Скачать или смотреть Post operative recovery following Total thyroidectomy and Central lymphnode dissection.

Post operative recovery ( POD1) following Total thyroidectomy and Central lymphnode dissection.
On POD1, we look for signs of injury to nerves( External branch of superior laryngeal nerve: voice pitch gets lowered ;
Recurrent laryngeal nerve: Neuropraxia may lead to aspiration and cough.)
On POD3-5 : Damage to the vascularity of parathyroids or inadvertent removal may lead to hypocalcaemia symptoms like, tingling, numbness and tetany and clinical signs like Chvostek's sign i.e. sporadic spasm of facial muscles by tapping over the front of ear stimulating the facial nerve and its branches.
Thankfully in this case patient had absolutely no complications. Serum calcium too remained between 8.5 to 9 gm/ dl on post op day3 and 4. We discharged the patient on POD4, when she was tolerating normal feeds.