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Pediatric Graves’ Disease: Challenges Associated With Thyroidectomy and Perioperative Management in a Three-Year-Old Child

Year: 2025

Type: article

Abstract: Graves' disease is a rare cause of hyperthyroidism in children, and it poses specific problems in diagnosis and surgery. We report a three-year-old female child who had Graves' disease with exophthalmos, for which she underwent a total thyroidectomy. On the preoperative assessment, the patient had tachycardia, hypertension, and severe bilateral proptosis. Managing the airway was challenging due to a shift in the trachea and possible tracheomalacia. Endocrine stabilization, protection for the eyes during surgery, and close observation for thyroid storms and neck hematoma were some strategies employed during the perioperative period. This case highlights the importance of tailored, multidisciplinary approaches to optimize outcomes in pediatric thyroidectomy.

Source: Cureus

DOI: 10.7759/cureus.79893

Authors: Emad Ramadan, Saad Nadeem, Muhammad Zain, Sharif Mohamed

Institutions: The University of Texas Medical Branch at Galveston, Texas A&M University, University of Houston

Language: English

Topic: Thyroid and Parathyroid Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408074824

FWCI:

Cites: 12

Cited by:

Related to: 10