Implications of Retrosternal Extension on Postoperative Serum Calcium Levels Following Total Thyroidectomy: A Retrospective Study

Retrosternal extension and central compartment clearance significantly increase the risk of postoperative hypocalcemia. Although not statistically significant, the trends suggest a need for careful surgical techniques and rigorous postoperative calcium management to prevent prolonged hypocalcemia. Further prospective studies are recommended to confirm these findings and improve postoperative care strategies.