Intracapsular Thyroidectomy: Our Experience at a Tertiary Care Hospital.

Authors

  • Sharafat Ali Khan
  • Ihsanullah
  • Muhammad Usman
  • Inayatullah
  • Shafiq Ahmad

DOI:

https://doi.org/10.52206/jsmc.2021.11.3.648

Abstract

Background: Goiter is the common endocrine disease encountered in ENT practice .Surgery is one of the main line of treatment.
Commonly performed procedures for benign thyroid disease are conventionally performed with extra capsular approach and
mandatory identification of the recurrent laryngeal nerve and parathyroid glands .Intracapsular thyroidectomy is the emerging
technique and there is an ongoing debate among the clinicians using intracapsular thyroidectomy and its complications especially
recurrent laryngealnerve injury.
Objective: To evaluate the results of intracapsular thyroidectomy in the management of benign thyroid diseases.
Material and Methods: This Cross sectional descriptive study was conducted in ENT Department, Saidu Group of Teaching
Hospitals, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan from January 17, 2017 to April 21, 2019. A total of 90 patients of
benign thyroid diseases who underwent intracapsular thyroidectomy during the period were included in the study. The data
collectedthrough predesignedPerforma was analyzed with SPSS version 22 for results.
Results: Among 90 patients 72 % were female and 28 % were male .The mean age was 38± 2 years.Multinodular goiterwas 71 %,
diffuse nontoxic goiter was 16% and solitary thyroid nodule was 13%.AII the goiters were having benign pathology. Total
thyroidectomy was performed on 47%.near total thyroidectomy was performed on 36 % and 17% patients underwent
hemithyroidectomy.Among the complications transient hypocalcaemia was noted in 3%, temporary voice changes in 2 %.seroma
formation and wound infection each in 1% patients while no complications were observed in the majority of cases.
Conclusion: We concluded that Intracapsular thyroidectomy and early division of isthmus and medial to lateral dissection of
thyroid gland alongthe trachea is a safe and effective procedure with low complicationrate in benignthyroid disease.
Keywords: Benign Thyroid Diseases, Intracapsular Thyroidectomy, Complications.

Author Biographies

Sharafat Ali Khan

Department of ENT, Saidu Teaching Hospital, Swat

Ihsanullah

Department of ENT, Saidu Teaching Hospital, Swat

Muhammad Usman

Department of ENT, Saidu Teaching Hospital, Swat

Inayatullah

Department of ENT, Saidu Teaching Hospital, Swat

Shafiq Ahmad

Department of ENT, Saidu Teaching Hospital, Swat

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How to Cite

1.
Sharafat Ali Khan, Ihsanullah, Muhammad Usman, Inayatullah, Shafiq Ahmad. Intracapsular Thyroidectomy: Our Experience at a Tertiary Care Hospital. J Saidu Med Coll Swat [Internet]. 2021 Nov. 20 [cited 2024 Jul. 12];11(3):142-5. Available from: https://jsmc.pk/index.php/jsmc/article/view/648

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