Analisi dei fattori di rischio dell'ipoparatiroidismo transitorio e definitivo nei pazienti sottoposti a tiroidectomia

Massimo Cajozzo, Attilio Ignazio Lo Monte, Girolamo Geraci, Vincenzo Davide Palumbo, Salvatore Buscemi, Giorgio Romano, Gabriele Spinelli, Silvia Ficarella, Federica Fatica, Angela Maffongelli, Salvatore Fazzotta, Salvatore Fazzotta, Caternicchia, Carolina Maione, Cocchiara, Attilio Ignazio Lo Monte, Massimo Cajozzo, Girolamo Geraci, Salvatore Buscemi, RomanoCarolina Maione, Gabriele Spinelli, Gerlando Cocchiara, Silvia Ficarella

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aims. This review evaluates those main risk factors that can affect patients undergoing thyroidectomy, to reach a better pre- and post-operative management of transient and permanent hypoparathyroidism. Discussion. The transient hypoparathyroidism is a potentially severe complication of thyroidectomy, including a wide range of signs and symptoms that persists for a few weeks. The definitive hypoparathyroidism occurs when a medical treatment is necessary over 12 months. Risk factors that may influence the onset of this condition after thyroidectomy include: pre- and post-operative biochemical factors, such as serum calcium levels, vitamin D blood concentrations and intact PTH. Other involved factors could be summarized as follow: female sex, Graves' or thyroid neoplastic diseases, surgeon's dexterity and surgical technique. The medical treatment includes the administration of calcium, vitamin D and magnesium sometimes. Conclusions. Although biological and biochemical factors could be related to iatrogenic hypoparathyroidism, the surgeon's experience and the used surgical technique still maintain a crucial role in the aetiology of this important complication.
Original languageItalian
Pages (from-to)e271-e277
Number of pages7
JournalLA CLINICA TERAPEUTICA
Volume168
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Cajozzo, M., Lo Monte, A. I., Geraci, G., Palumbo, V. D., Buscemi, S., Romano, G., Spinelli, G., Ficarella, S., Fatica, F., Maffongelli, A., Fazzotta, S., Fazzotta, S., Caternicchia, Maione, C., Cocchiara, Lo Monte, A. I., Cajozzo, M., Geraci, G., Buscemi, S., ... Ficarella, S. (2017). Analisi dei fattori di rischio dell'ipoparatiroidismo transitorio e definitivo nei pazienti sottoposti a tiroidectomia. LA CLINICA TERAPEUTICA, 168, e271-e277.