Outcomes in pediatric total thyroidectomy following implementation of a two-surgeon operative approach

Keane, Olivia A.; Bai, Shasha; Cossen, Kristina; Patterson, Briana; Prickett, Kara K.; Heiss, Kurt F.; Santore, Matthew T.

doi:10.1016/j.ijporl.2022.111402

Cited by 1 publication

(2 citation statements)

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“…Even though thyroidectomy is one of the most commonly performed surgeries, it is still relatively uncommon in children 1 - 4 . Pediatric thyroidectomy is indicated for various conditions such as goiter that causes compressive symptoms, Graves’ disease, thyroid nodules, thyroid cancer, and prophylaxis in familial endocrine syndromes such as multiple endocrine neoplasm 2 2 , 5 , 6 . Thyroid nodules have an incidence of 1–2% in the pediatric population, which is less common than in adults 6 - 8 .…”

Section: Introductionmentioning

confidence: 99%

“…In the literature, complications related to thyroidectomies have a higher incidence in children than adults, mainly due to less experience in the pediatric population 2 , 4 . These complications include hematoma, hypoparathyroidism, hypocalcemia, vocal cord paralysis, nerve injury and vascular, and tracheal or esophageal injury 2 - 4 .…”

Section: Introductionmentioning

confidence: 99%

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Thyroid surgery in children: a single-center experience of 20 years

Bahadir,

Ural,

Abdullayev

et al. 2024

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: Thyroidectomy is a relatively uncommon procedure in pediatric patients. We aimed to review our 20-year experience of thyroid surgery. METHODS: A total of 39 patients who underwent thyroid surgery from 2003 to 2023 were retrospectively evaluated. All patients were followed preoperatively and postoperatively by our institutional multidisciplinary board. Patients were divided into two groups based on their pathologies: benign and malignant. RESULTS: In total, 39 patients (27 girls and 12 boys) underwent 47 thyroid surgeries (total thyroidectomy in 19 patients and subtotal thyroidectomy in 20 patients, with 8 of them having completion thyroidectomy). Notably, 20 (51%) patients had benign and 19 (49%) patients had malignant pathologies. Median age at operation was 157 (9–223) months in the benign group and 182 (1–213) months in the malignant group. In the benign group, 12 (60%) patients had colloidal goiter and 8 (40%) patients had other conditions. In the malignant group, 12 (63%) patients had papillary thyroid carcinoma, 3 (16%) patients had follicular thyroid carcinoma, 2 (11%) had medullary thyroid carcinoma, and 2 patients had other thyroid malignancies. Overall permanent complication rate was 2 out of 39 (5%), which was similar for both groups (1 hypocalcemia in each group). The median follow-up was 38 months (1–179 months) with no local recurrence or distant metastasis. CONCLUSION: Pediatric thyroidectomies are performed on a heterogeneous group of pediatric patients due to a diverse group of pathologies. A multidisciplinary approach is required for proper initial management and surgical strategy with decreased complication rate and event-free survival of these patients in experienced tertiary centers.

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