ABSTRACT
The purpose of this study was to evaluate the risks and complication rate of thyroid surgery. The authors present a retrospective study of 356 patients surgically treated for thyroid nodules, between 1987 and 1998, at the military hospital of Tunis. The patients were categorised into 3 groups: group I: 238 solitary thyroid nodules (66.8%); group II: 92 multinodular goitres (25.8%) included 12 retrosternal goitres (3.37%) and group III: 26 cases of Basedow's disease (7.4%). Patients benefitted from unilateral surgery in 72% of cases and from bilateral surgery (total or subtotal thyroidectomy) in the remaining 28% of cases. Malignancy was found in 34 cases (9.5%). The complications observed were haemorrhage (0.56% of cases), unilateral post operative recurrent laryngeal palsy (1.12% of cases), and permanent hypoparathyroidism in 0.81% of cases. Experienced surgeons and the use of a meticulous surgical technique can reduce the incidence of post operative complications in thyroid surgery.
Subject(s)
Postoperative Complications , Thyroid Diseases/surgery , Thyroid Neoplasms/surgery , Thyroid Nodule/surgery , Adolescent , Adult , Child , Female , Humans , Hypoparathyroidism/etiology , Male , Middle Aged , Paralysis/etiology , Postoperative Hemorrhage/etiology , Retrospective Studies , Risk FactorsABSTRACT
Some treatment as Piroxicam and sulfoconjugated oestrin usually used in current practices, have a rare ear toxicity which may occur hearing loss. The authors report two cases of a toxic hearing loss observed after using these two medicaments.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Deafness/chemically induced , Estrogens, Conjugated (USP)/adverse effects , Piroxicam/adverse effects , Tinnitus/chemically induced , Adult , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Audiometry , Deafness/diagnosis , Estrogens, Conjugated (USP)/administration & dosage , Female , Follow-Up Studies , Humans , Injections, Intramuscular , Male , Piroxicam/administration & dosage , Time FactorsABSTRACT
The authors report a case of encapsulated papillary neoplasm in the right lobe of the thyroid of a 36-year-old woman. This neoplasm was a papillary encapsulated carcinoma with variable histologic patterns not properly described in the literature. In the light of a review of the literature, the authors stress the macroscopic and histologic aspects of this tumor and they discuss the prognosis and therapeutic tools used to cure this neoplasm.
Subject(s)
Carcinoma, Papillary/pathology , Thyroid Neoplasms/pathology , Adult , Carcinoma, Papillary/surgery , Female , Humans , Thyroid Neoplasms/surgery , ThyroidectomyABSTRACT
A survey conducted in 52,000 young male subjects evaluated the influence of listening to music with stereophonic headphones on perception hypacusis leading to exemption from National Service. Also investigated were noise level output from promenaders as well as temporary auditory loss two minutes after listening for one hour. Findings suggested relative innocuity of listening at moderate intensity for less than seven hours weekly. Users exceeding these optimal factors develop professional type deafness for which similar preventive measures are required. Particular mention is made of the effect of strolling listeners on vigilance and on sound pollution of industrialized countries.
