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The management of recurrent thyrotoxicosis after thyroidectomy


G. Baker
B. Pimstone

Abstract

Thirty-six patients who suffered a recurrence of thyrotoxicosis after subtotal  thyroidectomy have been retrospectively analysed. After 11 subsequent second  operations, 7 further relapses occurred while 2 patients had permanent recurrent  laryngeal nerve paralyses. Only 1 patient out of 18 treated with either long-term  neomercazole or betaadrenergic blockade remained in remission. Radio-active iodine is the treatment of choice in patients who relapse after surgery for thyrotoxicosis. A significant percentage of thyrotoxic patients treated by subtotal thyroidectomy have a recurrence of the hyperthyroid state.'" Attention has recently been focused on the management of such patients; in particular the poor results of surgery in such recurrent cases have been emphasized: This report concerns a retrospective analysis of the management of 36 thyrotoxic patients seen at Groote Schuur Hospital who had a  recurrence of hyperthyroidism after thyroidectomy.

Journal Identifiers


eISSN: 2078-5135
print ISSN: 0256-9574