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Pediatric thyroidectomies: A surgical subspecialty comparison.

Emily Savoca¹, Sina J Torabi¹, David Kasle¹

¹Section of Otolaryngology, Head and Neck Surgery, Yale School of Medicine, New Haven, CT, USA.

International Journal of Pediatric Otorhinolaryngology

|February 20, 2020

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Pediatric thyroidectomy is safe, with similar complication rates between Pediatric General Surgery and Otolaryngology specialists. Pediatric General Surgeons perform these thyroidectomies more quickly.

Area of Science:

Pediatric Surgery
Surgical Outcomes
Thyroidectomy

Background:

Thyroidectomy is performed in pediatric patients for various indications.
Management of pediatric thyroidectomies is often shared between Pediatric General Surgery and Otolaryngology.

Purpose of the Study:

To assess the safety and outcomes of pediatric thyroidectomies.
To compare complication rates and management between Pediatric General Surgery and Otolaryngology.

Main Methods:

Analysis of the National Surgical Quality Improvement Program - Pediatrics (NSQIP-P) database (2012-2016).
Inclusion of 516 pediatric thyroidectomy cases.
Subgroup analysis comparing Otolaryngology and Pediatric General Surgery.

Main Results:

Keywords:

Complications Hospital stay Operative time Surgical specialty Thyroidectomy

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Low rates of overall surgical (1.2%) and medical (0.7%) adverse events.
No significant differences in adverse events, reoperation, or readmission between specialties.
Pediatric General Surgery associated with shorter operative times (p < 0.001).
Different indications for surgery: benign neoplasm more common in Otolaryngology, thyrotoxicosis more common in Pediatric General Surgery.

Conclusions:

Pediatric thyroidectomy is a safe procedure regardless of surgical specialty.
No significant differences in adverse outcomes between Pediatric General Surgeons and Otolaryngologists.
Pediatric General Surgeons demonstrate shorter operative times.