RECURRING EXOPHTHALMIC GOITER

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Abstract
Since the earliest recognition of exophthalmic goiter as a clinical entity, problems in its management have continually presented themselves for solution. In the course of the last fifteen years, probably in no other field of surgery have greater advances been made and certainly in no other disease of unknown etiology does surgery afford more brilliant results at so small a risk. Of the 878 patients with exophthalmic goiter operated on in the Mayo Clinic during the first eleven months of 1929, five died, a mortality 0.56 per cent. One of the commonest errors into which many surgeons fall is the belief that recurrence of hyperthyroidism is always directly attributable to inadequate surgical treatment. This has led them to advocate and practice needlessly radical surgery, exacting, as it inevitably must, a higher toll of avoidable complications, such as injury to the laryngeal nerves and production of parathyroid tetany. Today these are

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