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Total Thyroidectomy Complications

Complications that may develop after thyroid surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Total Thyroidectomy Complications?

Total thyroidectomy is a safe surgical procedure in experienced hands but carries certain complications due to vital anatomical structures around it. Complication rates are low among experienced endocrine surgeons.

The most important complications are recurrent laryngeal nerve injury (hoarseness), hypoparathyroidism (low calcium), postoperative bleeding/hematoma, wound infection, and thyroid storm.

Good preoperative evaluation, intraoperative nerve monitoring, and careful parathyroid preservation technique reduce complications. Calcium monitoring and voice assessment in the early postoperative period are critically important.

Symptoms

Hoarseness
Numbness around the mouth
Muscle cramps
Chvostek and Trousseau signs
Swelling and hematoma in the neck
Shortness of breath
Difficulty swallowing

Risk Factors

Inexperienced surgical team
Large goiter
Retrosternal extension
Malignant disease
Previous neck surgery
Graves' disease
Central neck dissection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Postoperative hoarseness
  • Tetany findings
  • Enlarging swelling in the neck
  • Difficulty breathing
  • Discharge at the wound site

Treatment Methods

01
Postoperative calcium and PTH monitoring
02
Calcium and vitamin D replacement
03
Levothyroxine suppression
04
Hematoma drainage (urgent)
05
Nerve rehabilitation
06
Phoniatry consultation
07
Regular endocrine follow-up

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.