DOI: https://doi.org/10.36347/sjams.2025.v13i06.018

Pages: 1342-1345

Background: Post thyroidectomy hypocalcemia is one of the most common and clinically significant complications following thyroid surgery. Its occurrence is influenced by various factors, including the extent of thyroidectomy and surgical expertise. Objective: To assess the frequency and pattern of post-thyroidectomy hypocalcemia among patients who underwent thyroid surgery at the ENT Department of Dhaka Community Medical College Hospital (DCMCH). Methods: This cross-sectional observational study was conducted at the ENT and Head-Neck Surgery Department of DCMCH over a two-year period from July 2023 to June 2024. A total of 107 patients of all age groups and both sexes who underwent different types of thyroidectomies were included. Data regarding age, sex, occupation, type of thyroidectomy, and development of hypocalcemia were collected and analyzed descriptively. Results: Out of 107 patients, 70 (65.4%) were female and 37 (34.6%) were male. The majority were between 21-40 years of age. Hemithyroidectomy was the most commonly performed procedure (38 cases), followed by total thyroidectomy (31 cases), subtotal (27), and near-total (11). Postoperative hypocalcemia was observed in 21 patients (19.6%). Among these, 19 cases (90.5%) were transient, while 2 (9.5%) were permanent. The incidence of hypocalcemia was highest in patients who underwent total thyroidectomy (41.9%). Conclusion: Post thyroidectomy hypocalcemia remains a significant concern, especially after extensive thyroid surgeries such as total and near-total thyroidectomy. Most cases are transient, but careful surgical technique and postoperative monitoring are essential to minimize the risk of permanent complications and ensure patient safety.