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Effect of thyroidectomy in patients with tracheal compression     
Yazarlar
Sinan Köyceğiz
Türkiye
Vahit Mutlu
Atatürk Üniversitesi, Türkiye
Dr. Öğr. Üyesi Fatma ATALAY
Kastamonu Üniversitesi, Türkiye
Ayhan Kars
Erzincan Binali Yıldırım Üniversitesi, Türkiye
Kübra Topal
Türkiye
Mustafa Yeşilyurt
Türkiye
Özet
OBJECTIVE: Various therapeutic methods are employed to reduce thyroid gland compression of the trachea. Differences in the amount of shrinkage in the thyroid gland, in the amount of amelioration of tracheal compression, and in the amount of fibrosis after treatment may occur with these different methods. Although the compression of the trachea decreases after thyroidectomy, the number of studies showing the extent of this is limited. The purpose of this study was to investigate the effect of thyroidectomy performed due to tracheal compression, to reveal the extent of improvement using magnetic resonance imaging (MRI), and to evaluate our results. METHODS: In total, 30 patients, i.e., 24 women and 6 men, with tracheal compression secondary to thyroid gland enlargement and undergoing total thyroidectomy were included in this study. MRI performed before surgery and 6 months after surgery. The amount of deviation from the tracheal midline and the tracheal lateral and anteroposterior (AP) diameters were measured, compared, and subjected to statistical analysis. RESULTS: Statistical analysis revealed significant differences between pre- and postoperative tracheal deviations, and lateral and AP diameters (p<0.001, p<0.001, and p=0.006, respectively). Histopathologically, benign or malignant pathology caused no significant difference in the postoperative improvement of tracheal anatomy (p=0.348 and p=0.148, respectively). CONCLUSIONS: Thyroidectomy performed due to tracheal compression provides significant improvement in tracheal anatomy. Due to its rapid and effective results, thyroidectomy should be one of the first options considered in the treatment of thyroid diseases with compression findings.
Anahtar Kelimeler
Goiter | Thyroidectomy | Tracheal stenosis
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı REVISTA DA ASSOCIACAO MEDICA BRASILEIRA
Dergi ISSN 0104-4230
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 01-2021
Cilt No 67
Sayı 11
Sayfalar 1649 / 1653
Doi Numarası 10.1590/1806-9282.20210705
Makale Linki http://dx.doi.org/10.1590/1806-9282.20210705
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Effect of thyroidectomy in patients with tracheal compression

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