Introduction: Total thyroidectomy is a common surgery nowadays, yet the use of long-life replacement therapy
has its complications. Thyroid autotransplantation helps to reach a euthyroid state with an autoregulatory
mechanism of the grafted thyroid tissue.
Aim of work: To assess the survival and function of autotransplanted thyroid tissue after total thyroidectomy in
patients with multinodular goiter.
Patients and methods: This is a prospective case series study that was conducted in Ain Shams University
Hospitals and Helwan University Hospitals from January 2022 to January 2024 including a minimum of one-year
follow-up. The study included 76 patients with simple multinodular goitre who underwent total thyroidectomy with
thyroid autotransplantation.
Results: All the patients reached a euthyroid state at 12 months follow up. Sixty-one patients didn't receive
any replacement therapy while 15 patients (20%) received low dose (50micogram) of levothyroxine to reach the
euthyroid state.
Conclusion: Thyroid tissue autotransplantation is a safe and easy procedure that can help to omit or lower the
dose of replacement therapy post thyroidectomy.