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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
Hyperthyroidism I: Introduction01:25

Hyperthyroidism I: Introduction

Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...
Graves Disease II: Pathophysiology01:24

Graves Disease II: Pathophysiology

Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor, and heat...
Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The iodine is then...

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Mixed Reality Assisted Radical Endoscopic Thyroidectomy
08:06

Mixed Reality Assisted Radical Endoscopic Thyroidectomy

Published on: January 31, 2025

What are thyroidectomy patients really concerned about?

Lara Abdul-Sater1, Melissa Henry, Agnieszka Majdan

  • 1McGill University, Montreal, Canada. lara.abdul-sater@mail.mcgill.ca

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 16, 2011
PubMed
Summary
This summary is machine-generated.

Patients undergoing thyroidectomy experience moderate presurgical concerns, primarily related to surgery, daily living, and psychosocial aspects. Women report higher concerns than men, highlighting the need for tailored patient counseling.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Psychosomatic Medicine

Background:

  • Thyroidectomy is a common surgical procedure.
  • Understanding patient concerns is crucial for perioperative care.
  • Variations in concerns based on patient characteristics are not well-defined.

Purpose of the Study:

  • To identify and characterize presurgical concerns in patients undergoing thyroidectomy.
  • To explore how these concerns differ based on patient demographics and surgical type.

Main Methods:

  • Cross-sectional analysis of 148 patients scheduled for thyroid surgery.
  • Utilized the Western Surgical Concern Inventory-Thyroid (WSCI-T) questionnaire.
  • Principal component analysis and correlation analyses were performed.

Main Results:

  • Three domains of concern identified: Surgery-Related, Psychosocial, and Daily-Living.
  • Overall moderate presurgical concerns were reported.
  • Women reported higher concerns than men; age and procedure type showed subscale differences.

Conclusions:

  • The study provides a framework for understanding and managing patient perioperative worries.
  • Physician counseling can be improved by addressing identified concern domains.
  • Tailored management strategies can enhance the patient experience.