A Case Series Study on Thyroid Autotransplantation.

Abstract

Introduction: Total thyroidectomy is a common surgery nowadays, yet the use of long-life replacement therapyhas its complications. Thyroid autotransplantation helps to reach a euthyroid state with an autoregulatorymechanism of the grafted thyroid tissue.Aim of work: To assess the survival and function of autotransplanted thyroid tissue after total thyroidectomy inpatients with multinodular goiter.Patients and methods: This is a prospective case series study that was conducted in Ain Shams UniversityHospitals and Helwan University Hospitals from January 2022 to January 2024 including a minimum of one-yearfollow-up. The study included 76 patients with simple multinodular goitre who underwent total thyroidectomy withthyroid autotransplantation.Results: All the patients reached a euthyroid state at 12 months follow up. Sixty-one patients didn’t receiveany replacement therapy while 15 patients (20%) received low dose (50micogram) of levothyroxine to reach theeuthyroid state.Conclusion: Thyroid tissue autotransplantation is a safe and easy procedure that can help to omit or lower thedose of replacement therapy post thyroidectomy.