Intrathyroid injection of triamcinolone acetonide in thyroid swelling disorders

Patients with thyroid swelling disorders, particularly females, are not happy with the postoperative scar on the neck after a thyroid surgery. Medical management can restore thyroid hormones to the normal levels but cannot reduce the swelling easily. Intrathyroid injection of triamcinolone acetonide, a nonsurgical procedure was tried in 76 cases of thyroid swelling disorders. Randomised cases of thyroid swelling disorders with the size less than 4 4cm were selected for this procedure. After excluding the cases associated with diabetes, adenoma, toxic state and malignancy, a course of three to ten sittings of intrathyroid injections was administered in each selected patient. Patients with abnormal thyroid functions were treated to the enthyroid state before the therapy. About 90% had excellent results, 5% fair results and 4% poor results. Intrathyroid injection of triamcinolone acetonide is found to be a satisfactory modality of treatment for thyroid swelling disorders and found to be acceptable to the patients as well.