Fatores que influenciam nas complicações das tireoidectomias

Abstract

T he postoperative outcome of thyroidectomies is related to factors concerning the patient, the thyroid disease, and the surgeon. Objectives:To analyze a clinic's experience with thyroidectomy complications. Study design: historical cross-sectional cohort study. Materials and Methods:We reviewed the charts from 228 patients submitted to thyroidectomy, between 1991 and 2004. Transient, permanent and total complications as well as persistence and recurrence of the basal disease were studied in relation to clinical and laboratory factors.Results: Total complications occurred in 34.65%, transient complications in 18.86% (9.21% had hypocalcemia, 0.44% had vocal cord paralysis), associated with the first postoperative years and pressure complaints, and permanent complications in 17.98% (8.77%: hypoparathyroidism; 1.75%: vocal cord paralysis), associated with malignancy and more radical surgeries. The thyroid disease persisted in 17.98% of the cases, associated with age and recurrence in 10.96%, associated with the first operative years, benign diseases and less radical surgeries. Conclusion:The complications were associated with pressure complaints, shorter complaining period, malignancy and more radical surgeries. The recurrence was associated with the first operative years, non-neoplastic thyroid diseases and less radical surgeries. The persistence of disease was associated with older age. Braz J Otorhinolaryngol. 2012;78(3):63-9. ORIGINAL ARTICLE BJORL

Hypoparathyroidism: what is the best calcium carbonate supplementation intake form?

“…HypoPT may be a consequence of total thyroidectomy, 3 , 20 which is the most frequent treatment for DTC, 21 a neoplasm whose incidence has increased considerably in the last years. 22 , 23 Patients with permanent HypoPT require lifelong treatment with Ca salts to control calcemia, phosphatemia, and the Ca × P product.…”

“… 2 After total thyroidectomy, the incidence of postoperative HypoPT ranges from 0.5% to 6.6%. 2 However, incidences as high as 20% have been reported 3 , 4 , 5 , 6 depending on surgery extension and complexity, which are greater in malignant neoplasms, such as thyroid cancer, the main indication for total thyroidectomy. 7 , 8 , 9 In these cases, central compartment neck dissection is a risk factor for permanent hypoparathyroidism.…”