Analysis and comparison of changing in thyroid hormones after percutaneous and surgical tracheotomy

Abstract Objectives To evaluate the effect of the surgical and percutaneous tracheotomy on the thyroid hormones and their comparisons. Materials and methods Between January and May 2010, the surgical and percutaneous tracheotomy had been performed on 40 patients with respiration problems. The thyroi...

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Bibliographic Details
Published in:Auris, nasus, larynx nasus, larynx, 2012-12, Vol.39 (6), p.601-605
Main Authors: Esen, Erkan, Karaman, Murat, Deveci, İldem, Tatlıpınar, Arzu, Tuncel, Arzu, Sheidaei, Shahrouz, Esen, Senem
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cardiovascular effect
Female
Humans
Male
Middle Aged
Otolaryngology
Percutaneous tracheotomy
Respiration problem
Surgical tracheotomy
Thyroglobulin - blood
Thyroid Diseases - blood
Thyroid Diseases - etiology
Thyroid Function Tests
Thyroid hormone
Thyroid Hormones - blood
Thyrotropin - blood
Thyroxine - blood
Tracheotomy - adverse effects
Tracheotomy - methods
Triiodothyronine - blood
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Summary:Abstract Objectives To evaluate the effect of the surgical and percutaneous tracheotomy on the thyroid hormones and their comparisons. Materials and methods Between January and May 2010, the surgical and percutaneous tracheotomy had been performed on 40 patients with respiration problems. The thyroid hormone levels were measured just before, after one and three hour of the operation and than these measurements were compared statistically. Results The effect of the surgical and percutaneous tracheotomy on serum thyroglobulin (TG), free thyroxine (fT4), free triiodothyronine (fT3) and thyroid stimulating hormone (TSH) levels was found statistically significant. Conclusions The surgeons should not forget the possible increase of the serum thyroid hormone levels after the surgical and percutaneous tracheotomy because of the systemic effects of thyroid hormones. The patients, especially who have cardiac rhythm problems, should be monitored for a while after these processes because the increase of serum thyroid hormones may cause undesired cardiovascular effects.
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2012.01.002