Clinical Complications Post Thyroidectomy

Clinical Complications Post Thyroidectomy

  • Syed Abdul Hakeem Assistant Professor, Department of Surgery, Bhaskar Medical College and General Hospital, Yenkapally, Moinabad, Rangareddy District, Hyderabad, India
Keywords: Thyroidectomy, Recurrent Laryngeal Nerve (RLN), Hypocalcemia, Paralysis


Background: One of the most commonly conducted operations by a general surgeon are thyroid surgeries. Many complications of thyroid operation are linked to metabolic disturbances or a recurrent laryngeal nerve injury. Superior laryngeal nerve injury, inflammation, weakness  of airways and bleeding are other risks. Subjects and Methods: This randomized retrospective sample consists of 50 successive patients who undergo various thyroidectomy procedures and who meet the inclusion criteria after having been introduced to OPD. Results: Post-operative complications following thyroidectomy was seen in 30% of the patients with Hypocalcemia being one of the most prevalent complications postoperatively observed in 18% of the patients followed by wound infection seen in 6% of the cases studied. The frequency of hematoma at the surgical site was 2%. Recurrent Laryngeal Nerve paralysis seen in 2% of the cases and Seroma formation was reported in one individual constituting 2% of the cases. Conclusion: Effective patient surgical control is important and assists in the early detection and treatment of such complications.Careful post-operative patient monitoring ensures quick intervention and helps the patient to achieve better results.


Download data is not yet available.


Foster RS. Morbidety and mortality after thyroidectomy. . Surg Gynecol Obstet. 1978;146:423–432.

Harness JK, Fung L, Thompson NW, Burney RE, McLeod MK. Total thyroidectomy: Complications and technique. World J Surg. 1986;10(5):781–785. Available from:

Rao JS. Assessment of the Early and Late Complication after Thyroidectomy. Adv Biomed Res. 2019;8:14.

Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R. The Importance of Surgeon Experience for Clinical and Economic Outcomes From Thyroidectomy. Ann Surg. 1998;228(3):320–330. Available from:

Thomusch O, Machens A, Sekulla C, Ukkat J, Lippert H, Gastinger I, et al. Multivariate Analysis of Risk Factors for Postoperative Complications in Benign Goiter Surgery: Prospective Multicenter Study in Germany. World J Surg. 2000;24(11):1335–1341. Available from:

Cherenfant J, Gage M, Mangold K, Du H, Moo-Young T, Winchester DJ, et al. Trends in thyroid surgery in Illinois. Surg. 2013;154(5):1016–1023. Available from:

Godballe C, Madsen AR, Sørensen CH, Schytte S, Trolle W, Helweg-Larsen J, et al. Risk factors for recurrent nerve palsy after thyroid surgery: a national study of patients treated at Danish departments of ENT Head and Neck Surgery. Eur Arch Oto-Rhino-Laryngol. 2014;271(8):2267–2276. Available from:

Duclos A, Peix JL, Colin C, Kraimps JL, Menegaux F, Pattou F, et al. Influence of experience on performance of individual surgeons in thyroid surgery: prospective cross sectional multicentre study. Br Med J. 2012;344(jan10 2):d8041–d8041. Available from:

Bhattacharya N, Fried MP. Assessment of the morbidity and complications of total thyroidectomy. Arch Otolaryngol Head Neck. 2002;128(4):389–92.

Steurer M, Passler C, Denk DM, Schneider B, Niederle B, Bigenzahn W. Advantages of Recurrent Laryngeal Nerve Identification in Thyroidectomy and Parathyroidectomy and the Importance of Preoperative and Postoperative Laryngoscopic Examination in More Than 1000 Nerves at Risk. Laryngoscope. 2002;112(1):124–133. Available from:

Erbil Y, Barbaros U, İşsever H, Borucu İ, Salmaslıoğlu A, Mete Ö, et al. Predictive factors for recurrent laryngeal nerve palsy and hypoparathyroidism after thyroid surgery. Clin Otolaryngol. 2007;32(1):32–37. Available from:

Chow TL, Chu W, Lim BH, Kwok SP. Outcomes and complications of thyroid surgery: retrospective study. Hong Kong Med. 2001;7(3):261–265.

Richmond BK, Eads K, Flaherty S, Belcher M, Runyon D. Complications of Thyroidectomy and Parathyroidectomy in the Rural Community Hospital Setting. Am Surg. 2007;73(4):332–336. Available from:

Sasson AR, James F Pingpank J, Wetherington RW, Hanlon AL, Ridge JA. Incidental Parathyroidectomy During Thy- roid Surgery Does Not Cause Transient Symptomatic Hypocal- cemia. Arch Otolaryngol Head Neck Surg. 2001;127(3):304–304. Available from:

Palazzo FF, Sywak MS, Sidhu SB, Barraclough BH, Del- bridge LW. Parathyroid Autotransplantation during Total Thyroidectomy—Does the Number of Glands Transplanted Affect Outcome? World J Surg. 2005;29(5):629–631. Avail- able from:

Lam A, Kerr PD. Parathyroid Hormone: An Early Pre- dictor of Postthyroidectomy Hypocalcemia. Laryngoscope. 2003;113(12):2196–2200. Available from:

Page C, Strunski V. Parathyroid risk in total thyroidectomy for bilateral, benign, multinodular goitre: report of 351 surgical cases. J Laryngol Otol. 2007;121(3):237–241. Available from:

Testa A, Fant V, Rosa AD, Fiore G, Grieco V, Castaldi P, et al. Calcitriol Plus Hydrochlorothiazide Prevents Transient Post-Thyroidectomy Hypocalcemia. Hormone Metabol Res. 2006;38(12):821–826. Available from:

Dionigi G, Rovera F, Boni L, Castano P, Dionigi R. Surgical Site Infections after Thyroidectomy. Surg Inf. 2006;7(supple- ment 2):117–137. Available from:

Palestini N, Tulletti V, Cestinol, Durando R, Freddi M, Sisti G. Parathyroid transplantation and cryopreservation techniques. Minerva Chirurgica. 2005;60(1):37–46.