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The Value of Color Flow Doppler Ultrasonography of the Superior Thyroid Artery in the Surgical Management of Graves Disease—Invited Critique
Scott M. Wilhelm, MD;
Richard A. Prinz, MD
Chicago, Ill
Arch Surg. 2003;138:151.
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Surgery for Graves disease, which was once widely practiced in North America, has become rather uncommon. Because even women of child-bearing age and children are often treated with radioiodine, the current indications for thyroidectomy in Graves disease are limited to the following: patients who have failed antithyroid drug or radioiodine treatment, those who require a rapid and definitive reversal of hyperthyroidism (eg, during pregnancy), or those who have an aversion to irradiation. Finally, thyroidectomy should be used in patients who have Graves disease with a concomitant thyroid nodule that should be removed to rule out a potential malignancy. The shift to radioiodine therapy has occurred because it is less expensive, less invasive, and relatively safe: avoiding the main surgical complications of hyperparathyroidism and recurrent laryngeal nerve injury. Clearly, Huang et al have experience in treating Graves disease that is unmatched by any . . . [Full Text of this Article]
RELATED ARTICLE
The Value of Color Flow Doppler Ultrasonography of the Superior Thyroid Artery in the Surgical Management of Graves Disease
Shih-Ming Huang, Nan-Haw Chow, Hwei-Ling Lee, and Ta-Jen Wu
Arch Surg. 2003;138(2):146-151.
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