Recurrent Graves’ Disease in Thyroglossal Duct Following Total Thyroidectomy

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Very good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Excellent

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good

Comments:

The subheading “context” under Abstract should be changed to “Introduction”.

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments:

This case report demonstrates the importance of informed consent for the rare risk of recurrence and regular surveillance required of Graves’ disease patients following the procedure. The case description is adequate. The report is well supported with briefly explained figures. The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. The Discussion also throws light upon the rarity of the presented condition. The study finally recommends that patients treated with total thyroidectomy should still be monitored regularly for recurrence of Graves’ disease secondary to ectopic thyroid tissue.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very good

Writing style

Q: Is it clear and understandable?

A: Very good

Further comments on the paper

Comments: This case report of a 46-year-old woman describes an instance of recurrent Graves’ disease following total thyroidectomy, where ultimately the patient was found to have hyperplastic thyroid tissue along a thyroglossal duct. The report holds significance as the incidence of this event is estimated to be approximately one per a million persons and thus is a rare occurrence in endocrinology. This case aptly demonstrates the infrequency that events such as this occur, while also highlighting that although total thyroidectomy can potentially be an effective treatment for refractory Graves’ disease, surgical management also has its own potential shortcomings.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team