265279

Thyroid Autotransplantation after Total Thyroidectomy in Benign Thyroid Diseases

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Last updated: 03 Jan 2025

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Abstract

Background: After achievement of parathyroid autotransplantation, thyroid autotransplantation was presented with goal of preventing or lessening severity of post-thyroidectomy hypothyroidism in noncompliant patients. Goal and objectives: In this research, we intended to evaluate efficacy of autotransplantation of thyroid tissue after total thyroidectomy (TT) in benign thyroid disorders to keep the patient euthyroid with no need for life long hormone replacement therapy. Studied cases and methods: The study included thirty patients with benign thyroid disorders for whom total thyroidectomy was done. Autotransplantation was done by excising an apparently healthy portion weighing about 2-5 gm from the resected thyroid gland after total thyroidectomy and slicing this portion into about 10 small fragments then inserting these fragments into pocket made in the sternomastoid muscle. Follow up process contained measurement of serum levels of T3, T4 and TSH and thyroid scanning by 99mTC-MIBI scintigraphy.  Results: Serum calcium level following total thyroidectomy: 28 patients had normal serum calcium level (8.5mg/dl- 10.5mg/dl) and only 2 patients developed hypocalcaemia. These 2 patients were advised to take oral calcium to correct hypocalcaemia with regular follow up.  Conclusion: Thyroid autotransplantation after total thyroidectomy is effective way to avoid postoperative hypothyroidism in benign thyroid disorders.  

DOI

10.21608/ejhm.2022.265279

Keywords

THYROID, Auto-transplantation, Total Thyroidectomy, benign, Auto-implanted

Authors

First Name

Mohamed Bakr

Last Name

Mohamed Kotb

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First Name

Ahmed Mohamed Gamal

Last Name

Hemdan

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Email

kottb73@gmail.com

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First Name

Mahmoud Thabet

Last Name

Ayoub

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-10-13

Publish Date

2022-10-01

Page Start

5,544

Page End

5,549

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_265279.html

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https://ejhm.journals.ekb.eg/service?article_code=265279

Order

223

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Thyroid Autotransplantation after Total Thyroidectomy in Benign Thyroid Diseases

Details

Type

Article

Created At

22 Jan 2023