About this trial
This study aims to evaluate the role and effectiveness of total thyroidectomy in relieving compressive and local symptoms (such as dysphagia, dyspnea, and anterior neck pain/discomfort) in patients with Hashimoto's thyroiditis who fail to improve with conservative medical management.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults patients with confirmed Hashimoto's thyroiditis (elevated serum anti-thyroid peroxidase \anti-thyroglobulin antibodies, characteristic ultrasound findings and/or positive fine needle aspiration cytology)
Biochemically euthyroid with normal thyroid function test.
Presence of persistent local symptoms (neck pain, throat discomfort,neck tightness,chocking) for more than 6 months
Patient fit and motivated to surgery.
Disqualifiers
Confirmed or high-suspicion thyroid malignancy (Bethesda V or IV on FNAC
Previous thyroid or neck surgery
Patient refusal to participate in the study
Severe comorbidities precluding general anesthesia
Trial population
Patients diagnosed with Hashimoto's thyroiditis who suffer from persistent local compressive symptoms and undergo total thyroidectomy at the Department of Surgery, Assiut University Hospitals.
Trial design
Cohort
Prospective
Treatments tested in this trial
Total Thyroidectomy
Procedure/SurgerySurgical removal of the entire thyroid gland performed under general anesthesia for patients with Hashimoto's thyroiditis presenting with compressive or local neck symptoms.
Treatment groups
Trial outcomes
Primary outcomes
Improvement or Relief of Local Compressive Symptoms
Assessment of changes in patient-reported compressive symptoms (such as dysphagia, dyspnea, and local neck discomfort or pressure) following total thyroidectomy compared to baseline status.
Secondary outcomes
Incidence of Postoperative Complications
Rate of surgical complications including transient or permanent hypocalcemia, recurrent laryngeal nerve injury, and wound complications.
Sponsors and contacts
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