caa a22 4500 60618337X CHVBK 20210128100821.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00405-014-3193-1 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3193-1 Cervical compression due to benign thyroid disorders is not associated with increased postoperative morbidity [Elektronische Daten] [Peter Ambe, Katharina Lindecke, W. Knoefel, Alexander Rehders] Compressive symptoms due to malignant thyroid disorders and retrosternal goiter have been shown to be associated with increased perioperative morbidity. However, little is known about the risk associated with the surgical management of patients presenting with cervical compressive symptoms secondary to benign thyroid disorders. A retrospective review of data of patients undergoing thyroid surgery in a tertiary referral center was performed. The outcomes of patients with compressive symptoms due to benign thyroid disorders were compared to those of patients without compressive symptoms. 886 patients operated upon between 2005 and 2012 were included for analysis. 284 cases with compressive symptoms (study group) were compared to 602 cases without compressive symptoms (control group). There was no difference in the duration of surgery among both groups (123 vs. 126min, p=0.75). There was no significant difference among both groups with regard to postoperative hypocalcemia (1.4 vs. 1.1%), rate of recurrent laryngeal nerve palsy (6.3 vs. 7.2%) and postoperative bleeding (2.1 vs. 3.1%). Compressive symptoms resolved in a significant number of patients following surgery. There was no significant difference in postoperative outcome between patients with and without compressive symptoms. Therefore, cervical compression due to benign thyroid disorders is not associated with increased perioperative morbidity. Springer-Verlag Berlin Heidelberg, 2014 Thyroid surgery nationallicence Thyroid disease nationallicence Thyroid compression nationallicence Hypocalcemia nationallicence Laryngeal recurrent nerve nationallicence Ambe Peter Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut Lindecke Katharina Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut Knoefel W. Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut Rehders Alexander Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2457-2461 0937-4477 272:9<2457 2015 272 405 https://doi.org/10.1007/s00405-014-3193-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3193-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ambe Peter Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Lindecke Katharina Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Knoefel W. Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Rehders Alexander Department of Surgery, University Hospital Düsseldorf, Moorenstr. 12, 40225, Düsseldorf, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2457-2461 0937-4477 272:9<2457 2015 272 405