ORIGINAL ARTICLE

Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease

Robert Saadi MD

Department of Otolaryngology – Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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Alyssa Brandt BS,

Alyssa Brandt BS

College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania

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Yesul Kim MD,

Yesul Kim MD

Department of Dermatology, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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Elizabeth Cottrill MD,

Elizabeth Cottrill MD

Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

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Brian Saunders MD,

Brian Saunders MD

Department of Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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Eric Schaefer MS,

Eric Schaefer MS

Department of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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David Goldenberg MD,

Corresponding Author

David Goldenberg MD

[email protected]

orcid.org/0000-0002-2822-4116

Department of Otolaryngology – Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

Correspondence

David Goldenberg, MD, FACS, The Pennsylvania State University, College of Medicine, Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, 500 University Drive, P.O. Box 850 H091, Hershey, PA 17033-0850.

Email: [email protected]

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Robert Saadi MD,

Robert Saadi MD

Department of Otolaryngology – Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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Alyssa Brandt BS,

Alyssa Brandt BS

College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania

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Yesul Kim MD,

Yesul Kim MD

Department of Dermatology, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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Elizabeth Cottrill MD,

Elizabeth Cottrill MD

Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

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Brian Saunders MD,

Brian Saunders MD

Department of Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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Eric Schaefer MS,

Eric Schaefer MS

Department of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

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David Goldenberg MD,

Corresponding Author

David Goldenberg MD

[email protected]

orcid.org/0000-0002-2822-4116

Department of Otolaryngology – Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania

Correspondence

Email: [email protected]

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First published: 25 October 2019

https://doi.org/10.1002/hed.25991

Citations: 4

This study has been accepted to the AAO-HNS 2019 Annual Meeting, September 15-18, 2018, New Orleans, LA, USA, as an Oral Presentation.

Section Editor: Mark Zafereo

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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.

CONFLICT OF INTEREST

None of the authors have any conflicts of interest.

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February 2020

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Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease

Abstract

Background

Methods

Results

Conclusion

CONFLICT OF INTEREST

REFERENCES

Citing Literature

References

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Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease

Abstract

Background

Methods

Results

Conclusion

CONFLICT OF INTEREST

REFERENCES

Citing Literature

References

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