Thyroidectomy Complications And Management
09-12, 07:00–07:30 (Europe/Istanbul), Phoniatrics 2 (ICC - B3 Floor - 3B/29)

SUMMARY: Total thyroidectomy is often performed in head and neck surgery and is considered a less complicated procedure, but is still accompanied by a number of complications, the most common of which are recurrent lesions and endocrinological ones in the form of impaired regulation of hormonal status and disorders of calcium metabolism. The aim of the study was to examine the role and significance of total thyroidectomy for the occurrence of postoperative complications in correlation with pathohistological and endocrinological findings.

Methods: A cross-sectional study included 90 patients over 18 years of age, both sexes, in the period from 2022 to 2024, who underwent thyroid surgery at the University Clinical Center of the Republic of Srpska. Preoperatively, hormonal analyses and thyroid ultrasound examination as well as endovideolaryngoscopy examination (EVLS) were performed. Total thyroidectomy was performed in all patients. Postoperatively, pathohistological diagnostics, control hormonal analyses, and EVLS examination were performed.

Results: The most common indication for surgical intervention was goiter in women 81 (90%) with an average age of 54.18 years. Laryngeal symptoms in the form of hoarseness, cough, dyspnea and dysphagia after surgery were reported by 13 (14.4%). Paresis of the nerve recurrence was reported by 11 (12.2%), PH analysis showed that in the majority of cases it was goiter37 (41.1%), followed by follicular adenoma25 (27.8%) and papillary carcinoma18 (20%), the remaining 10 (11%) had endocrinological complications. 23.25% Hypocalcemia 67(74.4%) of which 16(17.8) severe form <1.9 mmol/l elevated PTH values 4.4%.

CONCLUSION: Patients with vocal cord paresis and hypocalcemia show the highest incidence of postoperative complications after total thyroidectomy due to histopathologically diagnosed goiter, follicular adenoma, and papillary thyroid carcinoma. These findings may be potentially useful in identifying elderly patients at increased risk of complications after total thyroidectomy that may significantly affect their quality of life.

Dear all,

This comprehensive study was conducted to analyze the complications associated with thyroidectomy. The findings of our research are intended to help adopt more efficient treatment modalities that will reduce postoperative complications and enhance the quality of life for patients.

Session Chair Session Chair
Engin Dursun
Moderator Moderator
Güleser Saylam
Speaker Speaker
Mirjana Gnjatic
Mirjana Gnjatic

Prof. Dr. Mirjana Gnjatić

Born in Banja Luka, where she finished elementary school and high school. In 1984, she graduated from the Faculty of Medicine in Banja Luka, Bosnia and Herzegovina, where she continued her academic training and obtained a master's degree in 2006, and then a PhD in 2013 in the field of phoniatry, dealing with voice and speech problems, where the topics of pseudotumor of the larynx and hoarseness, as well as topics in the field of vocal cord paralysis and related issues were covered. She gained many years of experience in otorhinolaryngology as a clinical physician at the University Clinical Center in Banja Luka, working as a children's otorhinolaryngologist.

Employed at UKC Banjaluka since 1991.

He has been teaching and researching at the Faculty of Medicine in Banja Luka since 1996, first as a senior assistant, then assistant professor and associate professor, while today he is the head of the Department of Otorhinolaryngology.

Participant and lecturer at a large number of national and international congresses, symposiums and projects.

Mentor at the first and second cycle of academic studies in the field of otorhinolaryngology.

Author of a large number of scientific papers published in domestic and international journals of scientific importance.

Author of textbooks and practicums used in the study program in the subject of otolaryngology at the Faculty of Medicine in Banja Luka.

Co-author of the monograph "Pseudotumors of the larynx", Vojko Đukić (2014) - etiology of pseudotumors of the larynx

Author of the monograph: ˝Hoarseness as a symptom of larynx disease˝ (2018), author and editor-in-chief of the university textbook ˝Etiopatogenetic aspects of cough in clinical practice˝ (2020)
Güleser Saylam
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Engin Dursun

Prof. Dr. Engin Dursun was born in 1968 in Erzurum, Türkiye. He graduated from Istanbul University, Istanbul Faculty of Medicine in 1991. After completing his residency training in Otorhinolaryngology at the Ankara Training and Research Hospital, Ministry of Health, in 1995, he worked as a Specialist Physician at the same institution until 2000.

Between 2000 and 2001, Dr. Dursun worked as a Senior Specialist Physician at the 3rd Department of Otorhinolaryngology of the Ankara Numune Training and Research Hospital, Ministry of Health. Between 2001 and 2003, he served as Deputy Chief of Clinic in the Department of Otorhinolaryngology at the Ankara Oncology Training and Research Hospital; and between 2003 and 2011, he continued in the same position at the 3rd Department of Otorhinolaryngology of the Ankara Numune Training and Research Hospital. Between 2011 and 2012, he worked as an Instructor Physician in the same department.

Between 2002 and 2003, he completed a Clinical Fellowship in the Department of Otolaryngology–Head and Neck Surgery at the University of Arkansas for Medical Sciences (UAMS) in Little Rock, Arkansas, USA.

He was appointed Associate Professor in 2005 and promoted to Professor in 2012.

In 2012, he joined the Faculty of Medicine at Recep Tayyip Erdoğan University. Between 2012 and 2021, he served as Head of the Department and as Educational and Administrative Director of the Department of Otorhinolaryngology at the Training and Research Hospital. He also served as Head of the Department of Surgical Medical Sciences, Chairman of the Committee for Specialty Medical Education and Coordination, and as a Founding Board Member of the Undergraduate Medical Education Simulation Center.

In 2021, he was appointed as a faculty member in the Department of Otorhinolaryngology–Head and Neck Surgery, Faculty of Medicine, Lokman Hekim University. He is currently serving at the same institution and continues his duties as Director of the ViTAL (Virtual Training and Learning for Healthcare) Simulation Center; Board Member of the Center for the Treatment, Application, and Research of Cleft Lip and Palate and Related Anomalies (DUDAMER); Advisory Faculty Member of the Center for Innovation in Healthcare and Simulation-Based Education (SİNERG); and Member of the Advisory Board of the Lokman Hekim Health Science Journal. Between 2021 and 2025, he also served as Head of the Department, Clinical Sciences Coordinator for Undergraduate Medical Education, and Year 5 Coordinator.

He has taken active roles in numerous professional societies in Türkiye and currently serves as a Member of the Executive Board and Chair of the Schools Committee of the Turkish Society of Otolaryngology–Head and Neck Surgery. He is also the President of the Otolaryngology–Head and Neck Surgery Association (Ankara) and a member of the General Council of the Turkish Board of Certification in Otolaryngology–Head and Neck Surgery.

His special areas of interest include endoscopic surgery (endoscopic sinus surgery and endoscopic ear surgery), nasal polyposis, head and neck cancers, and medical education with a focus on simulation-based training.

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