Thyroidectomy - Complications

Complications

  1. Hypothyroidism/Thyroid insufficiency in up to 50% of patients after ten years
  2. Laryngeal nerve injury in about 1% of patients, in particular the recurrent laryngeal nerve: Unilateral damage results in a hoarse voice. Bilateral damage presents as laryngeal obstruction after surgery and can be a surgical emergency: an emergency tracheostomy may be needed. Recurrent Laryngeal nerve injury may occur during the ligature of the inferior thyroid artery.
  3. Hypoparathyroidism temporary (transient) in many patients, but permanent in about 1-4% of patients
  4. Anesthetic complications
  5. Infection
  6. Stitch granuloma
  7. Chyle leak
  8. Haemorrhage/Hematoma (This may compress the airway, becoming life-threatening.)
  9. Surgical scar/keloid
  10. Removal or devascularization of the parathyroids.
  11. Thyroid storm in operations performed for hyperthyroidism

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