Key result
Total thyroidectomy achieves 100% surgical success with no mortality in amiodarone-induced thyrotoxicosis.
Why the study?
Amiodarone-induced thyrotoxicosis incidence is likely increasing with amiodarone use, and medical management is complex, nonuniform, and often fails.
Is total thyroidectomy a safe and viable option for patients with amiodarone-induced thyrotoxicosis resistant to medical therapy?
Comparison
Total thyroidectomy versus failed medical therapy
Design
Case reports and literature review
Authors
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Surgery may be considered for refractory AIT; leaves open optimal indications and timing pending higher-level evidence.
Is total thyroidectomy a safe and viable option for patients with amiodarone-induced thyrotoxicosis resistant to medical therapy?
Total thyroidectomy is a safe and viable option for patients with amiodarone-induced thyrotoxicosis who fail medical management or require continuation of amiodarone.
Christine B. Franzese (2003) conducted a review in Amiodarone-induced thyrotoxicosis (n=33). Total thyroidectomy was evaluated on Surgical success, mortality, and morbidity. Total thyroidectomy was successful in all reviewed surgical cases of amiodarone-induced thyrotoxicosis, with no mortality and minimal morbidity.
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