TY - JOUR
T1 - Risk factors' analysis of transient and permanent hypoparathyroidism after thyroidectomy
AU - Fatica, F.; Maffongelli, A.; Caternicchia, F.
AU - Lo Monte, Attilio Ignazio
AU - Cajozzo, Massimo
AU - Romano, Giorgio
AU - Geraci, Girolamo
AU - Cocchiara, Gerlando
AU - Palumbo, Vincenzo Davide
AU - Spinelli, Gabriele
AU - Ficarella, Silvia
AU - Buscemi, Salvatore
AU - Maione, Carolina
AU - Fazzotta, Salvatore
PY - 2017
Y1 - 2017
N2 - 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.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. 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.
AB - 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.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. 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.
UR - http://hdl.handle.net/10447/240622
M3 - Article
VL - 168
SP - e271-e277
JO - Clinica Terapeutica
JF - Clinica Terapeutica
SN - 0009-9074
ER -