Subtotal thyroidectomy – the thyroid gland is removed but a small amount of thyroid tissue is left behind (which preserves some thyroid function). Thyroidectomy may be considered at a later date with sequential follow-up offered as an alternative employing ultrasound imaging. The left hemithyroidectomy was performed by dissecting strap muscles off of the nodule, and the superior … Consequently, the rate of complications, especially hypoparathyroidism, has increased. Done in benign diseases of only 1 lobe. There was an acknowledged variation between centers with regard to the size and location of the remnant thyroid tissue. Therefore, many endocrine centers have changed their operative procedures in favor of thyroidectomy. Subtotal thyroidectomy for benign multinodular goiter had been accepted as standard of management until the end of the 20th century. (Figure 1) The recommendation as to the extent of thyroid surgery will be determined by the reason for the surgery. Subtotal thyroidectomy Subtotal Thyroidectomy allows for a remnant of the thyroid at the tracheal attachments to remain while removing the majority of the gland. Nada Rayes Department of General, Visceral, and Transplant Surgery, Charité Campus Virchow, Augustenburger Platz 1, 13353 Berlin, Germany. Hi Scowlgirl, it is a lot easier to do a lobectomy than a full thyroidectomy, but if it should come to it, a "completion" thyroidectomy to remove the second lobe is considered to be "re-operative" surgery and involves a somewhat increased risk of voice and/or parathyroid damage and thus requires an especially competent surgeon. A: There are three different types of thyroid surgery namely – Lobectomy, Subtotal thyroidectomy and Total thyroidectomy. Thyroid lobectomy – one half of the thyroid is removed. 4. Bilateral subtotal thyroidectomy versus hemithyroidectomy plus subtotal resection (Dunhill procedure) for benign goiter: long-term results of a prospective, randomized study. Total thyroidectomy has demonstrated better control of thyroid disease with even comparable morbidity to subtotal thyroidectomy. If you are being November 11, 2017 July 4, 2018 Kimberly Mansingh. When the medial third of the contralateral lobe is included in the resection, the thyroid operation is referred to as subtotal thyroidectomy in the United States41 and in Japan.8,24 We include patients who had subtotal thyroidectomy in our group of hemithyroidectomy patients. For instance, a nodule confined to one side of the thyroid may be treated with a hemithyroidectomy. Done in benign diseases of only 1 lobe. Thyroidectomy Coding. Hemithyroidectomy—Entire isthmus is removed along with 1 lobe. If you are new to coding ENT procedures, the thyroidectomy section of the CPT manual can be daunting. Finally, a total or near-total thyroidectomy is removal of all or most of the thyroid tissue. Hemithyroidectomy plus subtotal … The risks of postoperative OP/OF were significantly increased in patients who received thyroxine treatment for more than 1 year, both in the partial thyroidectomy group and in the total and subtotal thyroidectomy group (aHR: 2.47, 95% CI: 1.42-2.31 vs. aHR: 1.84, 95% CI: 1.22-2.76). You are billing correctly with regards to a "total thyroid lobectomy" (unilateral) CPT 60220, regardless that some thyroid tissue remains. Two recent meta-analyses of mostly retrospective studies have shown high recurrence rates following subtotal resection of bilateral multinodular goiter. There are several code options to choose from and all of the descriptions which are similar with minor variations between the descriptions can run together. Yes, residual thyroid tissue is often left after performing a "total thyroid lobectomy" - one lobe, or "total thyroidectomy", both lobes.
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