Related Experiment Video
Updated: Oct 23, 2025
04:01
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
1.1K
Severe hypothyroidism after orthognathic surgery: a case report.
1State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Anesthesiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Summary
Severe hypothyroidism, a condition of reduced systemic metabolism, is often missed in oral surgery. Early diagnosis and treatment are crucial to prevent serious complications like airway obstruction and swelling.
Area of Science:
- Endocrinology
- Oral and Maxillofacial Surgery
Background:
- Hypothyroidism is a common endocrine disorder affecting systemic metabolism.
- Initial diagnosis of hypothyroidism is infrequent in oral and maxillofacial surgery due to nonspecific symptoms.
Observation:
- A case of severe hypothyroidism presented with airway obstruction, facial swelling, unexplained anemia, and bipedal edema post-orthognathic surgery.
- Nonspecific symptoms can lead to misdiagnosis or missed diagnosis of hypothyroidism.
Findings:
- This case highlights the potential for severe hypothyroidism to manifest atypically in the context of maxillofacial surgery.
- Prompt recognition and management are essential for patient outcomes.
Implications:
- Oral and maxillofacial surgeons should consider hypothyroidism in patients presenting with unexplained symptoms post-operatively.
- Increased awareness can improve diagnostic accuracy and patient care for hypothyroidism.
Related Concept Videos
01:23The Thyroid Gland
5.1K
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...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
5.1K
01:20Synthesis and Regulation of Thyroid Hormones
5.9K
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...
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...
5.9K