ESTIMATING THE EFFECTIVENESS OF SURGICAL TREATMENT OF CHILDREN WITH THRYOID NEOPLASMS

Abstract

Aim. To estimate the effectiveness of the developed design of perioperative examination of patients and surgery of children and adolescents with thyroid neoplasms.

Materials and methods. The data of surgical treatment and perioperative control of 70 patients’ condition from 2012 to July 2017 were presented. The features of perioperative control included prevention of postoperative hypoparathrosis, use of ACR TI-RADS system to interpret the thyroid ultrasound findings as the first line diagnosis of a malignant neoplasm and intraoperative electrophysiological neuromonitoring of the laryngeal nerves. The follow-up was 1 to 56 months. The quality of life was estimated using a questionnaire.

Results. The basic risk factors of an intraoperative injury to the recurrent laryngeal nerve, postoperative hypocalcemia and hypoparathyrosis were found during the study. The disease duration and aggressive course and a number of surgeries in a patient significantly decrease their life quality (p<0.05).

Conclusions. Comparison of quality of life indicators before and after a surgery and popula tion indicators of healthy adolescents revealed the advantage of using the developed scheme of perioperative control of surgical treatment of thyroid neoplasms in children and adolescents.

Keywords

thyroid neoplasm / neuromonitoring / central neck lymph node dissection / postoperative hypocalcemia

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Grachev N.S., Vorozhtsov I.N., Babaskina N.V., Iaremenko Е.I.