Loupe-assisted thyroidectomy: experience from low volume centres
Abstract Background Thyroidectomy is an intricate surgery where nerve injury can cause significant morbidity. The use of magnification has revolutionised the modern-day otolaryngology practice. Its utility is now the standard of care for many ENT surgeries. Surgical loupes in Head and Neck surgery a...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-06-01
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| Series: | The Egyptian Journal of Otolaryngology |
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| Online Access: | https://doi.org/10.1186/s43163-025-00840-4 |
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| author | Nithya Venkataramani Ravi Sachidananda Manjunath MK Arshad Hussain M Suraksha Rao Suresh Babu Dore Sunil Kumar G S Saikiran Shankarnarayan Karthik N |
| author_facet | Nithya Venkataramani Ravi Sachidananda Manjunath MK Arshad Hussain M Suraksha Rao Suresh Babu Dore Sunil Kumar G S Saikiran Shankarnarayan Karthik N |
| author_sort | Nithya Venkataramani |
| collection | DOAJ |
| description | Abstract Background Thyroidectomy is an intricate surgery where nerve injury can cause significant morbidity. The use of magnification has revolutionised the modern-day otolaryngology practice. Its utility is now the standard of care for many ENT surgeries. Surgical loupes in Head and Neck surgery are emerging as a single important tool in reducing complications and improving precision. This retrospective study aimed to analyse the results of complications in thyroidectomy whilst using the loupes. A retrospective study was conducted for 6 years. All the loupe-assisted thyroidectomies done by two surgeons were included in the study. All surgeries were performed with × 2.5 and some with × 3.5 magnification loupes. The incidence of voice change, hypocalcaemia, and secondary haemorrhage after thyroidectomy were noted. Results Eighty thyroidectomies were included, 39 were total thyroidectomies and the remaining were hemithyroidectomies. The age group was between 25 and 65 years. The mean stay in the hospital was approximately 2 days. Three patients had recurrent laryngeal nerve palsy, and 3 patients had transient hypocalcaemia which required calcium and magnesium supplementation. All the patients were operated with an intent to save the nerves and parathyroid glands. Conclusions The use of microsurgical techniques during thyroidectomy should be the standard of care as it reduces morbidity and minimises nerve injury. |
| format | Article |
| id | doaj-art-c2dd4d9a254b4697b46a3f3279b14ade |
| institution | OA Journals |
| issn | 2090-8539 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj-art-c2dd4d9a254b4697b46a3f3279b14ade2025-08-20T02:05:46ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392025-06-014111510.1186/s43163-025-00840-4Loupe-assisted thyroidectomy: experience from low volume centresNithya Venkataramani0Ravi Sachidananda1Manjunath MK2Arshad Hussain M3Suraksha Rao4Suresh Babu Dore5Sunil Kumar G S6Saikiran Shankarnarayan7Karthik N8PeopleTree Hospitals, BangalorePeopleTree Hospitals, BangaloreBGS Global HospitalBangalore medical and Surgical CentrePeopleTree Hospitals, BangalorePeopleTree Hospitals, BangalorePeopleTree Hospitals, BangalorePeopleTree Hospitals, BangalorePeopleTree Hospitals, BangaloreAbstract Background Thyroidectomy is an intricate surgery where nerve injury can cause significant morbidity. The use of magnification has revolutionised the modern-day otolaryngology practice. Its utility is now the standard of care for many ENT surgeries. Surgical loupes in Head and Neck surgery are emerging as a single important tool in reducing complications and improving precision. This retrospective study aimed to analyse the results of complications in thyroidectomy whilst using the loupes. A retrospective study was conducted for 6 years. All the loupe-assisted thyroidectomies done by two surgeons were included in the study. All surgeries were performed with × 2.5 and some with × 3.5 magnification loupes. The incidence of voice change, hypocalcaemia, and secondary haemorrhage after thyroidectomy were noted. Results Eighty thyroidectomies were included, 39 were total thyroidectomies and the remaining were hemithyroidectomies. The age group was between 25 and 65 years. The mean stay in the hospital was approximately 2 days. Three patients had recurrent laryngeal nerve palsy, and 3 patients had transient hypocalcaemia which required calcium and magnesium supplementation. All the patients were operated with an intent to save the nerves and parathyroid glands. Conclusions The use of microsurgical techniques during thyroidectomy should be the standard of care as it reduces morbidity and minimises nerve injury.https://doi.org/10.1186/s43163-025-00840-4LoupesThyroidectomyComplications |
| spellingShingle | Nithya Venkataramani Ravi Sachidananda Manjunath MK Arshad Hussain M Suraksha Rao Suresh Babu Dore Sunil Kumar G S Saikiran Shankarnarayan Karthik N Loupe-assisted thyroidectomy: experience from low volume centres The Egyptian Journal of Otolaryngology Loupes Thyroidectomy Complications |
| title | Loupe-assisted thyroidectomy: experience from low volume centres |
| title_full | Loupe-assisted thyroidectomy: experience from low volume centres |
| title_fullStr | Loupe-assisted thyroidectomy: experience from low volume centres |
| title_full_unstemmed | Loupe-assisted thyroidectomy: experience from low volume centres |
| title_short | Loupe-assisted thyroidectomy: experience from low volume centres |
| title_sort | loupe assisted thyroidectomy experience from low volume centres |
| topic | Loupes Thyroidectomy Complications |
| url | https://doi.org/10.1186/s43163-025-00840-4 |
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