Korean Thyroid Association Guidelines on the Management of Differentiated Thyroid Cancers; Part I. Initial Management of Differentiated Thyroid Cancers - Chapter 3. Perioperative Assessment of Surgical Complications 2024

Author: Chang Hwan RYU ¹ ; Ho-Cheol KANG ; Bon Seok KOO ; Sun Wook KIM ; Dong Gyu NA ; Young Joo PARK ; Jun-Ook PARK ; Young Shin SONG ; Seung Hoon WOO ; Ho-Ryun WON ; Sihoon LEE ; Eun Kyung LEE ; Dong-Jun LIM ; Yun Kyung JEON ; Yun Jae CHUNG ; Jae-Yol LIM ; A Ram HONG ;
Author Information

1. Department of Otolaryngology-Head and Neck Surgery, National Cancer Center, Goyang, Korea
Publication Type:REVIEW ARTICLES
From:International Journal of Thyroidology 2024;17(1):53-60
CountryRepublic of Korea
Language:EN
Abstract: Thyroid surgery complications include voice change, vocal fold paralysis, and hypoparathyroidism. The voice status should be evaluated pre- and post-surgery. In patients with voice change, laryngeal visualization is needed.Intraoperative neuromonitoring helps reduce recurrent laryngeal nerve injury. The measurement of serum calcium, parathyroid hormone, and 25-hydroxyvitamin D levels is recommended to evaluate perioperative parathyroid function and prescribe supplementation preoperatively if necessary. For postoperative hypoparathyroidism, vitamin D and oral calcium supplementation are indicated based on serum parathyroid hormone and calcium levels and the severity of symptoms or signs of hypocalcemia. If long-term treatment is required, the appropriateness of treatment should be evaluated based on the disease itself and the consideration of potential benefits and harms from long-term replacement.