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Updated: Jul 11, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Transient hypoparathyroidism following thyroidectomy: a prospective study and multivariate analysis of 604
Ottavio Cavicchi1, Ottavio Piccin, Umberto Caliceti
1ENT Department, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy. ocavicchi@libero.it
Objective:
The purpose of this study was to identify the risk factors for postoperative transient hypoparathyroidism in a group of patients undergoing thyroid surgery.
Study Design:
A prospective study was conducted on 604 patients undergoing thyroid surgery.
Subjects And Methods:
Gender, final diagnosis, extent of resection, biology of pathology, intrathoracic involvement, surgery for recurrent multinodular goiter, and presence and number of parathyroid glands in a surgical specimen were analyzed as risk factors for postoperative transient hypoparathyroidism. The chi-square test and a logistic regression analysis were applied.
Results:
On logistic regression analysis, only the extent of surgery constituted an independent variable for transient hypoparathyroidism (P = 0.001).
Conclusion:
The extent of surgery to central and/or lateral neck lymph nodes is responsible for a high rate of transient hypoparathyroidism owing to a high probability of unplanned parathyroidectomy or parathyroid gland devascularization.
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