Author(s)

Youssouf ​ Sidibé¹, Abdoul Wahab Haidara¹, Djibril Samaké², Abdoulaye Kanté³, Siaka Soumaoro⁴, Boubacary Guindo⁴, Nagnouma Camara⁴, Mamadou Karim Touré⁵, Mahmoud Cissé¹, Amadou Djibo⁶, Youssouf Djigui Diakité⁶, Boubacar Sanogo¹, Mohamed Amadou Kéïta⁴

¹ENT and Head and Neck Surgery Department, CHU Mother-Child “Luxembourg”, Bamako, Mali.
²ENT and Head and Neck Surgery Department, Reference Health Center District V, Bamako, Mali.
³Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology, Bamako, Mali.
⁴ENT and Head and Neck Surgery Department, CHU Gabriel Toure, Bamako, Mali.
⁵Department of Anesthesia Resuscitation CHU Mother-Child “Luxembourg”, Bamako, Mali.
⁶Department of Endocrinology, Mother-Child University Hospital “Luxembourg”, Bamako, Mali.

Objectives: To study the clinical and therapeutic profiles of voluminous goiter. Patients and Methods: We carried out a descriptive and prospective study, relating to a series of 30 cases of voluminous goitre, collected in the Department of Otorhinolaryngology and cervicofacial surgery (ENT and CCF) of the CHU Luxembourg Mother Child of Bamako. It has been spread over a period of 4 years from January 2015 to December 2018. Patients of all ages operated for large goitre at the ENT Department of CHU Luxembourg Mother Enfant were included. Results: In 4 years we collected 30 cases of voluminous goitre; during this period we realized 180 thyroidectomies, i.e. frequency of 16.67%. The average age was 51.37 years with an extreme ranging from 38 to 65 years. Females were common in 66.7% with a sex ratio of 0.50. The long duration of evolution has been 40 years. The sign of compression was found in 85.7%. The physical examination found a mobile swelling, hard and painless in all patients with normal endolaryngeal examination; there was no cervical lymphadenopathy. The lower dipping pole was found in 5 cases on CT. All our patients were euthyroid. The classification of TIRADS 2 was found in 80.0% of cases. Total thyroidectomy was frequent with 50.0% of cases. The average weight of the operative specimen was 586.67 g with extremes ranging from 500 g to 800 g. The size of the operative piece of 14 cm was the longest. Injury of internal jugular vein was found in 26.7% of cases. Colloid adenoma of the thyroid was found in 100% of cases, postoperative complications of the type of hematoma of the lodge in 3.3% of cases, the release of the operative wound in 10% of cases local superinfection in 7.1%. Signs of hypothyroidism were common with 50.0%. Postoperative nasofibroscopy found good vocal fold mobility in all patients. Conclusion: The large goiters have become rare because of the early management of thyroid nodule. Its management must allow the prevention of recurrent and parathyroid morbidity.

Thyroid, Large Goiter, Thyroidectomy

Sidibé, Y. , Haidara, A. , Samaké, D. , Kanté, A. , Soumaoro, S. , Guindo, B. , Camara, N. , Touré, M. , Cissé, M. , Djibo, A. , Diakité, Y. , Sanogo, B. and Kéïta, M. (2019) Surgical Management of Larges Goiters in the ENT Department of CHU Mother and Child “Luxembourg”. International Journal of Otolaryngology and Head & Neck Surgery, 8, 139-149. doi: 10.4236/ijohns.2019.84016.