Frequency and outcomes of parathyroid preservation in total thyroidectomy.

Authors

  • Rashid Ahmad Hayatabad Medical Complex (HMC), Peshawar.
  • Spogmay Sammer Qazi Hussain Ahmed Medical Complex, Nowshera.
  • Rahmatullah Khan HMC, Peshawar.
  • Adnan Ghani HMC, Peshawar.
  • Muhammad Idrees HMC, Peshawar.
  • Waseem Ahmad Jadoon CMH, Nowshera.

DOI:

https://doi.org/10.29309/TPMJ/2024.31.11.8335

Keywords:

Parathyroid Gland, Recurrent Laryngeal Nerve Injury, Serum Calcium, Thyroidectomy

Abstract

Objective: To determine the frequency and its outcome of parathyroid preservation in total thyroidectomy. Study Design: Case Series study. Setting: Department of Otorhinolaryngology, HMC, MTI, Peshawar. Period: 23rd June 2022 to 23rd Dec 2022. Methods: A total of 246 patients who underwent thyroidectomy were included in the study and followed up to determine the preservation of parathyroid gland, hypocalcaemia and recurrent laryngeal nerve injury. Results: The mean age of the sample was 37.7 + 12.3 years. There were 52.8% male patients and 47.2% female patients. 28.9% of patients had thyroid nodule and subtotal thyroidectomy was the most performed procedure Parathyroid gland preservation was recorded in 72%. On follow up, hypocalcemia was recorded in 16.3% and recurrent laryngeal nerve injury in 20.3%. Conclusion: Hypocalcemia and RLNI are significantly common after thyroidectomy. Hypocalcemia was significantly high in patients with low non preserved parathyroid gland. More research on high sample size and addressing other effect modifiers are recommended with intervention to preserve parathyroid gland.

Author Biographies

Rashid Ahmad, Hayatabad Medical Complex (HMC), Peshawar.

MBBS, FCPS (ENT), Consultant ENT, 

Spogmay Sammer, Qazi Hussain Ahmed Medical Complex, Nowshera.

MBBS, FCPS (ENT), Consultant ENT, 

Rahmatullah Khan, HMC, Peshawar.

MBBS, Trainee Medical Officer ENT, 

Adnan Ghani, HMC, Peshawar.

MBBS, Trainee Medical Officer ENT, 

Muhammad Idrees, HMC, Peshawar.

MBBS, Trainee Medical Officer ENT, 

Waseem Ahmad Jadoon, CMH, Nowshera.

MBBS, Resident General Surgery, 

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Published

2024-11-03