guatr-ve-troidin-diger-hastaliklari

Goiter Disease and Other Thyroid Diseases

While the surgical treatment of a goiter, which is a thyroid gland disease, has been popular until the last 10-15 years, the surgical treatment option was ildirilmiştir in suspicious cases in the flow diagram reported by the American Thyroid Association at the end of 2009 and revised in 2011. If the surgical treatment option is to be used, it is recommended to remove the whole gland. Treatments such as “shaving,” “leaving a part of the thyroid gland” that have been applied in the past years have already lost their actuality since relapses have been experienced intensively. In the literature, the potential for the recurrence of a nodule in the remaining thyroid gland can be as high as 50% compared to some series. It is unpredictable in whom nodules can develop again.

 

Secondary, tertiary surgeries related to the thyroid are a nightmare for the surgeon who performs surgery due to the passing of the nerves related to the vocal cords through this region, difficulty and even the impossibility of protecting and distinguishing these nerves in secondary-tertiary surgeries, and they are risky since situations such as patient’s losing his/her voice because of the benign disease, an inability to breathe because the vocal cords not function completely and opening a hole in the trachea that will remain in the neck for the whole life (tracheostomy) can be faced.

Therefore, unnecessary surgeries for the thyroid gland should be avoided. If it is obligatory to perform surgery and if there is a suspected cancer situation, the problem should be solved in the first surgery, and secondary-tertiary operations should not be required.

In this respect, it is appropriate for patients to be conscious and conduct thorough research and demand performing evaluations by experienced centers. Otherwise, they may face unwanted consequences. Our approach to goiter diseases with an experienced team is an intervention according to the current guidelines of the American Thyroid Association.

While the surgical treatment of a goiter, which is a thyroid gland disease, has been popular until the last 10-15 years, the surgical treatment option was ildirilmiştir in suspicious cases in the flow diagram reported by the American Thyroid Association at the end of 2009 and revised in 2011. If the surgical treatment option is to be used, it is recommended to remove the whole gland. Treatments such as “shaving,” “leaving a part of the thyroid gland” that have been applied in the past years have already lost their actuality since relapses have been experienced intensively. In the literature, the potential for the recurrence of a nodule in the remaining thyroid gland can be as high as 50% compared to some series. It is unpredictable in whom nodules can develop again.

 

Secondary, tertiary surgeries related to the thyroid are a nightmare for the surgeon who performs surgery due to the passing of the nerves related to the vocal cords through this region, difficulty and even the impossibility of protecting and distinguishing these nerves in secondary-tertiary surgeries, and they are risky since situations such as patient’s losing his/her voice because of the benign disease, an inability to breathe because the vocal cords not function completely and opening a hole in the trachea that will remain in the neck for the whole life (tracheostomy) can be faced.

Therefore, unnecessary surgeries for the thyroid gland should be avoided. If it is obligatory to perform surgery and if there is a suspected cancer situation, the problem should be solved in the first surgery, and secondary-tertiary operations should not be required.

In this respect, it is appropriate for patients to be conscious and conduct thorough research and demand performing evaluations by experienced centers. Otherwise, they may face unwanted consequences. Our approach to goiter diseases with an experienced team is an intervention according to the current guidelines of the American Thyroid Association.