Prevalence and implications of thyroid related embryological remnants: A prospective study of 1118 total thyroidectomies.
Embryological remnants
hypocalcemia
thyrothymic thyroid rests
total thyroidectomy
Journal
Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
12
12
2019
revised:
23
01
2020
accepted:
31
01
2020
entrez:
23
4
2020
pubmed:
23
4
2020
medline:
23
4
2020
Statut:
epublish
Résumé
Modern thyroid surgery has undergone a paradigm shift from subtotal thyroidectomy to an extended total thyroidectomy (TT) even for benign disorders. This entails removal of all embryological remnants even in benign disorders. To study the prevalence of various embryological remnants of the thyroid and surgical utility and implications in preventing complications. Retrospective study of total thyroidectomies done by a single endocrine surgeon by standardized technique. A detailed search of all embryological rests including Pyramidal tract (PT), Tubercle of Zuckerkandl (TZ), and Thyro-thymic thyroid rests (TTR) were done in 1118 patients undergoing TT over 6 years. The cases with and without TTR were divided as Group A and B, respectively. Their prevalence and impact on parathyroid preservation and other clinical parameters were analysed. Descriptive analyses. Out of the 1118 TT cases, TTR was seen in 230 (20.57%) cases, TZ in 598 (53.48%), cases and PT in 641 (57.33%) cases. Among group-A ( Embryological remnants related to thyroid are not uncommonly encountered during total thyroidectomy. A thorough search and complete removal is crucial for the successful outcome of the procedure.
Identifiants
pubmed: 32318394
doi: 10.4103/jfmpc.jfmpc_1141_19
pii: JFMPC-9-632
pmc: PMC7113993
doi:
Types de publication
Journal Article
Langues
eng
Pagination
632-636Informations de copyright
Copyright: © Journal of Family Medicine and Primary Care.
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