Peroperative complications
- recurrent laryngeal nerve damage - unilateral or bilateral. Bilateral damage is bilateral presents as laryngeal obstruction after tracheal extubation and requires emergency tracheostomy. Approximately 1% develop paralysis so checking is important.
- haemorrhage is uncommon and generally caused by a slipped ligature on the upper pole vessels which then retract. It may cause tracheal compression and asphyxia
- damage to other structures - perforation of the trachea or oesophagus, damage to laryngeal muscles
Reference
- Viola KV, Sosa JA. In: Surgery of the thyroid and parathyroid glands. Randolph GW , editor. Philadelphia, PA: Elsevier Inc; 2020. Outcomes Analysis in Thyroid Surgery: A Review of Patient and Provider Predictors; pp. 225–234.
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