectional imaging, and observations made during surgery.

FAQs

  1. What is the importance of optimal resection of the thyroid gland during a Laryngectomy?
  2. How does the concept of adequate removal of the infiltrated thyroid glandular tissue improve the results of a Laryngectomy?
  3. What techniques are typically adopted in performing laryngeal surgery involving the thyroid gland?

Doctor’s Tip

One helpful tip a doctor might tell a patient about thyroidectomy is to follow post-operative care instructions carefully, including taking prescribed medications, attending follow-up appointments, and monitoring for any signs of complications such as difficulty swallowing, hoarseness, or changes in weight or energy levels. It is also important to maintain a healthy lifestyle, including eating a balanced diet and getting regular exercise, to support overall thyroid health.

Suitable For

Patients who are typically recommended for thyroidectomy include those with:

  1. Thyroid cancer: Patients with thyroid cancer may undergo thyroidectomy as part of their treatment plan to remove the cancerous tissue.

  2. Large or nodular goiters: Patients with large or nodular goiters that are causing symptoms such as difficulty breathing or swallowing may be recommended for thyroidectomy.

  3. Hyperthyroidism: Patients with hyperthyroidism that does not respond to medication or other treatments may be recommended for thyroidectomy to remove the overactive thyroid gland.

  4. Graves’ disease: Patients with Graves’ disease, an autoimmune disorder that causes hyperthyroidism, may be recommended for thyroidectomy if other treatments are ineffective.

  5. Thyroid nodules: Patients with thyroid nodules that are suspicious for cancer or causing symptoms such as difficulty breathing or swallowing may be recommended for thyroidectomy.

  6. Recurrent thyroid nodules: Patients with recurrent thyroid nodules that continue to grow or cause symptoms may be recommended for thyroidectomy.

  7. Family history of thyroid cancer: Patients with a family history of thyroid cancer may be recommended for thyroidectomy as a preventative measure.

It is important for patients to discuss their individual case with their healthcare provider to determine if thyroidectomy is the best treatment option for them.

Timeline

Before thyroidectomy:

  1. Patient may experience symptoms such as difficulty swallowing, breathing, or speaking, hoarseness, fatigue, weight gain, or weight loss.
  2. Patient may undergo diagnostic tests such as blood tests, ultrasound, or biopsy to confirm the need for thyroidectomy.
  3. Patient may meet with a surgeon to discuss the procedure, risks, and potential outcomes.

After thyroidectomy:

  1. Patient may experience temporary hoarseness or difficulty speaking due to potential damage to the vocal cords.
  2. Patient may need to take thyroid hormone replacement medication for the rest of their life to maintain normal thyroid function.
  3. Patient may need to follow up with their surgeon for post-operative care and monitoring of thyroid hormone levels.
  4. Patient may need to make dietary and lifestyle changes to manage any weight fluctuations or changes in metabolism.
  5. Patient may experience relief from symptoms related to thyroid disease, such as improved energy levels and overall well-being.

What to Ask Your Doctor

  1. What are the reasons for recommending a thyroidectomy in my case?
  2. What are the potential risks and complications associated with the thyroidectomy procedure?
  3. Will I need to take thyroid hormone replacement medication after the surgery?
  4. How long will it take to recover from the thyroidectomy surgery?
  5. Will there be any changes in my voice or swallowing function after the thyroidectomy?
  6. How often will I need follow-up appointments after the thyroidectomy?
  7. What is the likelihood of the thyroid cancer returning after the thyroidectomy?
  8. Are there any dietary or lifestyle changes I should make after the thyroidectomy?
  9. Will I need any additional treatments, such as radioactive iodine therapy, after the thyroidectomy?
  10. How experienced are you in performing thyroidectomies, and what is your success rate with this procedure?

Reference

Authors: Varghese BT, Janardhan D, Mathew Iype E. Journal: Oral Oncol. 2020 Nov;110:104818. doi: 10.1016/j.oraloncology.2020.104818. Epub 2020 May 29. PMID: 32482522