• Published
  • Issue
    Vol: 28 Issue: 01, 2024


  • Khalid S. Alshiha1, Saad I. Albalawi1, Turki A. Aldalaan1, Talal A. Alharbi1, Osama M. Alqarni2, Abdulaziz Saeed Aljohani3, Abdullah S. Alshiha4, Bin Shuayl, Yousef Shuayl5

Keywords: Incidental parathyroidectomy, Thyroid surgery, Hypocalcemia.

Background: Thyroidectomy is one of the most common surgeries performed in iodine-deficient areas. An incidental parathyroidectomy (IP) during thyroidectomy is a possible complication of this operation. Improvement in surgical technique does not preclude the possibility of an inadvertent parathyroidectomy, which can occur even in the hands of competent thyroid surgeons. There is no unanimity on the clinical importance or risk factors of inadvertent parathyroidectomy. The parathyroid glands may be totally intrathyroidal and difficult to identify during surgery, particularly for the inferior glands in individuals with large goitres, or they may occasionally dwell beneath the thyroid capsule, leading in a 6 to 21% chance of inadvertent parathyroidectomy. Although the risk of permanent hypocalcemia is less than 2%, this can occasionally induce transitory hypocalcemia in 50% of instances. Objective: This review aimed to provide an overview on operations incidental parathyroidectomy during thyroid surgery and Postoperative hypocalcemia and treatment. Methods: The terms [Incidental parathyroidectomy, Thyroid surgery, and Hypocalcemia] were used to search PubMed, Google, and Google Scholar. Additionally, the authors limited the number of references they used to only the most recent or comprehensive study out of all the recognised studies and reviews in the pertinent literature. Conclusion: Incidental parathyroidectomy is not rare after thyroidectomy, and in many cases, it may be attributed to the parathyroid glands' intrathyroidal position. Hypocalcemia is the most common complications among people who underwent an unintentional parathyroidectomy.