Postoperative Complications of Thyroid Surgery: A Corroborative Study with an Overview of Evolution of Thyroid Surgery

JOURNAL TITLE: International Journal of Head and Neck Surgery

Author
1. Chetan Bansal
2. Aparna Bhardwaj
3. Alok Agrahari
4. Sonam Rathi
5. Virendra P Singh
ISSN
0975-7899
DOI
10.5005/jp-journals-10001-1245
Volume
6
Issue
4
Publishing Year
2015
Pages
6
Author Affiliations
    1. Department of ENT, Shri Guru Ram Rai Medical College Dehradun, Uttarakhand, India
    1. Department of Pathology, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
    1. Department of ENT, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
    1. Department of ENT, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
    1. Department of ENT, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Article keywords

    Abstract

    Background

    To study the frequency of postoperative complications after thyroid surgery indicated for various benign and malignant lesions and to corroborate the results in relation to the extent of surgery and a clinical overview of evolution of thyroid surgery.

    Materials and methods

    An analytical study was carried out at a tertiary care center over a period of 3 years from January 2011 to December 2013. Data were collected from 80 patients who underwent thyroidectomies for various thyroid diseases at this center.

    Results

    Hemithyroidectomy, isthmusectomy, subtotal, neartotal, and total thyroidectomies were performed in 36 (45%), 6 (7.5%), 8 (10%), 10 (12.5%), and 20 (25%) cases respectively. The overall postoperative complication rate was 20%. Postoperative hypocalcemia and recurrent laryngeal nerve injury were the most common complications. Permanent hypocalcemia and permanent recurrent laryngeal nerve injury were observed in 3.75 and 2.5% of all operated cases respectively. The less common complications were wound hematoma, seroma formation, and superior laryngeal nerve injury. There was no mortality observed in our series.

    Conclusion

    The overall complication rate can be minimized by operating in a bloodless field, doing a meticulous dissection, and correctly identifying and preserving recurrent and superior laryngeal nerves along with parathyroid glands, if feasible.

    How to cite this article

    Pandey AK, Maithani T, Agrahari A, Varma A, Bansal C, Bhardwaj A, Singh VP, Rathi S. Postoperative Complications of Thyroid Surgery: A Corroborative Study with an Overview of Evolution of Thyroid Surgery. Int J Head Neck Surg 2015;6(4):149-154.

    © 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved