Thyroidectomies in the Elderly: A Multi Centric Study at ENT Department of Cheikh Anta Diop University of Dakar View PDF

^*Deguenonvo REA
Ent Department, Hospital General De Grand-Yoff (HOGGY), Cheikh Anta Diop University, Senegal

^*Corresponding Author:

Deguenonvo REA
Ent Department, Hospital General De Grand-Yoff (HOGGY), Cheikh Anta Diop University, Senegal
Email:deguenonvorichard@yahoo.fr

Published on: 2016-05-23

Abstract

To determine if age was a contraindication to thyroidectomy in our current practice. We conducted a multi centric retrospectively and analytical study at the ENT units of General Hospital of Grand-Yoff and National Teaching Hospital of Fann in Dakar, Senegal (West-Africa). From January 2013 to December 2014, we recorded 35 cases of patients aged over 60 years (Elderly group) who underwent thyroidectomy in our ENT units. The latter group was compared to another sample of 55 patients aged less than 60 years (Young group) who underwent thyroidectomy during the same period. Following data were studied: age, gender, comorbidities, surgical indications, procedures, pathological findings and morbidity High blood pressure (HBP) was significantly more present in the Elderly group than among the Young group (5.5%) (p=0.02). Heteromultinodular goiter (HMNG) was the most frequent surgical indication 54.3% in the Elderly group. Total thyroidectomy was the mainly performed procedure. There was no significant difference in terms of morbidity between the Elderly group (5.7%) and the Young one (2%) (p=0.55).

Keywords

Thyroid; Thyroidectomy; Elderly; High blood pressure; Diabetes

Introduction

There is no consensual definition in the medical literature of an elderly. According to various studies, the threshold beyond which a person is considered “elderly” is between 60 and 80 years. The population of Senegal was estimated at 14. 548.000 inhabitants while gross domestic product per capita (current US$) and gross national income per capita (current US$) were respectively assessed to 1072 and 988.5.