[Experience of surgical treatment of diffuse thyrotoxic goiter in children and teenagers]. / Dosvid khirurhichnoho likuvannia dyfuznoho tyreotoksychnoho zobu u ditei ta pidlitkiv.

Results of surgical treatment of 137 children, operated on for thyrotoxic goiter (TG) in 1989-2002 yrs were analyzed. Thyrotoxic ophthalmopathy was revealed in 86 (62.7%) patients, papillary carcinoma on background of diffuse TG--in 3 (2.1%). Subtotal resection of thyroid gland according to O. V. Nikolayev was performed in 99 (72.2%) patients, almost thyroidectomy--in 30 (21.8%), thyroidectomy--in 8 (5.8%). All the patients are alive. Bilateral affection of nervus laryngeus recurrens was not observed. Unilateral injury of nervus laryngeus recurrens was revealed in 5 (3.6%) childs. Transient hypoparathyrosis was noted in 20 (14.5%) patients. The TG recurrence had occurred in 5 (3.6%) childs, postoperative hypothyrosis--in 100 (72.9%).