Clinicopathological profile, airway management, and postoperative complications in huge goiters: a retrospective analysis of 33 cases

Çağlar Eker; Arda Er; Malik Özen; Elvan Onan; Muhammed Dağkıran; Özgür Sürmelioğlu; Süleyman Özdemir

Makale detayları

Clinicopathological profile, airway management, and postoperative complications in huge goiters: a retrospective analysis of 33 cases

Yazarlar:

Çağlar Eker | Arda Er | Malik Özen | Elvan Onan | Muhammed Dağkıran | Özgür Sürmelioğlu | Süleyman Özdemir

Yayıncı:

Cukurova University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Cukurova Medical Journal Vol.50 Issue 1, pp.115-124

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343849

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: The aim of this study was to identify the clinical and pathological features of patients with huge goiters and to investigate the relationship between tumor size, retrosternal extension, and the incidence of postoperative complications. Materials and Methods: All patients with huge goiters in the 5 years from 2018 to 2023 were reviewed in retrospect. The patients clinicopathological and demographic details were recorded. Data from computed tomography scans were used to select the study patients. The study covered patients whose thyroid gland size was greater than 10 cm. Results: The study comprised 33 patients who met the inclusion criteria. Dyspnea was the most frequent symptom of compression 75.7. Tracheal compression was observed in 15 cases 45.4. Nineteen patients 57.5 had retrosternal extension. Two patients experienced permanent recurrent laryngeal nerve paralysis postoperatively, while eleven patients exhibited transient hypocalcemia. No significant differences were found between male and female patients regarding clinicopathological characteristics and complications. Furthermore, there was no evidence indicating that retrosternal extension or increased goiter size elevated the risk of complications. Conclusion: Surgery remains the most effective way to quickly relieve compression symptoms in patients with huge goiters. Our experience indicates that thyroidectomy via a cervical incision can be safely conducted in nearly all patients with huge goiters, regardless of the presence of retrosternal extension, without elevating the risk of complications.

 Purpose: The aim of this study was to identify the clinical and pathological features of patients with huge goiters and to investigate the relationship between tumor size, retrosternal extension, and the incidence of postoperative complications. Materials and Methods: All patients with huge goiters in the 5 years from 2018 to 2023 were reviewed in retrospect. The patients clinicopathological and demographic details were recorded. Data from computed tomography scans were used to select the study patients. The study covered patients whose thyroid gland size was greater than 10 cm. Results: The study comprised 33 patients who met the inclusion criteria. Dyspnea was the most frequent symptom of compression 75.7. Tracheal compression was observed in 15 cases 45.4. Nineteen patients 57.5 had retrosternal extension. Two patients experienced permanent recurrent laryngeal nerve paralysis postoperatively, while eleven patients exhibited transient hypocalcemia. No significant differences were found between male and female patients regarding clinicopathological characteristics and complications. Furthermore, there was no evidence indicating that retrosternal extension or increased goiter size elevated the risk of complications. Conclusion: Surgery remains the most effective way to quickly relieve compression symptoms in patients with huge goiters. Our experience indicates that thyroidectomy via a cervical incision can be safely conducted in nearly all patients with huge goiters, regardless of the presence of retrosternal extension, without elevating the risk of complications.

 Purpose: The aim of this study was to identify the clinical and pathological features of patients with huge goiters and to investigate the relationship between tumor size, retrosternal extension, and the incidence of postoperative complications. Materials and Methods: All patients with huge goiters in the 5 years from 2018 to 2023 were reviewed in retrospect. The patients clinicopathological and demographic details were recorded. Data from computed tomography scans were used to select the study patients. The study covered patients whose thyroid gland size was greater than 10 cm. Results: The study comprised 33 patients who met the inclusion criteria. Dyspnea was the most frequent symptom of compression 75.7. Tracheal compression was observed in 15 cases 45.4. Nineteen patients 57.5 had retrosternal extension. Two patients experienced permanent recurrent laryngeal nerve paralysis postoperatively, while eleven patients exhibited transient hypocalcemia. No significant differences were found between male and female patients regarding clinicopathological characteristics and complications. Furthermore, there was no evidence indicating that retrosternal extension or increased goiter size elevated the risk of complications. Conclusion: Surgery remains the most effective way to quickly relieve compression symptoms in patients with huge goiters. Our experience indicates that thyroidectomy via a cervical incision can be safely conducted in nearly all patients with huge goiters, regardless of the presence of retrosternal extension, without elevating the risk of complications.

 Amaç: Bu çalışmada, büyük guatrlı hastaların klinik ve patolojik özelliklerini belirlemeyi ve tümör boyutu ve retrosternal yayılım ile postoperatif komplikasyon sıklığı arasındaki ilişkiyi araştırmayı amaçladık. Gereç ve Yöntem: 2018den 2023e kadar olan beş yılda büyük guatrı olan tüm hastalar geriye dönük olarak incelendi. Hastaların klinikopatolojik ve demografik bilgileri kaydedildi. Çalışma katılımcılarını seçmek için başvurudaki bilgisayarlı tomografi taraması bulguları kullanıldı. Çalışmaya tiroid bezi büyüklüğü 10 cmden büyük olan hastalar dahil edildi. Bulgular: Çalışmaya kriterleri karşılayan 33 hasta dahil edildi. Dispne en sık kompresyon semptomu 75,7 idi. On beş olguda 45,4 trakeal bası gözlendi. On dokuz hastada 57,5 retrosternal yayılım saptandı. İki hastada ameliyat sonrası kalıcı rekürren laringeal sinir felci yaşanırken, on bir hastada geçici hipokalsemi görüldü. Erkek ve kadın hastalar arasında klinikopatolojik özellikler ve komplikasyonlar açısından anlamlı bir fark bulunmadı. Ayrıca, retrosternal uzanımın veya guatr boyutunun artmasının komplikasyon riskini artırdığına dair bir kanıt yoktu. Sonuç: Cerrahi, büyük guatrı olan hastalarda kompresyon semptomlarını hızla gidermenin en etkili yolu olmaya devam etmektedir. Deneyimlerimiz, retrosternal uzanım olup olmadığına bakılmaksızın, büyük guatrlı hastaların hemen hemen hepsinde servikal insizyon yoluyla tiroidektominin komplikasyon riskini artırmadan güvenli bir şekilde gerçekleştirilebileceğini göstermektedir.

Makale detayları

Clinicopathological profile, airway management, and postoperative complications in huge goiters: a retrospective analysis of 33 cases

Yazarlar:

Çağlar Eker | Arda Er | Malik Özen | Elvan Onan | Muhammed Dağkıran | Özgür Sürmelioğlu | Süleyman Özdemir

Yayıncı:

Cukurova University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Cukurova Medical Journal Vol.50 Issue 1, pp.115-124

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343849

pISSN:

2602-3032

Huge goiter

compression symptoms

retrosternal extension

thyroid surgeryDev guatr

bası semptomları

retrosternal uzanım

tiroid cerrahisi

Sayı

Makale detayları

Yazarlar: Çağlar Eker | Arda Er | Malik Özen | Elvan Onan | Muhammed Dağkıran | Özgür Sürmelioğlu | Süleyman Özdemir

Yayıncı: Cukurova University

Ana Başlıklar: Kulak Burun Boğaz

Dergi: Cukurova Medical Journal Vol.50 Issue 1, pp.115-124

Belge Tipi: Makale

Yayın Tarihi: 3/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001343849

pISSN: 2602-3032

Sayı

Yazarlar:

Çağlar Eker | Arda Er | Malik Özen | Elvan Onan | Muhammed Dağkıran | Özgür Sürmelioğlu | Süleyman Özdemir

Yayıncı:

Cukurova University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Cukurova Medical Journal Vol.50 Issue 1, pp.115-124

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343849

pISSN:

2602-3032