Research Article

Thyroidectomy: Postoperative Complications without Monitoring of Recurrent Laryngeal Nerves

Author: Jose Francisco de Sales Chagas

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