Thyroidectomy in children
Flávio Carneiro Hojaij, Onivaldo Cervantes, Cindel Nogueira Zulino, Leonardo Dantas Pereira, Felipe Augusto Brasileiro Vanderlei, Marcio Abrahao
Abstract
Introduction: Surgical management of thyroid disease in children presents several peculiarities and has increasingly developed in recent years, but historically few studies conducted with this population have been published. Objective: Analysis of the surgical approach and postoperative outcomes of 59 pediatric patients submitted to thyroidectomy between 2003 and 2019. Methods: An outpatient postoperative follow-up of 59 patients aged 3-18 years submitted to thyroidectomy for different causes was performed, and immediate and late postoperative outcomes were analyzed. The operations were performed at a University Hospital as well as at Private Tertiary Hospitals. Results: The following postoperative outcomes were observed: three tracheostomies, 22 patients with transient hypoparathyroidism, eight patients with definitive hypoparathyroidism, and three patients with vocal fold paralysis. Conclusion: Thyroidectomy in children is a procedure with a higher complication rate and needs to be performed by a team of high-volume surgeons. This study focuses on the adverse events, so that those interested in the subject are aware of them.
Keywords
References
1. Hanba C, Svider PF, Siegel B, Sheyn A, Shkoukani M, Lin HS, Raza SN. Pediatric thyroidectomy: hospital course and perioperative complications. Otolaryngol Head Neck Surg. 2017;156(2):360-7. http://dx.doi.org/10.1177/0194599816677527. PMid:28145836.
2. Nordenström E, Bergenfelz A, Almquist M. Permanent hypoparathyroidism after total thyroidectomy in children : results from a national registry. World J Surg. 2018;42(9):2858-63. http://dx.doi.org/10.1007/s00268-018-4552-7. PMid:29470698.
3. Elfenbein DM, Katz M, Schneider DF, Chen H, Sippel RS. Thyroidectomy for Graves ’ disease in children: Indications and complications. J Pediatr Surg. 2016;51(10):1680-3. http://dx.doi.org/10.1016/j.jpedsurg.2016.03.009. PMid:27113266.
4. Hanley P, Lord K, Bauer AJ. Thyroid disorders in children and adolescents: a review. JAMA Pediatr. 2016;170(10):1008-19. http://dx.doi.org/10.1001/jamapediatrics.2016.0486. PMid:27571216.
5. Francis GL, Waguespack SG, Bauer AJ, Angelos P, Benvenga S, Cerutti JM, Dinauer CA, Hamilton J, Hay ID, Luster M, Parisi MT, Rachmiel M, Thompson GB, Yamashita S, American Thyroid Association Guidelines Task Force. Management Guidelines for Children with Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2015;25(7):716-59. http://dx.doi.org/10.1089/thy.2014.0460. PMid:25900731.
6. Mao XC, Yu W, Shang J, Wang K. Clinical characteristics and treatment of thyroid cancer in children and adolescents: a retrospective analysis of 83 patients. J Zhejiang Univ Sci B. 2017;18(5):430-6. http://dx.doi.org/10.1631/jzus.B1600308. PMid:28471115.
7. Fridman M, Lam AK, Krasko O, Schmid KW, Branovan DI, Demidchik Y. Morphological and clinical presentation of papillary thyroid carcinoma in children and adolescents of Belarus : The influence of radiation exposure and the source of irradiation. Exp Mol Pathol. 2015;98(3):527-31. http://dx.doi.org/10.1016/j.yexmp.2015.03.039. PMid:25841866.
8. Sandoval JA, Fernandez-Pineda I, Malkan AD. Risk-reduction surgery in pediatric surgical oncology: a perspective. J Pediatr Surg. 2016;51(4):675-87. http://dx.doi.org/10.1016/j.jpedsurg.2016.01.004. PMid:26898681.
9. Tuggle CT, Roman SA, Wang TS, Boudourakis L, Thomas DC, Udelsman R, Ann Sosa J. Pediatric endocrine surgery: who is operating on our children? Surgery. 2008;144(6):869-77, discussion 877. http://dx.doi.org/10.1016/j.surg.2008.08.033. PMid:19040991.
10. Klein Hesselink MS, Nies M, Bocca G, Brouwers AH, Burgerhof JG, van Dam EW, Havekes B, van den Heuvel-Eibrink MM, Corssmit EP, Kremer LC, NeteaMaier RT, van der Pal HJ, Peeters RP, Schmid KW, Smit JW, Williams GR, Plukker JT, Ronckers CM, van Santen HM, Tissing WJ, Links TP. Pediatric differentiated thyroid carcinoma in The Netherlands: a nationwide follow-up study. J Clin Endocrinol Metab. 2016;101(5):2031-9. http://dx.doi.org/10.1210/jc.2015-3290. PMid:26963949
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email