Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period

Bawa, Dauda; Alghamdi, Amal; Albishi, Hanan; Al-Tufail, Nasser; Sharma, Shashi Prabha; Khalifa, Y.; Khan, Saleem Ahmed; Alhajmohammed, Mohammed Alobeid

doi:10.5144/0256-4947.2021.369

Cited by 10 publications

(14 citation statements)

References 41 publications

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“…Compared with other conservative procedures, total thyroidectomy has been reported to have a higher risk of nerve injury. 6,16 However, our data showed no significant relationship between the extent of thyroidectomy and the risk of RLN injury. Karamanakos et al 1 also found no relationship between the extent of thyroidectomy and the risk of RLN injury in their univariate analysis only.…”

Section: (contrasting

confidence: 69%

Recurrent laryngeal nerve injury after thyroidectomy

Alqahtani

Al-sohabi

Rayzah

et al. 2023

SMJ

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Objectives: To determine the incidence and possible risk factors of recurrent laryngeal nerve injury, to provide a relevant literature review of studies from other centers in Saudi Arabia, and to present basic statistical data for future studies in our local community.Methods: A retrospective study enrolled patients who were surgically treated for thyroid disease between January 2015 and December 2021. For concerns during the procedure, direct laryngoscopy was carried out before extubation to assess the vocal cords. Similarly, indirect laryngoscopy was carried out for patients who developed postoperative voice changes. All patients were evaluated clinically 2-3 weeks after surgery. Nerve monitors were not used in either case.

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Section: (contrasting

confidence: 69%

Recurrent laryngeal nerve injury after thyroidectomy

Alqahtani

Al-sohabi

Rayzah

et al. 2023

SMJ

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“…Process and behavioral outcomes are just one way to measure impact. Results related to postoperative quality of life and patient satisfaction should be considered [25][26][27][28][29]. Similarly, the feedback and opinions of medical staff are equally important.…”

Section: Discussionmentioning

confidence: 99%

Management of Patients with Cervicofacial Edema and Paresthesia during Perioperative Period of Transoral Endoscopic Thyroidectomy

Xia

Zhao

Liu

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To analyze the clinical intervention effect of transoral endoscopic thyroidectomy on the neck and face during perioperative period. Method. From January 2019 to January 2020, 60 patients included in this study were randomly divided into observation group and control group according to the ratio of 1 : 1, with 30 cases in each group. Both groups underwent rapid surgical intervention during the perioperative period. The patients in the observation group received neck and face management. The degree of jaw swelling, the degree of facial microexpression completion, and the changes in jaw and neck sensation were compared between the two groups. Results. There was no significant difference in neck and face swelling, pain, facial microexpression, and feeling between the two groups before operation. Patients with facial I/II swelling degree in the observation group were significantly more than in the control group, and the patients with III swelling degree were less than in the control group. There was significant difference for facial swelling between the two groups in the three intervention periods after the operation, and the difference was statistically significant ( P < 0.05 ). The scores of facial microexpression in the observation group were higher than those in the control group during the three postoperative intervention periods, with statistical significance ( P < 0.05 ). There was no significant difference in the pain score of the first day after surgery between the two groups ( P = 0.298 ). In the other two postoperative intervention periods, the pain score of the observation group was lower than that of the control group, with a statistically significant difference, and the difference was statistically significant ( P < 0.05 ). The threshold of chin and neck sensory pressure in the two groups was statistically significant ( P < 0.05 ) except that the “cheek in area 4” ( P = 0.290 ). Conclusion. The results showed that these interventions, such as the elevation of bed after operation, 24-hour intermittent cryotherapy, ice cubes in mouth, and the “meter” functional training, have good clinical effects on the symptoms of facial swelling and abnormal sensation of neck and face. It can accelerate the speed of edema dissipation, improve the patients’ postoperative comfort, and improve the satisfaction and quality of life of patients with the effect of surgery and beauty.

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“…Table 3 shows the incidence of post-thyroidectomy hematomas in different cities in Saudi Arabia [9][10][11][12][13]. Although hematoma is frequently seen within the first six hours after surgery, bleeding can still occur up to 24 hours after surgery [6].…”

Section: Discussionmentioning

confidence: 99%

“…The risk of hematoma formation in our cohort was 0.8%, which is in line with previous studies [ 1 , 4 , 5 , 8 ]. Table 3 shows the incidence of post-thyroidectomy hematomas in different cities in Saudi Arabia [ 9 - 13 ].…”

Section: Discussionmentioning

confidence: 99%

Post-Thyroidectomy Hematoma: Risk Factors To Be Considered for Ambulatory Thyroidectomy

Alqahtani¹,

Al-sohabi²,

Alfattani³

et al. 2022

Cureus

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Introduction: Post-thyroidectomy hematoma is a serious, potentially life-threatening complication and it is the most frequent indication for reoperation. In this study, we aimed to identify the risk factors and prevalence of post-thyroidectomy hematoma and perform a literature review of the incidence of postthyroidectomy hematoma at other centers in Saudi Arabia.Methods: We retrospectively enrolled 372 consecutive patients who had undergone thyroidectomy between January 2015 and December 2020. Patients with bleeding disorders were excluded from the study. Data were analyzed using SPSS software, version 20.0 (IBM Corp., Armonk, NY).Results: Three female (0.8%) patients developed a hematoma after thyroidectomy. Two patients developed a hematoma 24 hours after surgery and were treated conservatively. The third patient developed a hematoma within two hours of surgery and required surgical intervention. None of the patients required a tracheostomy, and there was no mortality. No significant association was found between age, sex, final pathology, the extent of thyroidectomy, and risk of hematoma.Conclusion: A post-thyroidectomy hematoma is a rare but dangerous complication. Identifying the risk factors for hematoma formation is of great importance, particularly when considering outpatient thyroidectomy. A large prospective multicenter study is needed for further investigation.

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Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period

Cited by 10 publications

References 41 publications

Recurrent laryngeal nerve injury after thyroidectomy

Recurrent laryngeal nerve injury after thyroidectomy

Management of Patients with Cervicofacial Edema and Paresthesia during Perioperative Period of Transoral Endoscopic Thyroidectomy

Post-Thyroidectomy Hematoma: Risk Factors To Be Considered for Ambulatory Thyroidectomy

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