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Abstract

Background: A variety of thyroid disorders including benign and malignant that are indicated for either total or partial thyroidectomy. Although both surgeries aimed to eliminate the symptoms and prevent the progression of the disease, their impact on quality of life and complication rate may vary. The current study aimed to compare complication rate and quality of life outcomes (QoL) between total and partial thyroidectomy patients. Methods: A cross-sectional study was conducted between November 2024 and April 2025 involving 160 patients (80 total thyroidectomies, 80 partial thyroidectomy) who had undergone thyroid surgery at Shar Hospital and Smart Health Tower. Data were collected through a semi-structured questionnaire that covered physical, emotional, and social QoL 
domains. Statistical analysis was performed by using SPSS through chi-square, Mann-Whitney, and Kruskal-Wallis tests. Results: The majority of participants were female (76.9%) and aged between 36–55 years. The total thyroidectomy group showed a significantly higher rate of postoperative complications (p = 0.013), with seroma and hypocalcemia being the most frequent. Total thyroidectomy was also associated with significantly higher impairment in physical (p < 0.001), emotional (p = 0.003), and social (p = 0.007) quality of life domains. Conclusion: Patients having a total thyroidectomy reported decreased quality of life and more postoperative complications than those having a partial thyroidectomy. These results emphasize the importance of surgical decisionmaking and the need for accurate preoperative counseling, especially with relation to expected outcomes and QoL effects.

Keywords

Total thyroidectomy Partial thyroidectomy Complication rate Quality of life Postoperative outcomes

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References

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