Turkiye Klinikleri Journal of Internal Medicine

.: REVIEW
Tiroid Cerrahisi Komplikasyonları ve Yönetimi
Complications of Thyroid Surgery and Their Management
Can KONCAa, Seher DEMİRERa
aGenel Cerrahi AD, Ankara Üniversitesi Tıp Fakültesi,
Ankara, TÜRKİYE
Turkiye Klinikleri J Intern Med. 2019;4(2):60-70
doi: 10.5336/intermed.2018-64269
Article Language: TR
Full Text
ÖZET
 Tiroid cerrahisi, günümüz cerrahi pratiğinde sık uygulanan cerrahi prosedürlerden biridir. Eskiden çok korkulan bir cerrahi alan iken, günümüzde cerrahi teknikteki ve teknolojik gelişmeler sayesinde çok daha az morbidite ve mortalite ile uygulanmaktadır. Tiroid cerrahisi komplikasyonları arasında; kanama ve üst solunum yolu obstrüksiyonu, geçici veya kalıcı hipoparatiroidi ve hipokalsemi, geçici veya kalıcı rekürrens laringeal sinir yaralanması, süperior laringeal sinirin eksternal dalının yaralanması ve hipertrofik skar ya da keloid oluşumu sayılabilmektedir. Tüm bu komplikasyonların önlenmesindeki ilk basamak preoperatif uygun hazırlık, intraoperatif sistematik ve dikkatli diseksiyondur. Postoperatif dönemde karşılaşılan komplikasyonların ise doğru yönetilmesi ve uygun tedavisi sayesinde mümkün olduğunca az morbidite ile komplikasyonların yönetimi sağlanabilmektedir.

Anahtar Kelimeler: Hipokalsemi; hipoparatiroidi; komplikasyonlar; rekürren laringeal sinir; tiroidektomi
ABSTRACT
 Thyroid surgery is one of the most common surgical procedures in today's surgical practice. While once it was a very fearful surgical procedure, nowadays it is carried out with much less morbidity and mortality, due to improvements in surgical technique, and technological advances. Complications of thyroid surgery include bleeding and upper airway obstruction, transient or permanent hypoparathyroidism and hypocalcemia, temporary or permanent recurrent laryngeal nerve injury, external branch injury of the superior laryngeal nerve, and hypertrophic scar or keloid formation. The first step in the prevention of all of these complications is appropriate preoperative preparation and intraoperative systematic and careful dissection. With the correct management and the appropriate treatment of the complications encountered in the postoperative period, the management of the complications could be achieved with as little morbidity as possible.

Keywords: Hypocalcemia; hypoparathyroidism; complications; recurrent laryngeal nerve; thyroidectomy
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Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com