Introduction: Postoperative hypocalcemia is the most incident complication in thyroid surgery. The aim of this study was to evaluate the role of occult thyroiditis as a risk factor for postoperative hypocalcaemia in patients submitted to total thyroidectomy. Materials and methods: The study was conduced over 118 patients who underwent total thyroidectomy for thyroid disease other than thyroiditis. The patients were divided in two groups; those without thyroiditis (group A, 65 patients) and those with occult thyroiditis discovered after histopathological examination of the specimen (group B, 53 patients). Results: The mean value of calcaemia in the first postoperative day was 8.1 mg/dL in group A and 8.2 mg/dL in group B. Biochemical hypocalcaemia was detected in 25 patients in group A and 20 in group B. Differences between groups A and B were not statistically significant. Conclusions: Our data suggest that occult thyroiditis does not influence the incidence of postoperative hypocalcaemia in patients who underwent total thyroidectomy. Further prospective randomized studies are necessary to confirm these findings
Occult thyroiditis as a risk factor for postoperative hypocalcemia in thyroid surgery / Paliogiannis, Panagiotis; Pisano, Ip; Pala, C; Delogu, D; Corona, P; Gabbas, G; Sotgiu, Giovanni; Trignano, Mario. - In: ACTA MEDICA MEDITERRANEA. - ISSN 0393-6384. - 30:(2014), pp. 473-475.