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December 1977

Surgery in Thyroid Disease: The Place of Total Thyroidectomy

Arch Otolaryngol. 1977;103(12):746-747. doi:10.1001/archotol.1977.00780290082026

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The author, an acknowledged expert in head and neck surgery, presents perhaps the most concise and readable treatise on the surgical management of the thyroid surgery to date. The impetus for this text is clearly stated: a steady decline in thyroid surgery over the past 40 years has left too few individuals sufficiently trained to reliably assume the confidence necessary in managing such complicated conditions as euthyroid Graves' disease and ophthalmopathy or even the simple thyroid nodule. Controversial areas of surgical management, including nodular goiter, Graves' disease, chronic thyroiditis, cancer, and needle biopsy, are discussed from the author's point of view, based on his extensive clinical experience.

Total thyroidectomy is given special consideration, not only for malignant disease but also for bilateral nodular goiter, thyrotoxicosis, and, occasionally, chronic thyroiditis. No doubt, there are those who would take issue with the author's approach to these problems. No denial is made that

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