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Results of thyroidectomies according to General Surgeons and Otolaryngologist and Cervico Faciale Surgeons at the General Hospital of Reference of Niamey, what differences in the protocols of management?

Article scientifique 2023 Anglais

Résumé

Abstract Objective: To evaluate the surgical management of thyroid pathologies at the Reference General Hospital. Methods: This was a retro-prospective study over 4 years 6 months carried out in the departments of General and Digestive Surgery (GDS) and Otorhinolaryngology and Cervico Facial Surgery (ORL/FCS). It involved 182 patients who underwent thyroid surgery. Results: A frequency of thyroidectomy of 9.46% was found. Females predominated with a sex ratio of 0.1. The average age of patients was 42.85 years, a standard deviation 12.80. 84.06% of patients had consulted for anterior cervical mass. EU-TIRADS score 3 represented 7,14% of cases. Heteromultinodular goiter was the main indication for thyroid surgery (59.34%). Total thyroidectomy was the most commonly performed gesture in general surgery in 88,23% (n=105), in Otorhinolaryngology, it was in the same proportion as lobo-isthmectomy at 47.61% (n=30). The first route was video-assisted thyroidectomy 2.2% (n=4). The recurrent laryngeal nerve was dissected and seen in 159 cases (87.36%) and parathyroid glands were also seen and preserved in 58.24% of cases (n=106). In immediate postoperative surgery, the main complications were unilateral recurrent paralysis with dysphonia in 3.3% (n=6) and compressive hematoma in 2.2% (n=4). No deaths had been recorded. Conclusion: Total thyroidectomy was the most performed procedure in department of General and Digestive Surgery; in Otorhinolaryngology and Cervico Facial Surgery department, conservative surgery still retains a large place. Despite the different protocols, there are few complications in both series.

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Saïdou, A., Djafarou, A., Alfari, A., OUDOU, Z., Ide, K., BAKOU, O., Younssa, H., Sani, R. (2023). Results of thyroidectomies according to General Surgeons and Otolaryngologist and Cervico Faciale Surgeons at the General Hospital of Reference of Niamey, what differences in the protocols of management?. https://doi.org/10.21203/rs.3.rs-3630951/v1

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Auteur(s)

Adama Saïdou A.B. Djafarou Abdoul Aziz Alfari ZABEIROU OUDOU K Ide Owodon Gbinmigan BAKOU Hama Younssa Rachid Sani

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