INFERIOR APROACH IN THYROID SURGERY ASTUDY AT AL- HUSSAIN GENERAL AND AMEL PRIVATE HOSPITAL IN NASSYRIA

Abstract

( 192 )  patients with clinical thyroid enlaregment were studied over a period of 2 years (sep 2008/Sep 2010) in AL-HUSSAIN GENERALand AMAL PRIVATE hospitals in NASSYRIA to evaluate the inferior approach as the best technique to achieve near total or total thyroidectomy. patients was selected for surgery according to the classical indications.the mean age was( 36 year) .female/male ratio was(  15/1). initial steps of thyroidectomy was the standerd……..strap muscle division not routine,gland mobilization started from the lower pole rather than  the classical middle thyroid vein then upper and lower pole division . complications was less than the classical percent :postoperative haemorrhage(0.52 percent). respiratory obstruction(0.52 percnt), reccurent larengeal nerve paralysis(1.04 percent)and parathyroid insufficiency)1.04 percent(. conclucion......inferior approach of thyroidectomy was reliable ,rapid,and easy technique to achieve near total or total thyroidectomy with less postoperative complications than the standard technique.