Intracapsular Thyroidectomy: Our Experience at a Tertiary Care Hospital.

Background: Goiter is the common endocrine disease encountered in ENT practice .Surgery is one of the main line of treatment.Commonly performed procedures for benign thyroid disease are conventionally performed with extra capsular approach andmandatory identification of the recurrent laryngeal nerve and parathyroid glands .Intracapsular thyroidectomy is the emergingtechnique and there is an ongoing debate among the clinicians using intracapsular thyroidectomy and its complications especiallyrecurrent laryngealnerve injury.Objective: To evaluate the results of intracapsular thyroidectomy in the management of benign thyroid diseases.Material and Methods: This Cross sectional descriptive study was conducted in ENT Department, Saidu Group of TeachingHospitals, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan from January 17, 2017 to April 21, 2019. A total of 90 patients ofbenign thyroid diseases who underwent intracapsular thyroidectomy during the period were included in the study. The datacollectedthrough predesignedPerforma was analyzed with SPSS version 22 for results.Results: Among 90 patients 72 % were female and 28 % were male .The mean age was 38± 2 years.Multinodular goiterwas 71 %,diffuse nontoxic goiter was 16% and solitary thyroid nodule was 13%.AII the goiters were having benign pathology. Totalthyroidectomy was performed on 47%.near total thyroidectomy was performed on 36 % and 17% patients underwenthemithyroidectomy.Among the complications transient hypocalcaemia was noted in 3%, temporary voice changes in 2 %.seromaformation and wound infection each in 1% patients while no complications were observed in the majority of cases.Conclusion: We concluded that Intracapsular thyroidectomy and early division of isthmus and medial to lateral dissection ofthyroid gland alongthe trachea is a safe and effective procedure with low complicationrate in benignthyroid disease.Keywords: Benign Thyroid Diseases, Intracapsular Thyroidectomy, Complications.