What is a potential complication of a thyroidectomy?

Study for the UWorld Surgery Test. Use multiple choice questions with explanations to enhance your understanding and performance. Prepare for your exam effectively and gain confidence!

A thyroidectomy is a surgical procedure involved in the removal of all or part of the thyroid gland, often performed to treat conditions such as thyroid cancer, goiter, or hyperthyroidism. One potential complication of this surgery is recurrent laryngeal nerve injury.

The recurrent laryngeal nerve runs close to the thyroid gland and plays a crucial role in controlling the muscles of the larynx, which are essential for voice production. Damage to this nerve during surgery can lead to vocal cord paralysis, resulting in hoarseness, difficulty speaking, or even airway obstruction if both vocal cords are affected.

While complications like hypoparathyroidism, infection, and excessive bleeding can occur, the recurrent laryngeal nerve injury is particularly significant due to its direct impact on a patient's ability to speak and breathe normally. Thus, understanding the anatomy and the potential for nerve injury during thyroid surgery is critical for surgical practice and patient care.

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