Incidence of Vocal Cords Palsy and Hypocalcaemia in Reoperative Thyroid Surgery: A visit to an old friends ! 128 cases single center study

Abstract

Abstract:

Introduction: Subtotal thyroidectomy although associated with less complicationsbut also with increased risk of recurrentgoiter in future. It was the procedure of choice for patients with goiter  until 1980s .

Patients and methods: 128  patients with recurrent goiter ,in whom vocal cord palsy and hypocalcaemia were excluded preoperatively by examination and biochemical estimation of serum calcium, were operated upon in our institution from January 2016 to Apr2024 and examined postoperatively for vocal cord palsy and Hypocalcaemia and data reported.

Results: No vocal cord palsy reported. 1 case of hypocalcaemia (0.7%).

Discussion :Most of the studies in the last 20 years all over the world reported higher incidence of Complications in Reoperative thyroid surgery.

Conclusion : In experienced hands ,Revision thyroid surgery is associated with very low incidence of vocal cord palsy and Hypocalcaemia  and Patients with recurrent thyroid disease should not be denied from reoperation because of fears of these complications.