1. THYROIDECTOMY
Mahmoud Sakr, MD, PhD, FACS
PROFESSOR OF SURGERY
CHIEF HEAD & NECK & ENDOCRINE SURGERY UNIT
UNIVERISTY OF ALEXANDRIA

2. Thyroid Operations
Isthmectomy
Lobectomy
Hemi-thyroidectomy
Subtotal thyroidectomy
Near-Total Thyroidectomy
Total Thyroidectomy

3. Near-total Thyroidectomy
Removal of all grossly visible thyroid tissue,
leaving only a small amount (< 1 g) of tissue
adjacent to the insertion of RLN into the
cricothyroid muscle.
Total Thyroidectomy
Removal of all grossly visible thyroid tissue.
Subtotal Thyroidectomy
Leaving >1 g of tissue with the posterior capsule
on the involved side.
THYROID
Volume 16, Number 2, 2006
© American Thyroid Association

50. Complications
of
Thyroidectomy

51. A. Local Complications
1. Hemorrhage (1ry – 2ry – reactionary)
2. Liquifying hematoma
3. Wound infection
4. Unightly scar
5. Respiratory complications (trachiitis)
6. Pneumothorax
7. Mediastinal emphysema
8. Air embolism

52. B. Specific Complications
1. Respiratory obstruction (stridor)
• Laryngeal edema (glossitis)
• Tracheal collapse (tracheomalacia)
• Hematoma – blood clot
• FB
• RLN affection

53. 2. Nerve Injuries
RLN Injury (unilateral – bilateral)
• Division (partial – complete)
• Stretching
• Ligation
• Compression (edema – hematoma)
• Concussion
• Diathermy
ELN Injury
Cervical sympathetic nerve

54. 3. Endocrinal Abnormalities
• Hypoparathyroidism
• Hypothyroidism
• Recurrent thyrotoxicosis
• Thyrotoxic crisis
• Progressive exophthalmos

55. Thank you