Q:

Arrange the following complications of thyroid surgery (bilateral subtotal thyroidectomy) in decreasing order of incidence in patients with Graves' disease

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Arrange the following complications of thyroid surgery (bilateral subtotal thyroidectomy) in decreasing order of incidence in patients with Graves' disease.


  1. Laryngeal nerve paralysis.
  2. Hypoparathyroidism.
  3. Hypothyroidism.
  4. Recurrent hyperthyroidism.

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C. Hypothyroidism.

D. Recurrent hyperthyroidism.

A. Laryngeal nerve paralysis.

D. Recurrent hyperthyroidism.

DISCUSSION: The incidence of recurrent disease is inversely related to the incidence of hypothyroidism and is 1% to 5%. Within 1 to 2 years, hypothyroidism may develop in 5% to 50% of patients (with a slight additional increase in subsequent years). The associated morbidity—related primarily to damage to the recurrent laryngeal nerves and parathyroid glands—is estimated to be 0.5% to 3.0%.

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