Review article
Thyroid Surgery in Children and Adolescents: A 10-year Retrospective Study at a Single Institution
Mario Bilić
orcid.org/0000-0002-2525-9524
; Department of Otolaryngology, Head and Neck Surgery, Zagreb University Hospital Centre, Zagreb, Croatia
Ana Dobrić
; Department of Otolaryngology, Head and Neck Surgery, Zagreb University Hospital Centre, Zagreb, Croatia
Lana Kovač Bilić
orcid.org/0000-0003-2526-2261
; Department of Otolaryngology, Head and Neck Surgery, Zagreb University Hospital Centre, Zagreb, Croatia
Srećko Branica
; Department of Otolaryngology, Head and Neck Surgery, Zagreb University Hospital Centre, Zagreb, Croatia
Ika Gugić Radojković
; Department of Otolaryngology, Head and Neck Surgery, Zagreb University Hospital Centre, Zagreb, Croatia
Drago Prgomet
; Department of Otolaryngology, Head and Neck Surgery, Zagreb University Hospital Centre, Zagreb, Croatia
Abstract
Objective. The aim of the study was to analyze clinical characteristics, surgical
treatment, complications, and prognosis related to thyroid surgery in children and adolescents in a
10-year study at a single institution. Study Design. Retrospective study. Methods. We performed a retrospective
analysis of clinical data of children and adolescents who underwent thyroid surgery due to
benign thyroid disease and thyroid cancer from January 2011 to May 2020. We presented the clinical
characteristics and type of surgical treatment for different thyroid diseases. Results. We present data on
surgical procedures and complication rates following surgery, which was comparable to other published
data. We emphasize the importance of radioiodine and hormone replacement postoperative
therapy in cancer patients and our opinion on total thyroidectomy and neck dissection in thyroid
cancer surgery. Conclusion. This study demonstrated that thyroid surgery in children and adolescents is
a safe and efficient procedure in the hands of experienced surgeon for adult thyroid surgery. For children
and adolescents with thyroid carcinoma, our method of choice is total thyroidectomy with occasionally
paratracheal neck dissection, whereas lateral cervical lymph node dissection is only necessary
in fine needle aspiration positive lymph nodes. Our results according to postoperative outcomes
and complications are comparable to other recently published data.
Keywords
thyroidectomy; child; adolescent
Hrčak ID:
247899
URI
Publication date:
1.11.2020.
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