ESTIMATING THE EFFECTIVENESS OF SURGICAL TREATMENT OF CHILDREN WITH THRYOID NEOPLASMS

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Abstract


Aim. To estimate the effectiveness of the developed design of perioperative examination of patients and surgery of children and adolescents with thyroid neoplasms.

Materials and methods. The data of surgical treatment and perioperative control of 70 patients’ condition from 2012 to July 2017 were presented. The features of perioperative control included prevention of postoperative hypoparathrosis, use of ACR TI-RADS system to interpret the thyroid ultrasound findings as the first line diagnosis of a malignant neoplasm and intraoperative electrophysiological neuromonitoring of the laryngeal nerves. The follow-up was 1 to 56 months. The quality of life was estimated using a questionnaire.

Results. The basic risk factors of an intraoperative injury to the recurrent laryngeal nerve, postoperative hypocalcemia and hypoparathyrosis were found during the study. The disease duration and aggressive course and a number of surgeries in a patient significantly decrease their life quality (p<0.05).

Conclusions. Comparison of quality of life indicators before and after a surgery and popula tion indicators of healthy adolescents revealed the advantage of using the developed scheme of perioperative control of surgical treatment of thyroid neoplasms in children and adolescents.


About the authors

N. S. Grachev

Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology

Email: nick-grachev@yandex.ru
ORCID iD: 0000-0002-4451-3233

Russian Federation

Nikolai S. Grachev – PhD, Head of the Department of Oncology and Pediatric Surgery

117997, Moscow, ul. Samory Mashel 1

I. N. Vorozhtsov

Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology

Email: Dr.Vorozhtsov@gmail.com
ORCID iD: 0000-0002-3932-6257

Russian Federation

Igor N. Vorozhtsov – Junior Researcher, Head and Neck Surgery Department, reconstructive-plastic surgery

117997, Moscow, ul. Samory Mashel 1

N. V. Babaskina

Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology

Email: nbabaskina@bk.ru
ORCID iD: 0000-0003-4264-1423

Russian Federation

Natalya V. Babaskina – Oncologist of oncology and pediatric surgery department

117997, Moscow, ul. Samory Mashel 1

Е. Iu. Iaremenko

Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology

Author for correspondence.
Email: yareme@me.com
ORCID iD: 0000-0003-1196-5070

Russian Federation

Ekaterina Iu. Iaremenko – Senior Laboratory Assistant of the Department of Head and Neck Surgery with reconstructive-plastic surgery

117997, Moscow, ul. Samory Mashel 1

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