WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Ayad Shakir Ibrahim, Ahmed Saad Allah Ahmed and Rasha Ramzi Ahmed

ABSTRACT

Background: Thyroid surgery is one of the commonest interventions in endocrine surgery. Thyroidectomy Difficulty Scale (TDS) created by Schneider was used to identify difficult operations, which correlate with long operative times, intraoperative difficulties, and more complication rates. Aim of Study: To determine clinical, biochemical, and pathological elements that can anticipate the difficulty in thyroid surgery preoperatively. Patients and methods: This study was a prospective review of thyroidectomies performed at Otolaryngology Department, Al-Jamhory Teaching Hospital in Mosul, Iraq, from January 2022 to May 2024. It includes 77 patients, those who were already diagnosed as thyroid disease needing total or near total thyroidectomy. Results: Older age patients were significantly related to difficult thyroidectomy (p=0.05). The current study found that toxic nodular goiter and thyroid carcinoma operations were significantly associated with difficult thyroidectomy (p=0.002), also found a significant association between hyperthyroidism and difficult thyroidectomy (p=0.003). Conclusions: Risk factors for difficult thyroidectomy are older age, toxic nodular goiter, thyroid carcinoma, hyperthyroidism, and short neck of patients. Aim of study: To establish clinical, biochemical, and pathological elements that can anticipate the difficulty in thyroid surgery preoperatively.