• Eur Ann Otorhinolaryngol Head Neck Dis · Nov 2013

    Morbidity of central compartment dissection for differentiated thyroid carcinoma of the follicular epithelium.

    • P Boute, J Merlin, A Biet, P Cuvelier, V Strunski, and C Page.
    • Service d'ORL et chirurgie cervicofaciale, centre hospitalier Nord, place Victor-Pauchet, 80054 Amiens cedex, France. Electronic address: boutepic@hotmail.com.
    • Eur Ann Otorhinolaryngol Head Neck Dis. 2013 Nov 1; 130 (5): 245-9.

    ObjectivesTo study the morbidity of central compartment dissection in differentiated thyroid carcinoma of the follicular epithelium.Material And MethodA retrospective study of 83 patients (61 patients operated by total thyroidectomy and 22 patients operated by total thyroidectomy and central dissection) was performed. Postoperative serum calcium and laryngeal mobility were studied and statistically compared (Chi(2) test, Fisher's exact test).ResultsNo significant difference was observed between the two groups in terms of the incidence of recurrent laryngeal nerve paralysis or permanent hypoparathyroidism. In contrast, transient hypoparathyroidism was more frequent among patients undergoing thyroidectomy associated with central dissection (P=0.02).ConclusionCentral compartment dissection associated with total thyroidectomy does not increase the risk of recurrent laryngeal nerve paralysis or permanent hypoparathyroidism, but is responsible for an increased rate of transient hypoparathyroidism.Copyright © 2013 Elsevier Masson SAS. All rights reserved.

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