Goitres plongeants : expérience du service à propos de 50 cas

Benbakh, M.; Abou-Elfadl, M.; Rouadi, Sami; Abada, R.; Roubal, M.; Mahtar, Mohamed

doi:10.1016/j.aforl.2015.01.011

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The approach was an exclusive anterior cervicotomy. Total thyroidectomy was the most frequent indication with 50.0% in our case as in the series of KEITE A who reported 60% of cases [14] and in the series MOULOUDJI L and MAHMOUDI H who reported 89% of cases [15], In the BENBAKH M. and al series, total thyroidectomy in 98% [16], In other series the thyroidectomy was partial [17]. Ultrasound data based on the TIRADS classification guided our therapeutic indications.…”

Section: Therapeutics Aspectsmentioning

confidence: 59%

“…In the MAKEIEFF M series the mean weight of goiter was 175 grams with a maximum of 800 grams and the size was between 6 and 15 cm for the largest [9], In the BENBAKH M et al series, the average weight of goiters was 205 grams with a maximum of 820 grams. The size was between 5.3 cm and 19 cm for the largest [16]. For Koumare AK; the average weight of goitres was 320 grams [17].…”

Section: Therapeutics Aspectsmentioning

confidence: 99%

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Surgical Management of Larges Goiters in the ENT Department of CHU Mother and Child “Luxembourg”

Sidibé¹,

Haidara²,

Samaké³

et al. 2019

IJOHNS

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Objectives: To study the clinical and therapeutic profiles of voluminous goiter. Patients and Methods: We carried out a descriptive and prospective study, relating to a series of 30 cases of voluminous goitre, collected in the Department of Otorhinolaryngology and cervicofacial surgery (ENT and CCF) of the CHU Luxembourg Mother Child of Bamako. It has been spread over a period of 4 years from January 2015 to December 2018. Patients of all ages operated for large goitre at the ENT Department of CHU Luxembourg Mother Enfant were included. Results: In 4 years we collected 30 cases of voluminous goitre; during this period we realized 180 thyroidectomies, i.e. frequency of 16.67%. The average age was 51.37 years with an extreme ranging from 38 to 65 years. Females were common in 66.7% with a sex ratio of 0.50. The long duration of evolution has been 40 years. The sign of compression was found in 85.7%. The physical examination found a mobile swelling, hard and painless in all patients with normal endolaryngeal examination; there was no cervical lymphadenopathy. The lower dipping pole was found in 5 cases on CT. All our patients were euthyroid. The classification of TIRADS 2 was found in 80.0% of cases. Total thyroidectomy was frequent with 50.0% of cases. The average weight of the operative specimen was 586.67 g with extremes ranging from 500 g to 800 g. The size of the operative piece of 14 cm was the longest. Injury of internal jugular vein was found in 26.7% of cases.

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Section: Therapeutics Aspectsmentioning

confidence: 59%

Section: Therapeutics Aspectsmentioning

confidence: 99%

Surgical Management of Larges Goiters in the ENT Department of CHU Mother and Child “Luxembourg”

Sidibé¹,

Haidara²,

Samaké³

et al. 2019

IJOHNS

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Surgery of the Goiter in the ENT Department of Chu Gabriel Toure: Problematic and Perspective

Diarra¹,

Konaté²,

Sidibé³

et al. 2019

IJOHNS

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Aims: To describe the diagnostic aspects, surgical indications and post-operative complications of thyroidectomies performed in our department. Materials and method: A descriptive retrospective study that took place in the ENT Department and Cervicofacial Surgery of Gabriel TOURE University Hospital of Bamako. We did a comprehensive sampling of all goiter cases from January 2013 to December 2018. Were included in the study, the records of patients of all ages and genders, admitted into the ward and scheduled for thyroidectomy (partial or total). The exclusion criteria were incomplete hospitalization records. There were a total of 139 files were retained. Results: In 60 months, 139 cases were collected out of 1720 patients hospitalized for surgery, representing a hospital prevalence of 8.08%. The average age was 46.89 years. (123 women and 16 men). The socio-professional categories were dominated by housewives (68.34%). The reported functional signs were tachycardia, asthenia and other signs of dysthyroidism in 59% as well as signs of compression in 24.46%. In 72 cases or 51.80%, the patients consulted between 2 and 10 years of disease progression. Twenty patients or 14.39% had a history of familial goiter and 2 patients had a history of thyroid surgery. On physical examination the swelling was antero-cervical in 56.83% of cases. In 96 cases or 69.06% the glandular diameter was between 5 and 9 cm. In 2 cases or 1.43% we noted cervical adenopathy in the jugulo-carotid chain. Ultrasound, TSHus and fT4 were performed first-line and systematically in all our patients. Ultrasound objectified an appearance of multinodular goiter in 106 cases or 76.26%. In 60.43% of cases the patients were TI classes RADS 3

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Goitres plongeants : expérience du service à propos de 50 cas

Cited by 2 publications

References 13 publications

Surgical Management of Larges Goiters in the ENT Department of CHU Mother and Child “Luxembourg”

Surgical Management of Larges Goiters in the ENT Department of CHU Mother and Child “Luxembourg”

Surgery of the Goiter in the ENT Department of Chu Gabriel Toure: Problematic and Perspective

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