Hypocalcaemia after Total Thyroidectomy

Authors

  • Md Zahirul Islam MS (Otolaryngology) Phase-B Resident, Department of Otolaryngology-Head & Neck Surgery, Dhaka Medical College & Hospital, Dhaka
  • AF Mohiuddin Khan Professor, Department of Otolaryngology- Head & Neck Surgery, Dhaka Medical College & Hospital, Dhaka
  • Shaikh Nurul Fattah Professor, Department of Otolaryngology- Head & Neck Surgery, Dhaka Medical College & Hospital, Dhaka
  • Dipankar Lodh Associate Professor, Department of Otolaryngology-Head & Neck Surgery, Shaheed Syed Nazrul Islam Medical College, Kishoregonj.
  • Mohammad Nazrul Islam Phase-B Resident, Department of Otolaryngology-Head & Neck Surgery, Dhaka Medical College & Hospital, Dhaka
  • Uzzal Chandra Ghosh Resident, Department of Otolaryngology- Head & Neck Surgery, Dhaka Medical College & Hospital, Dhaka

DOI:

https://doi.org/10.3329/bjo.v25i1.45191

Keywords:

Total thyroidectomy, hypocalcemia, postoperative hypocalcemia

Abstract

Objective: To determine whether postoperative hypocalcemia after total thyroidectomy is more frequent in malignant disease than benign disease.

Methods: This is a Cross sectional study. The sample size is 126. All the patients were selected according to the eligibility criteria by purposive sampling. Patients were analyzed for age, gender, thyroid pathology, preoperative serum calcium, postoperative serum calcium.

Results: Postoperative hypocalcemia was found in 37 (29.37%) patients. Most patients were female (Male: Female= 1: 4.2). Patients having low preoperative serum calcium had developed more postoperative hypocalcemia (p<0.03). Postoperative hypocalcemia was associated with thyroid pathology (p<0.009) and age (p<0.006), not associated with sex (p<0.907). In multivariate analysis very little association between malignant disease and postoperative hypocalcemia was found (p<0.07).

Conclusion: The incidence of postoperative hypocalcemia following total thyroidectomy is 29.4% that is higher than the anticipated but is comparable to other published series. For total thyroidectomy surgeons should be aware of postoperative hypocalcemia but prophylactic calcium and vitamin D supplement is not mandatory in all cases.

Bangladesh J Otorhinolaryngol; April 2019; 25(1): 19-27

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Published

2020-01-28

How to Cite

Islam, M. Z., Khan, A. M., Fattah, S. N., Lodh, D., Islam, M. N., & Ghosh, U. C. (2020). Hypocalcaemia after Total Thyroidectomy. Bangladesh Journal of Otorhinolaryngology, 25(1), 19–27. https://doi.org/10.3329/bjo.v25i1.45191

Issue

Vol. 25 No. 1 (2019)

Section

Original Articles

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