To the Editor.—We read with great interest the excellent article by Lando et al1 entitled "Surgical strategy in thyroid disease."
We would like to ask the authors a question regarding their policy in the surgical treatment of Graves' disease. Since they expose and identify the recurrent laryngeal nerves and the parathyroid glands on both sides, as is our own practice,2 it would seem that these structures are well protected and thus the major drawbacks of total thyroidectomy, mainly hypoparathyroidism and recurrent laryngeal nerve palsy,3 are drastically reduced. Therefore, why not proceed with a total ablation of the thyroid gland,4 which would ensure against both a recurrent hypothyroidism and a reoperation even under local anesthesia? Additionally, the coexistence of cancer of the thyroid remnant, no matter how small the possibility,5 is simultaneously treated.
The daily intake of one tablet of thyroid hormone does not seem
TZARDIS P, LEKACOS N. Thyroid Disease. Arch Otolaryngol Head Neck Surg. 1992;118(5):552. doi:10.1001/archotol.1992.01880050106025