Özet:

Background: In this study, it was planned to examine the clinical findings that may be caused by thyroid nodules of 6 cm and above, which are rarely seen, and the rates of postoperative compli-cations (hematoma, cord paralysis, permanent hypocalcemia, tracheostomy) of these nodules. Materials and Methods: The study was conducted on 23 patients with nodules of 6 cm and above among all patients who underwent total thyroidectomy between 2020-2021. Demographic infor-mation of the patients was recorded and computed tomography was performed on all patients. The patients were followed up in the short and long term in terms of complications in the posto-perative period, and all complications were recorded. Results: Twenty-three patients with a thyroid nodule size of 6 cm or more were analyzed retros-pectively. In 9 (39.1%) of 23 patients, signs of airway obstruction were observed in neck CT (Com-puterized tomography). It was determined that the thyroid gland showed substernal extension in 2 (8.6%) patients. While no permanent complications were observed in any of the patients, temporary complications were observed in 5 patients (21.7%). Conclusions: Thyroid nodules of 6 cm and above are less common in the thyroid gland. In patients with thyroid nodules of 6 cm or more, thyroidectomy is essential for reasons such as airway obst-ruction, risk of malignancy, and aesthetic concerns. Increasing the size of the thyroid gland incre-ases the risk of complications after surgery, but this rate can be minimized with appropriate surgi-cal technique and close follow-up.