Post Thyroidectomy Hypoparathyroidism: Our 14 Years Experience

Abstract

Objective:- To assess the adequacy of our current management of Permanent Hypoparathyroidism using Calcium and Vit, D3 supplements and life long follow up. Methods:- All patients of Permanent Hypoparathyroidism after total thyroidectomy were enrolled. Clinical history, Physical Examination was recorded, Laboratory investigations decided in the study protocol were done periodically, every three month during follow up. All cases were treated with conventional Calcium and Vit,D3 therapy. Results:- We studied 22 cases. Three cases were our own and 19 cases were operated at other institutions. Ages ranged from 20 - 58 years. Only three cases were male. We needed to adjust the Vit D3 and Calcium dose quite often. In our cases of thyroidectomy the incidence was 2.04%. There was no significant difference of incidence among various thyroid pathology groups. All patients were satisfied and no disease complication was detected during follow up. Conclusion:- Therapy for Permanent Hypoparathyroidism with Calcium and Vit D3 is adequate. Use of PTH (1-84) seems more physiological but needs daily subcutaneous injection. In future its oral preparation will revolutionize the management. For normal quality of life we need life time follow up.