AI Summary & Key Takeaways
AI InsightIn general thyroidectomyis found to be a low risk surgery fort he risk of vocal cord paralysis.
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Abstract
Aim: Thyroidectomy is performed for many indications such as thyroid neoplasms, thyroiditis, autuimmune disorders and thyroid andocrine disorders. In this study we aimed to compare the incidence of transient and permanent hypocalcemia, hypoparathyroidism and hoarseness compications with the demographic features of the patients, type of surgery, histopathological diagnosis of the disease and presence of malignancy Material and Methods: The data of the patients are obtained from the records of patients found to had a thyroidectomy procedure according to ICD codes from Zonguldak Bulent Ecevit University Hospital. Preoperative calcium and postoperative calcium, phosphorus, parathyroid hormone levels and the presence of postoperative hoarsness are noted. Results: Postoperative transient hypocalcemia was present in 62,9% of patients. None of the patients had permanent hypocalcemia. Of 81 patients transient hoarsenes and vocal cord paralysis was observed in 1 patient. The rates of hypophosphatemia was 4.9%, hyperphosphatemia was 7.4% in the first postoperative day. Of the 10 patients whose parathyroid hormone levels are obtained in the first posyoperative day due to clinical findings of hypocalcemia, 6 patients were found to have low Parathyroid hormone levels. Conclusion: Total thyroidectomy and reoperative thyroidectomy is found to be more riskyin terms of complications. In general thyroidectomyis found to be a low risk surgery fort he risk of vocal cord paralysis.
Özet
Amaç: Tiroidektomi ameliyatı, tiroid neoplazmları, tiroiditler, otoimmün hastalıklar, tiroid bezinin endokrin bozuklukları gibi birçok sebepten ötürü yapılmaktadır. Yaptığımız çalışmada tiroidektomi ameliyatı geçiren hastalarda geçici ve kalıcı hipokalsemi, hipoparatiroidi ve ses kısıklığı komplikasyonlarının; hastaların demografik verileri, ameliyat tipi, hastalığın histopatolojik tanısı, hastalığın malignitesi ile karşılaştırmalarını yaparak ne sıklıkta görüldüğünü saptamayı amaçladık.