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- Title
The Effect Of Age, Sex, And Indications For Operation On The Complications Of Total Thyroidectomy.
- Authors
TAŞKALDIRAN, Işılay; TURHAN İYIDIR, Özlem; TOPRAK, Uğur; ÇAKIL, Bilal; BULUT, Gülin; HACIBEKTAŞOĞLU, Mehmet Tarık; GEREN, Sıla; KORKMAZ, Tolga; YAYLI, Zeynep Ilgaz; BAŞÇIL TÜTÜNCÜ, Neslihan
- Abstract
AIM: Total thyroidectomy is frequently performed in many benign and malignant thyroid diseases. The most common complications are; dysphonia, hematoma, hypoparathyroidism, and recurrent laryngeal nerve injury. MATERIAL AND METHOD: Patients over the age of 18 who were admitted to Baskent University Hospital and underwent total thyroidectomy between 2011 and 2022 were included in our study. Our study was designed as a retrospective chart review. Patients' age, sex, indications for operation and postoperative complications were recorded. We evaluated at least 1 year of follow-ups in order to conclude that the patients have permanent hypoparathyroidism and permanent hypocalcemia. RESULTS: A total of 580 patients were included in the study. Observed operative complications included hematoma in 1 (0.02%) patient, vocal cord paralysis in 11 (1.9%) patients, temporary hoarseness in 10 (1.7%) patients, permanent hoarseness in 7 (1.2%) patients, temporary hypoparathyroidism in 124 (21.4%) patients, permanent hypoparathyroidism in 11 (1.9%) patients, temporary hypocalcemia in 263 (45.3%) patients, and permanent hypocalcemia in 13 (2.2%) patients. Permanent hypocalcemia, permanent hypoparathyroidism, and vocal cord paralysis were observed more frequently in men than in women (p=0.009, p=0.010, p=0.502, respectively). Permanent hypocalcemia, permanent hypoparathyroidism, hoarseness and vocal cord paralysis were observed more frequently in patients who were operated with suspicion of malignancy (p=0.150, p=0.040, p=0.875, p=0.747, respectively). Postoperative permanent and temporary hoarseness and vocal cord paralysis were more common in patients aged >65 years (p=0.009, p=0.398, respectively). CONCLUSION: Postoperative complications are more common in men, in patients aged >65 years, and in those operated for suspected malignancy.
- Subjects
THYROIDECTOMY; OPERATIVE surgery; DECISION making; HISTOPATHOLOGY; AGE groups
- Publication
Medical Journal of Ankara Training & Research Hospital, 2022, Vol 55, Issue 3, p212
- ISSN
1304-6187
- Publication type
Article
- DOI
10.20492/aeahtd.1184935