OBJECTIVE To determine the incidence and predictive factors for complications after total thyroidectomy. DESIGN Cross-sectional analysis of a national database on total thyroidectomy cases. METHODS The National Hospital Data Survey database was examined and all cases of total thyroidectomy performed during 1995 to 1999 were extracted. In addition to demographic information, postoperative co...

Forgotten goiter is a rare occurrence (2 - 16% of retrosternal thyroid cases) that depicts recurrence of retrosternal thyroid mass due to growth of remnant thyroid tissue overlooked during an initial thyroidectomy. The patient is a 59-year female who presented with dyspnea and stridor 25 years after total thyroidectomy. She was diagnosed as having a mediastinal mass on radiographic imaging. The...

177 INTRODUCTION Thyroid surgery is one of the most commonly performed surgeries nowadays. Total thyroidectomy was only popular for indications other than cancer at the last quarter of twentieth century for fear of its complications. In this era however this operation has been the treatment of choice even for benign thyroid pathology such as multinodular goiter, toxic goiter and refractory Grav...

BACKGROUND Prospective randomized studies aimed at evaluating the different therapeutic protocols for the treatment of papillary or follicular carcinoma are lacking at the moment. Although total thyroidectomy is widely accepted, indication to locoregional lymphadenectomy is strongly debated. MATERIALS AND METHODS Fifty-four patients with papillary or follicular thyroid carcinoma (45 papillary...

UNLABELLED Increasing number of surgical subspecialities causes general surgeons have little experience with more complex procedures as total thyroidectomy. The aim of the study was to present the outcome of total thyroidectomy following its implementation in a district hospital where such procedure has not been performed previously. MATERIAL AND METHODS 293 patients were operated on for goit...

OBJECTIVE The aim of this study was to evaluate the use of prophylactic oral calcium after total thyroidectomy in the prevention of symptomatic hypocalcemia, and to develop a rational strategy of oral calcium supplementation following this type of surgery. SUBJECTS AND METHODS Prospective study including 47 patients undergoing total thyroidectomy from January 2007 to February 2012. The patien...

INTRODUCTION Hypocalcaemia, although usually transitory, is the most frequent complication after total thyroidectomy. OBJECTIVE To identify factors associated with a higher risk of hypoparathyroidism and related to aetiology and surgical procedure. MATERIALS AND METHODS A total of 254 total thyroidectomies were analysed for the incidence of transitory or permanent hypocalcaemia based on the...

We report the case of a 60-year-old woman with a multinodular goitre who underwent total thyroidectomy and was found intraoperatively to have a parathyroid ‘incidentaloma’. The surgical approach to the management of patients with incidental parathyroid disease is discussed and a review of the literature is presented.

INTRODUCTION Dyspnea due to bilateral vocal cord palsy after total thyroidectomy (BVCPATT) is a life-threatening complication; nevertheless, we try to avoid tracheotomy. METHODS Using normalized glottal area (NGA), we retrospectively studied 14 patients with BVCPATT. Nine patients without dyspnea were treated conservatively, while five with dyspnea received immediate bilevel positive air-way ...

UNLABELLED Incidental parathyroidectomy is a common event in thyroid surgery. The literature shows a finding of parathyroid glands ranging from 6.4% to 31% in pathological specimens of the thyroid gland. OBJECTIVE To collect the amount of parathyroid glands found in surgical specimens of thyroidectomy and correlate with the histopathological and demographic variables. METHODS Retrospective ...