Early and Late Complications after Thyroid Surgery: A Retrospective Study in 163 Patients

Authors

  • Kazi Atikuzzaman Associate professor, Dept. of ENT & HNS, Enam Medical College & Hospital, Savar, Dhaka, Bangladesh
  • Mushfiqur Rahman Assistant professor, Dept. of ENT & HNS, Enam Medical College & Hospital, Savar, Dhaka, Bangladesh
  • Ripon Kumar Roy Junior consultant, Dept. of ENT & HNS, Enam Medical College & Hospital, Savar, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjo.v28i1.60824

Keywords:

Thyroidectomy, hypocalcaemia, complications

Abstract

Objective: The aim of this study was to evaluate the early and late (6 months after surgery) complications in patients undergoing thyroid surgery.

Material & methods: A retrospective study was done from January 2015 to December 2019 in the Department of ENT & Head Neck Surgery, Enam Medical College & Hospital. One hundred and sixty three patients with both benign & malignant thyroid disease underwent surgical treatment was selected for this study. Patients were followed up for six months and peroperative & postoperative complications were evaluated.

Results: Out of 163 patients 132(80.9%) cases were benign and 31(19.1%) cases were malignant. Total thyroidectomy was done in 71(43.56%) patients and hemithyroidectomy was done in 82(50.3%) patients and 10(6.13%) patients had other thyroid surgery. 29(17.80%) patients develop complications after thyroid surgery. Most common post operative complication was hypoparathyroidism with a incidence of 17(10.43%). 15(9.20%) patients developed temporary hypocalcaemia and 2(1.23%) patients developed permanent hypocalcaemia. Others complications were recurrent laryngeal nerve (RLN) palsy 2(1.23%), superior laryngeal nerve (SLN) palsy 3(1.84%), wound infection 2(1.23%), haematoma 1(0.61%) and hypertrophied scar 4(2.45%).

Conclusion: Hypocalcaemia was the most frequent post-thyroidectomy complication, while voice change, seroma, haematoma, wound infection and hypertrophied scar are additional complications. Surgeons have to pay attention to curtail the complications during thyroid surgery.

Bangladesh J Otorhinolaryngol 2022; 28(1): 50-55

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Published

2022-07-20

How to Cite

Atikuzzaman, K. ., Rahman, M. ., & Roy, R. K. (2022). Early and Late Complications after Thyroid Surgery: A Retrospective Study in 163 Patients. Bangladesh Journal of Otorhinolaryngology, 28(1), 50–55. https://doi.org/10.3329/bjo.v28i1.60824

Issue

Vol. 28 No. 1 (2022)

Section

Original Articles

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