Study of Complications Following Thyroidectomy for Benign Thyroid Lesions in Rajasthan Population

  • Gaurav Kataria Assistant Professor, Department of ENT
  • Aditi Saxena Senior Demonstrator, Department of Pathology
  • Hariom Gautam Senior Resident, Department of ENT
  • Narpat Singh Senior Medical Officer, Department of ENT
Keywords: Inferior thyroid artery, Recurrent laryngeal nerve, Strobolaryngoscopy, Vocal cords


Background: Surgery of the thyroid gland takes place in the area of complicated anatomy in which a number of vital physiological
functions and special senses are controlled. Moreover, variations of blood supply to the thyroid are one of major complications
during and after surgery.
Materials and Methods: Fifty patients having cytological and radiological evidences of benign thyroid disease were studied. Every
patient underwent thyroid-stimulating hormone, T3, T4, and ultrasound of the neck, aspiration of fluid for cytological study from
the suspected area. Computed tomography scan in tracheal compression patients, indirect laryngoscopy was done under preoperatively
to assess the position of vocal cords. Thyroidectomy was done general anaesthesia and administrated by endotracheal
intubation. Flexible strobolaryngoscopy was done when indirect laryngoscope was inconclusive.
Results: Seven (14%) hyperthyroidism, 13 (26%) retro-sternal extension, 3 (6%) tracheal compression, 16 (32%) firm feel, and
11 (22%) adhesion. Anatomical variations were - 8 (16%) anterior relation to inferior thyroid artery, and 1 (2%) had palsy, 13 (26%)
had branching of recurrent laryngeal nerve (RLN), 2 (4%) had palsy, 29 (58%) had RLN close to anterior entry, and 3 (6%) had
palsy. Vocal cord palsy 2 (4%) had retro-sternal extension, 2 (4%) had firm gland, and 3 (6%) adhesion.
Conclusion: The present pragmatic surgical study has proved that meticulous surgical dissection and thorough knowledge of
the anatomy of the thyroid can minimize the post-surgical complications.

Author Biographies

Gaurav Kataria, Assistant Professor, Department of ENT

 Government Medical College and Bangur Hospital, Pali, Rajasthan, India,

Aditi Saxena, Senior Demonstrator, Department of Pathology

Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India

Hariom Gautam, Senior Resident, Department of ENT

Government Medical College and Bangur Hospital, Pali, Rajasthan, India

Narpat Singh, Senior Medical Officer, Department of ENT

Government Medical College and Bangur Hospital, Pali, Rajasthan, India


1. Barczynski M, Kanture KA. Total thyroidectomy for benign
disease; is it really worth while? Ann Surg 2011;254:724-9.
2. Ho TW, Shaheen AA. Utilization of thyroidectomy in benign
disease. Am J Surg 2011;201:570-4.
3. Gough JR, Wilkinson D. Total thyroidectomy for management
of thyroid disease. World J Surg 2000;24:962-5.
4. Bron LP, O’Brien CJ. Total thyroidectomy for clinically
benign disease of thyroid gland. Br J Surg 2004;91:569-74.
5. Canaris GJ, Manowitz NR. Thyroid disease prevalence study.
Arch Int Med 2000;160:526-34.
6. Bhattacharya N, Fried MP. Benchmarks for mortality,
morbidity and length of stay head and neck surgical
procedures. Arch Otolaryngol Head Neck Surg
7. Mishra A, Agarwal G. Safety and efficacy of total
thyroidectomy in hands of endocrine surgery trainees. Am
J Surg 1999;178:377-80.
8. Kihara M, Yokomise H. Recovery of parathyroid functions
after total thyroidectomy. Surg Today 2000;30:333-8.
9. Wilson RB, Erskine C. Hypo-magnesia and hypocalcaemia after thyroidectomy; prospective study. World J Surg
10. Prim MP, Deigo DE. Factors related to nerve injury and
hypocalcaemia in thyroid gland surgery otolaryngology.
Head Med Surg 2001;124:111-4.