Our Summary

This research paper is about a new method of performing thyroid surgery through the mouth, specifically using four small instruments called trocars. The study was conducted between February and May 2020. The researchers found that this method was safe and effective, as none of the five patients who underwent this procedure experienced any complications like bleeding or nerve damage. The patients were also very happy with how they looked after the surgery. The researchers believe this method makes it easier for surgeons to protect important glands and nerves during the surgery.

FAQs

  1. What is the new method of performing thyroid surgery mentioned in the research paper?
  2. What were the results of the study conducted between February and May 2020 regarding the new method of thyroid surgery?
  3. How does the new method of thyroid surgery help protect important glands and nerves?

Doctor’s Tip

A 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 infection or complications. It’s also important to maintain a healthy diet and lifestyle to support overall healing and thyroid function. Additionally, patients should communicate any concerns or changes in symptoms to their healthcare team promptly.

Suitable For

Patients who are typically recommended for thyroidectomy include:

  1. Patients with thyroid cancer: Thyroidectomy may be recommended for patients with thyroid cancer to remove the cancerous tissue and prevent it from spreading to other parts of the body.

  2. Patients with large thyroid nodules: Thyroidectomy may be recommended for patients with large thyroid nodules that are causing symptoms such as difficulty swallowing or breathing.

  3. Patients with hyperthyroidism: Thyroidectomy may be recommended for patients with hyperthyroidism (overactive thyroid) who do not respond to other treatments such as medication or radioactive iodine therapy.

  4. Patients with thyroid nodules that are suspicious for cancer: Thyroidectomy may be recommended for patients with thyroid nodules that are suspicious for cancer based on imaging studies or biopsy results.

  5. Patients with recurrent thyroid nodules: Thyroidectomy may be recommended for patients with recurrent thyroid nodules that continue to grow or cause symptoms despite previous treatments.

  6. Patients with Graves’ disease: Thyroidectomy may be recommended for patients with Graves’ disease (autoimmune disorder causing hyperthyroidism) who do not respond to other treatments or who have severe symptoms.

  7. Patients with thyroid goiter: Thyroidectomy may be recommended for patients with a large thyroid goiter (enlarged thyroid gland) that is causing symptoms such as difficulty swallowing, breathing, or speaking.

Overall, the decision to recommend thyroidectomy is based on the individual patient’s medical history, symptoms, and the results of diagnostic tests. It is important for patients to discuss the risks and benefits of thyroidectomy with their healthcare provider to make an informed decision about their treatment options.

Timeline

Before thyroidectomy:

  1. Patient meets with a healthcare provider to discuss symptoms and potential need for surgery.
  2. Patient undergoes pre-operative testing, including blood work and imaging studies, to assess thyroid function and anatomy.
  3. Patient may be placed on thyroid hormone replacement therapy to optimize thyroid function before surgery.
  4. Patient is given pre-operative instructions, including fasting before surgery and discontinuation of certain medications.
  5. Patient undergoes thyroidectomy surgery, which can be done through a traditional open approach or minimally invasive techniques.

After thyroidectomy:

  1. Patient is monitored closely in the recovery room for any immediate complications, such as bleeding or difficulty breathing.
  2. Patient may stay in the hospital for observation or be discharged the same day, depending on the extent of the surgery and individual recovery.
  3. Patient may experience temporary hoarseness or difficulty swallowing as the vocal cords and nearby structures heal.
  4. Patient will be prescribed thyroid hormone replacement therapy to maintain normal thyroid function.
  5. Patient will have follow-up appointments with their healthcare provider to monitor thyroid hormone levels and overall health post-surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a thyroidectomy performed through the mouth using trocars?
  2. How does this method compare to traditional thyroidectomy procedures in terms of recovery time and scarring?
  3. What qualifications and experience do you have in performing thyroidectomies through the mouth using trocars?
  4. How will this method affect my thyroid function and hormone levels post-surgery?
  5. Are there any specific dietary or lifestyle changes I should make before or after undergoing this procedure?
  6. How long will the surgery take and what can I expect in terms of post-operative pain and discomfort?
  7. Will I need to take any medications or undergo additional treatments after the surgery?
  8. What are the long-term implications and potential complications of having a thyroidectomy performed through the mouth using trocars?
  9. How often will I need to follow-up with you after the surgery for monitoring and evaluation of my thyroid health?
  10. Are there any alternative treatment options available for my thyroid condition that I should consider before proceeding with a thyroidectomy?

Reference

Authors: Ngo DQ, Tran TD, Ngo QX, Van Le Q. Journal: Ear Nose Throat J. 2022 Mar;101(3):170-174. doi: 10.1177/0145561320943358. Epub 2020 Aug 14. PMID: 32791908