The increasing number of thyroidectomies performed today makes their complications more focused on surgeons and endocrinologists.
Due to this, several methods have been developed in an attempt to minimize these complications, from changes in surgical technique and its
indications to the introduction of technologies for monitoring recurrent nerves. Material and methods: 63 patients with bulky goiter (mean glandular
volume of 95 g, ranging from 15 g to 400 g) undergoing thyroidectomy (52 total and 11 partial thyroidectomies) without the use of recurrent
nerve monitoring. Evaluation of complications by physical and laboratory examination. Results: postoperative complications were 6 patients with
hypoparathyroidism (11.1%), all of them transient and dysphonia in 5 patients, which represents 7.9% and due to unilateral vocal fold paralysis.
Only one patient with definite paralysis (1.6%). Bruising in only 3 patients (4.8%). Conclusions: Total thyroidectomy is the standard gold surgical
procedure for the management of benign and malignant thyroid diseases, with a low rate of postoperative complications. Recurrent laryngeal nerve
dissection during thyroidectomy is the most important method of preserving its function. The most common complications of thyroidectomies are
successfully evaluated and treated by medical history, anamnesis and physical examination