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Thyroidectomy for hyperthyroidism in children

R J Andrassy, B A Buckingham, J J Weitzman

    Journal of Pediatric Surgery
    |August 1, 1980
    PubMed
    Summary
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    Subtotal thyroidectomy for hyperthyroidism in children is safe, with no deaths or nerve injuries. Larger thyroid glands require a greater percentage removal to prevent recurrence.

    Area of Science:

    • Endocrinology
    • Surgical Oncology

    Background:

    • Hyperthyroidism is a common endocrine disorder.
    • Subtotal thyroidectomy is a surgical option for managing hyperthyroidism.

    Purpose of the Study:

    • To evaluate the long-term outcomes of subtotal thyroidectomy for hyperthyroidism in pediatric patients.
    • To identify factors associated with hyperthyroidism recurrence after surgery.

    Main Methods:

    • Retrospective chart review of 66 pediatric patients who underwent subtotal thyroidectomy for hyperthyroidism between 1964 and 1978.
    • Follow-up data for 57 patients for at least 2 years postoperatively.

    Main Results:

    • No deaths or recurrent laryngeal nerve injuries were reported.
    • Hyperthyroidism recurred in 4 patients (7%) between 10 and 60 months post-surgery.

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  • Patients with recurrence had significantly larger thyroid glands at operation.

    • Conclusions:

    • Subtotal thyroidectomy is a safe and effective treatment for pediatric hyperthyroidism.
    • A larger thyroid gland size at surgery necessitates a greater percentage of gland removal to minimize recurrence risk.