Risk Factors of Transient Hypoparathyroidism and Determination of their Statistical Importance after Thyroid Surgery
Authors:
R. Vidura
Authors place of work:
Klinika otorinolaryngologie a chirurgie hlavy a krku LF UP a FN, Olomouc
přednosta prof. MUDr. I. Stárek, CSc.
Published in the journal:
Otorinolaryngol Foniatr, 56, 2007, No. 1, pp. 18-23.
Category:
Original Article
Summary
Transient hypoparathyreosis is a common complication after total thyreoidectomies. Its incidence at ENT department Olomouc is 21 %. The author elaborates the group of 520 patients after total thyreoidectomies from 1997 to 2005. Statistical importance of the risk factors of transient hypoparathyroidism such as gender, age, diagnosis, volume of the gland, duration of surgical procedures and recurrent goiter was evaluated. Effect of the young age, GB thyreotoxicosis and small gland was evaluated and these factors were found to have statistical importance for development of the postoperative transient hypoparathyroidism. A new protocol of postoperative care for patients after total thyreoidectomies at ENT department Olomouc is presented.
Key words:
thyroid gland, total thyreoidectomy, transient hypoparathyroidism, hypocalcemia, tetany.
Zdroje
1. Abboud, B., Sargi, Z., Akkam, M., Sleilaty, F.: Risk factors for postthyroidectomy hypocalcemia. J. Am. Coll. Surg., 195, 2002, 4, s. 456-461.
2. Bentrem, D. J., Rademaker, A., Angelos, P.: Evaluation of serum calcium levels in predicting hypoparathyroidism after total/near-total thyroidectomy or parathyroidectomy. Am. Surg., 67, 2001, 3, s. 249-251, discussion 251-252.
3. Bergamaschi, R., Becouarn, G., Ronceray, J., Arnaud, J. P.: Morbidity of thyroid surgery. Am. J. Surg., 1998, 176, s. 71-75.
4. McHenry, C. R., Speroff, T., Wentworth, D., Murphy, T.: Risk factors for postthyroidectomy hypocalcemia. Surgery, 116, 1994, 4, s. 641-647, discussion 647-648.
5. Meyer, T., Merkel, S., Radespiel-Troeger, M., Hohenberger, W.: Dysfunction of calcium metabolism following resection of the thyroid gland. An analysis of important risk factors. Zentralbl. Chir., 127, 2002, 5, s. 429-434.
6. Ozbas, S., Kocak, S., Aydintug, S., Cakmak, A., Demirkiran, M A., Wishart, G. C.: Comparison of the complications of subtotal, near total and total thyroidectomy in the surgical management of multinodular goitre. Endocrine Journal, 52, 2005, 2, s. 199-205.
7. Pelizzo, M. R., Toniato, A., Piotto, A., Bernante, P., Pagetta, C., Bernardi, C.: Prevention and treatment of intra-and post-operative complications in thyroid surgery. Annali Italiani Di Chirurgia, 72, 2001, 3, s. 273-276.
8. Rios, Z. A., Rodriguez, G., Jose, M., Torregrosa, P. N., Pinero, M. A., Canteras, J. M., Parrilla, P. P.: Hypoparathyroidism and hypocalcemia following thyroid surgery of multinodular goiter. Multivariant study of the risk factors. Medicina Clinica, 122, 2004, 10, s. 365-368.
9. Szubin, L., Kacker, A., Kakani, R., Komisar, A., Blaugrund, S.: The management of post-thyroidectomy hypocalcemia. Ear Nose Throat J., 75, 1996, 9, s. 612-614.
10. Thomusch, O., Machens, A., Sekulla, C., Ukkat, J., Lippert, H., Gastinger, I., Dralle, H.: Multivariate analysis of risk factors for postoperative complications in benign goiter surgery: prospective multicenter study in Germany. World J. Surg., 24, 2000, 11, s. 1335-1341.
11. Thomusch, O., Machens, A., Sekulla, C., Ukkat, J., Brauckhoff, M., Dra1le, H.: The impact of surgical technique on postoperative hypoparathyroidism in bilateral thyroid surgery: A multivariate analysis of 5846 consecutive patients. Surgery, 133, 2003, 2, s. 180-185.
12. Yamashita, H., Noguchi, S., Tahara, K., Watanabe, S., Uchino, S., Kawamoto, H., Toda, M., Murakami, N.: Postoperative tetany in patients with Graves‘ disease: risk factor analysis. Clinical Endocrinology, 47, 1997, 1, s. 71-77.
13. Yamashita, H., Murakami, T., Noguchi, S., Shiiba, M., Watanabe, S., Uchino, S., Kawamoto, H., Toda, M., Murakami, N.: Postoperative tetany in Graves disease: important role of vitamin D metabolites. Annals Of Surgery, 229, 1999, 2, s. 237-245.
14. Yamashita, H., Noguchi, S., Murakami, T., Watanabe, S., Uchino, S., Ohshima, A., Kawamoto, H., Toda, M., Yamashita, H.: Seasonal changes in calcium homeostasis affect the incidence of postoperative tetany in patients with Graves’disease. Surgery, 127, 2000, 4, s. 377-382.
15. Yamashita, H., Noguchi, S., Murakami, T., Uchino, S., Watanabe, S., Ohshima, A., Toda, M., Yamashita, H., Kawamoto, H.: Predictive risk factors for postoperative tetany in female patients with Graves’disease. J. of the Amer. College of Surg., 192, 2001, 4, s. 465-468.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2007 Číslo 1
Najčítanejšie v tomto čísle
- Quality of Life in Patients with Tracheostomy
- Results of Therapy in Early Stages of Glottic Larynx Cancer Summary
- Chylous Fistulas
- Complex Re-education of Voice in AFC