Surgery for fibro-adherent inflammatory thyroid disease

David Goldenberg, Warren Swegal, Mitchell Dunklebarger, Phillip K. Pellitteri

Research output: Contribution to journalArticle

Abstract

Inflammatory thyroid diseases include those which are mediated through autoimmune disorders such as Hashimoto thyroiditis and Graves disease, as well as inflammatory goiter and subacute thyroiditis. In patients with such disorders, the thyroid gland often becomes markedly enlarged with an associated fibro-vascular connective tissue reaction involving the thyroid capsule and surrounding soft tissues. This results in dense, adherent connective tissue which may compress and obscure critical central neck compartment structures and make capsular dissection challenging. Thyroid surgery in patients with fibro-adherent inflammatory thyroid disease is technically challenging and postoperative complication rates are higher for these procedures. Due to these increased risks for complications, operative procedures in these circumstances should be designed with careful consideration of the anatomical changes associated with the underlying inflammatory pathology. Elements important to successful surgical resection include appropriate patient preparation and surgical planning, together with execution of the operative procedure with adaptation to many of the changes induced by inflammation on both the thyroid gland and the surrounding central neck structures.

Original languageEnglish (US)
Pages (from-to)2-9
Number of pages8
JournalOperative Techniques in Otolaryngology - Head and Neck Surgery
Volume29
Issue number1
DOIs
StatePublished - Mar 1 2018
Externally publishedYes

Fingerprint

Thyroid Diseases
Thyroid Gland
Hashimoto Disease
Operative Surgical Procedures
Connective Tissue
Neck
Subacute Thyroiditis
Graves Disease
Goiter
Capsules
Blood Vessels
Dissection
Pathology
Inflammation

Keywords

  • fibrous
  • inflammatory
  • thyroid
  • thyroidectomy
  • thyroiditis
  • thyromegaly

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Surgery for fibro-adherent inflammatory thyroid disease. / Goldenberg, David; Swegal, Warren; Dunklebarger, Mitchell; Pellitteri, Phillip K.

In: Operative Techniques in Otolaryngology - Head and Neck Surgery, Vol. 29, No. 1, 01.03.2018, p. 2-9.

Research output: Contribution to journalArticle

Goldenberg, David ; Swegal, Warren ; Dunklebarger, Mitchell ; Pellitteri, Phillip K. / Surgery for fibro-adherent inflammatory thyroid disease. In: Operative Techniques in Otolaryngology - Head and Neck Surgery. 2018 ; Vol. 29, No. 1. pp. 2-9.
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