Clinical Course of Early Postoperative Hypothyroidism Following Thyroid Lobectomy in Pediatrics

Baran, Julia; Bauer, Andrew J.; Halada, Stephen; Mostoufi‐Moab, Sogol; Isaza, Amber; Robbins, Stephanie L; Franco, Aime T.; Adzick, N. Scott; Patel, Tasleema; Kazahaya, Ken

doi:10.1089/thy.2021.0396

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…2 Among children and adolescents that had thyroid lobectomies, 28.2% developed early postoperative hypothyroidism and most recovered euthyroidism within 12 months post-lobectomy. 4 Twelve days after lobectomy, our patient showed overt low serum free T4 level without elevation of TSH. The absence of TSH elevation may be due to suppression of TSH before operation by insufficient thyroid function control.…”

mentioning

confidence: 64%

“…Although hypothyroidism is less common after lobectomy or isthmusectomy, management guidelines for children with thyroid nodules recommend measurement of serum TSH and free T4 levels 4–6 weeks after surgery and a follow‐up examination within at least 6 months 2 . Among children and adolescents that had thyroid lobectomies, 28.2% developed early postoperative hypothyroidism and most recovered euthyroidism within 12 months post‐lobectomy 4 . Twelve days after lobectomy, our patient showed overt low serum free T4 level without elevation of TSH.…”

Section: Figmentioning

confidence: 99%

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Autonomously functioning thyroid nodule due to a somatic TSHR mutation

Iemura

Kirino

Sutani

et al. 2022

Pediatrics International

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mentioning

confidence: 64%

Section: Figmentioning

confidence: 99%

Autonomously functioning thyroid nodule due to a somatic TSHR mutation

Iemura

Kirino

Sutani

et al. 2022

Pediatrics International

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“…Over the past few decades, the incidence of pediatric thyroid nodules has been on a steady rise 1 . They are rare, at an annual incidence of approximately 1% to 3%, but any physical exam finding lends concern for more advanced stage and malignancy.” 2,3 As the incidence and presentation of thyroid disease in the pediatric population continue to increase, surgical intervention has become a critical component in the management of pediatric thyroid disease, including the management of unilateral nodules 4‐6 …”

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confidence: 99%

“…2,3 As the incidence and presentation of thyroid disease in the pediatric population continue to increase, surgical intervention has become a critical component in the management of pediatric thyroid disease, including the management of unilateral nodules. [4][5][6] Nodules are diagnosed and categorized based on fine needle aspiration (FNA) and cytopathological analysis graded using the Bethesda System. 2,3,6 After FNA analysis, depending on the concern for malignancy versus benign pathology, a hemithyroidectomy or thyroidectomy may be offered.…”

mentioning

confidence: 99%

Same‐Day Discharge for Pediatric Hemithyroidectomy Patients: Evaluating Safety and Barriers to Discharge

July O'Brien,

Naveed,

Patel

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveHemithyroidectomy is often performed in the pediatric population for indeterminate or benign thyroid nodules. Prior studies confirmed the safety of same‐day discharge for adults undergoing hemithyroidectomy or total thyroidectomy, but this has not been studied thoroughly in the pediatric population. Our goal was to determine differences in pediatric patients undergoing hemithyroidectomy who were admitted versus discharged for complications or factors to support same‐day discharge.Study DesignRetrospective cohort.SettingPediatric tertiary care hospital.MethodsThis was a retrospective study of pediatric patients (0‐18 years of age) undergoing hemithyroidectomy at a pediatric tertiary care hospital from 2003 to 2022. Perioperative variables and outcomes were gathered via manual chart review.ResultsOne hundred five pediatric patients who underwent hemithyroidectomy were identified. Ninety (86%) patients were admitted postoperatively, and 15 (14%) were discharged the same day. There were no differences in patient demographics, including age (P = 0.29) distance from the hospital (P = 0.08) or benign versus malignant pathology (P = 0.93). Surgical time in same‐day discharges was significantly shorter (P = 0.0001; 138.6 minutes, SD = 66.0) versus admitted patients (204.2 minutes, SD = 48.6) Hemostatic agents were used more in same‐day discharges at 53.3% versus 4.5% (P = 0.0001). Perioperative complications occurred in 2 (2.2%) admitted patients compared to none in the same‐day discharge (P = 1.0). There were no readmissions within 30 days for same‐day discharges.ConclusionIn pediatric patients undergoing uncomplicated hemithyroidectomy, same‐day discharge appears appropriate for those with shorter surgical times and intraoperative use of hemostatic agents with no readmissions or complications in those discharged the same day.

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What's the Likelihood of Post-Lobectomy Hypothyroidism in Children?

Francis

2022

Clinical Thyroidology

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Clinical Course of Early Postoperative Hypothyroidism Following Thyroid Lobectomy in Pediatrics

Cited by 5 publications

References 24 publications

Autonomously functioning thyroid nodule due to a somatic TSHR mutation

Autonomously functioning thyroid nodule due to a somatic TSHR mutation

Same‐Day Discharge for Pediatric Hemithyroidectomy Patients: Evaluating Safety and Barriers to Discharge

What's the Likelihood of Post-Lobectomy Hypothyroidism in Children?

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