الفهرس 
THE HERITAGE OF THE THYROIDOnly 14 pages are availabe for public view
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Abstract
OBJECTIVE: This work aimed to compare the safety and
efficacy of unilateral total and contra lateral subtotal thyroidectomy
versus bilateral subtotal thyroidectomy for the treatment of
hyperthyroidism.
PATIENTS & METHODS:
30 Patients who were suffering hyperthyroidism i.e., Grave’s
disease or Toxic nodular goiter, divided to two groups:
• 15 Patients were managed by unilateral total and contra
lateral subtotal lobectomy.
• 15 Patients were managed by bilateral subtotal
thyroidectomy.
Both Groups were assessed pre and post operative to
compare the incidence of complications regarding RLNI,
parathyroid gland injury and postoperative need for T4
replacement.
RESULTS: No significant difference in the incidence of
complication between both groups i.e. Unilateral total and contra
lateral subtotal lobectomy versus bilateral subtotal lobectomy.
CONCLUSION: Unilateral total and contra lateral subtotal
thyroidectomy can be used effectively and with the same incidence
of complication as subtotal thyroidectomy with logical lower
incidence of recurrence.
KEYWORDS: Unilateral total and contra lateral subtotal lobectomy –
subtotal thyroidectomy – Toxic multinodular goiter – Grave’s disease