Keerthana Priyatharshini, R (2020) A Comparative study of Impact of Grading of Tubercle of Zuckerkandl on Thyroid Surgeries and Its Outcome. Masters thesis, Madurai Medical College, Madurai.
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Abstract
INTRODUCTION: Thyroid diseases has increased in incidence since the last decades. The reasons may be various including hormonal imbalance, changes in lifestyle, change in food habits and early detection of the disease. Due to this reason thyroidectomy has become one of the surgeries which has evolved recently, with very high technical variations. The technique of thyroidectomy largely varies from surgeon to surgeon, although the basic principle remains the same. But it is recently known that thyroid surgery has to be done meticulously removing the whole of thyroid gland, including pyramidal lobe and tubercle of Zuckerkandl. AIM OF THE STUDY: The aim of the study is to compare and grade the tubercle of zuckerkandl and its outcome in thyroid surgeries. Tubercle of zuckerkandl were graded according to the size. The injury to RLN and parathyroids were taken into account. Overall impact of the size of TOZ on RLN and parathyroid injury were considered. METHODOLOGY: This is a prospective randomized case control study done for the period of one and half years from January 2018 to June 2019. Patients presenting with nodular goitre in Government Rajaji Hospital both in General Surgery OPD and Surgical Endocrinology OPD who has indication for surgery were selected for the study. Patients were diagnosed on the basis of history, clinical examination and investigations like TFT, USG-neck, FNAC. These investigations and clinical analysis were done for the patients recruited in the study. Categorization were done depending on the presence (along with the grading) and absence of tubercle of zuckerkandl and their impact on recurrent laryngeal nerve injury and post operativehypocalcemia are studied. CONCLUSION: But in contrast to the other studies, in this study we have stated that TZ amounts to injury to recurrent laryngeal nerve and parathyroids if the grading is more. “MORE THE GRADING OF TZ, MORE IS THE INJURY TO RECURRENT LARYNGEAL NERVE AND PARATHYROIDS THUS CAUSING VOICE CHANGE AND HYPOCALCEMIA”.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711112 |
| Uncontrolled Keywords: | Impact of Grading of Tubercle, Zuckerkandl, Thyroid Surgeries. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 01:44 |
| Last Modified: | 10 Feb 2021 01:44 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13971 |
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