[Does thyroidectomy worsen Graves'ophtalmopathy?]. / La thyroïdectomie aggrave-t-elle l'ophtalmopathie basedowienne?
Ann Chir
; 128(2): 88-93, 2003 Mar.
Article
em Fr
| MEDLINE
| ID: mdl-12657544
ABSTRACT
AIM OF THE STUDY To determine if thyroïd surgery increase or not the eye symptoms in patients with Graves'ophtalmopathy. MATERIALS AND METHODS:
This retrospective study included between 1981 and 2001 two groups of patients - group 1 24 patients who underwent thyroid surgery, - group 2 13 patients who were treated only by antithyroid drugs. Eye signs were evaluated according to the "NOSPECS" classification. The effect of the thyroid surgery and the medical treatment were evaluated with the NOSPECS classification modified by Orgiazzi in order to allow quantitative comparative data. The reasons why the patients were refered to surgery were- the important size of the goitre (n = 10), - a recurrent hyperthyroidy despite an appropriated medical treatment (n = 10), - a pregnancy desire (n = 2), - a worsening of the eye signs (n = 2). Eighteen subtotal thyroidectomies and 6 total thyroidectomies were performed.RESULTS:
after thyroid surgery, ophtalmic status was noted to improve in 18 patients, to remain inchanged in 1 patient and to deteriorate in 5 patients. In the non-operated group, the results were quite similar, but the mean goitre size was statistically lower and the ophtalmic lesions were statistically appearing later, these two parameters traducting a less serious disease in this group.CONCLUSIONS:
This study suggests that thyroidectomy doesn't worsen the eye symptoms in patients with Graves'ophtalmopathy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tireoidectomia
/
Doença de Graves
/
Oftalmopatias
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Ann Chir
Ano de publicação:
2003
Tipo de documento:
Article