15,325 results match your criteria Complications of Thyroid Surgery


Oculoplastic considerations for refractive procedures.

Curr Opin Ophthalmol 2020 Jul;31(4):241-246

Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, New York City, New York, USA.

Purpose Of Review: Refractive surgery is one of the most popular elective procedures performed in the world. Given that dry eye is a common complaint following keratorefractive surgery, evaluation, and treatment of periocular conditions that further predispose the patient to dry eye symptoms is an important part of the presurgical assessment. Periocular conditions and surgeries can also affect the ocular surface and keratometry, and should be addressed. Read More

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http://dx.doi.org/10.1097/ICU.0000000000000667DOI Listing

Comparison of Transoral Thyroidectomy Vestibular Approach and Unilateral Axillobreast Approach for Endoscopic Thyroidectomy: A Prospective Cohort Study.

J Laparoendosc Adv Surg Tech A 2020 Jun 2. Epub 2020 Jun 2.

Department of Oncology, Hanoi Medical University, Hanoi, Vietnam.

Various approaches for endoscopic thyroidectomy have been developed recently that improve the cosmetic outcome, and some are even scar free. In this study, we compared the safety and surgical outcomes of transoral endoscopic thyroidectomy vestibular approach (TOETVA) and unilateral axillobreast approach (UABA) thyroid surgery performed by a single surgeon. We conducted a prospective cohort study among 101 patients undergoing endoscopic thyroidectomy from 2018 to 2019 in our institution. Read More

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http://dx.doi.org/10.1089/lap.2020.0272DOI Listing

Outcomes after completion thyroidectomy versus total thyroidectomy for differentiated thyroid cancer: A single-center experience.

J Surg Oncol 2020 May 28. Epub 2020 May 28.

Division of Endocrine Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin.

Background: Thyroid cancer diagnoses are often discovered after diagnostic thyroid lobectomy. Completion thyroidectomy (CT) may be indicated for intermediate or high-risk tumors to facilitate surveillance and/or adjuvant treatment. The completeness of thyroid resection and the safety of CT compared to total thyroidectomy (TT) is unclear. Read More

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http://dx.doi.org/10.1002/jso.26044DOI Listing

Thyroid surgery in children and young adults: potential overtreatment and complications.

Langenbecks Arch Surg 2020 May 27. Epub 2020 May 27.

Section of Endocrine Surgery, Department of General, Visceral and Transplantation Surgery, University Medical Center, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.

Purpose: Thyroid nodules in the pediatric population are more frequently associated with malignant thyroid disease than in adult cohorts. Yet, there is a potential risk of surgical overtreatment. With this single center study, an analysis of potential overtreatment for suspected malignant thyroid disease in children and young adults was aimed for. Read More

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http://dx.doi.org/10.1007/s00423-020-01896-xDOI Listing

Salvage surgery for structural local recurrence of papillary thyroid cancer: recurrence patterns and surgical outcome.

Endocr J 2020 May 27. Epub 2020 May 27.

Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan.

To clarify the patterns of the recurrence and to assess the oncological and functional outcomes after salvage surgery for the patients with structural local recurrence of papillary thyroid cancer (PTC), twenty-five patients who underwent salvage surgery for structural local recurrence of PTC were retrospectively reviewed. Structural recurrences were observed in the tracheal lumen in 5 patients, intraluminal or intramuscular esophagus in 5 patients, trachea, and cricoid cartilage in 9 patients, cricoid and thyroid cartilage in 2 patients, intra-lumen of the larynx in 1 patient and soft tissue around thyroid in 3 patients, respectively. Although all local disease was resected with macroscopically negative margin, 10 patients diagnosed as microscopically positive margin. Read More

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http://dx.doi.org/10.1507/endocrj.EJ20-0152DOI Listing

[Treatment of spine metastases by open decompression, microwave ablation combined with open vertebroplasty and pedicle screw rod system].

Zhongguo Gu Shang 2020 May;33(5):470-6

Department of Orthopaedics, Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou 350000, Fujian, China.

Objective: To evaluate the preliminary clinical effective of open decompression, microwave ablation combined with open vertebroplasty and pedicle screw rod system in the treatment of spine metastases.

Methods: The clinical data of 12 patients with spine metastases were retrospectively analyzed, they were treated with open decompression, microwave ablation combined with open vertebroplasty and pedicle screw rod system between January 2014 and January 2016. Six males and 6 females were included, aged from 30 to 75 years old with an average of 55. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.05.016DOI Listing

Influence of Body Mass Index on Survival and Prognosis in Squamous Cell Carcinoma of Head and Neck.

Cancer Manag Res 2020 7;12:3203-3210. Epub 2020 May 7.

Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.

Objective: Differences in body mass index (BMI) were used to analyze the survival and prognosis of SCCHN patients.

Patients And Methods: A retrospective cohort study was conducted to select 323 patients who underwent surgical treatment for SCCHN from June 2013 to June 2016. The patients were divided into a healthy BMI group (BMI<24kg/m), an overweight group (24kg/m≤BMI<28kg/m) and an obese group (BMI≥28 kg/m). Read More

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http://dx.doi.org/10.2147/CMAR.S249775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221410PMC

Endocrinology in the time of COVID-19: Management of hyper- and hypo- thyroidism.

Eur J Endocrinol 2020 May 1. Epub 2020 May 1.

L Persani, IRCCS Istituto Auxologico Italiano, Universita degli Studi di Milano Dipartimento di Scienze Cliniche e di Comunita, Milano, 20149, Italy.

This manuscript provides guidance on the management of thyroid dysfunction during the COVID-19 pandemic. Auto-immune thyroid diseases are not linked to increased risks of COVID-19. Uncontrolled thyrotoxicosis may result in more severe complications from SARS-CoV-2 infection, including thyroid storm. Read More

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http://dx.doi.org/10.1530/EJE-20-0445DOI Listing

[Case volume and complications after thyroid gland surgery in Germany: an analysis of routine data from 48,387 AOK patients].

Chirurg 2020 May 19. Epub 2020 May 19.

Wissenschaftliches Institut der AOK, Rosenthaler Str. 31, 10178, Berlin, Deutschland.

Background: Many studies showed that hospital and surgeon volume have a significant influence on the complication rates of thyroid surgery. The present study investigates whether this relationship applies in subtotal as well as total lobe resections. Furthermore, it is still unclear which threshold for the hospital-related case volume can be determined, above which the risk of complications lies below the current national average. Read More

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http://dx.doi.org/10.1007/s00104-020-01191-xDOI Listing

Substernal Goiter: a case to remember.

Rev Assoc Med Bras (1992) 2020 May;66(2):109-111

. Department of Internal Medicine. Hospital Trofa Saúde Vila Real. Vila Real, Portugal.

Goiter is a localized or generalized thyroid hypertrophy. It can remain within the cervical region or grow down until it invades the mediastinum. The signs and symptoms depend on the size and location of the goiter. Read More

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http://dx.doi.org/10.1590/1806-9282.66.2.109DOI Listing

Transoral thyroid and parathyroid surgery via the vestibular approach-a 2020 update.

Gland Surg 2020 Apr;9(2):409-416

Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Transoral endoscopic thyroidectomy and parathyroidectomy via the vestibular approach (TOET/PVA or TOETVA-TOEPVA) is the latest remote-access technique employed in the central neck. As the only approach that does not leave any cutaneous incision, (TOET/PVA) has become popular in both the Far East and Western series since its original description in 2015. More than just a "scarless" surgery, (TOET/PVA) has been associated with a short learning curve, access to the bilateral central neck compartments, few surgical contraindications, minimal complications, and minimal additional instrumentation. Read More

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http://dx.doi.org/10.21037/gs.2020.03.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225468PMC

Safety and effectiveness of reoperation for persistent or recurrent drug refractory secondary hyperparathyroidism.

Gland Surg 2020 Apr;9(2):401-408

Department of Thyroid and Breast Surgery, The Fifth Affiliated Hospital of Wenzhou Medical University & Lishui Hospital of Zhejiang University & Lishui Central Hospital, Lishui 323000, China.

Background: Drug-refractory secondary hyperparathyroidism (SHPT) is the most common complication in patients with chronic renal failure (CRF). Although surgery is the most effective and safe method for drug-refractory SHPT, the condition may persist or recur after the primary surgery, and reoperation is often required in these patients. The purpose of our current study was to evaluate the safety and effectiveness of reoperation for drug-refractory SHPT. Read More

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http://dx.doi.org/10.21037/gs-20-391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225451PMC

Surgery for retrosternal goiter: cervical approach.

Gland Surg 2020 Apr;9(2):392-400

Department of Head and Neck Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China.

Background: Retrosternal goiter refers to when the thyroid gland extends from the neck to the substernal portion, descending below the thoracic inlet into the mediastinum. It is typically accompanied by compressive symptoms, and most patients need to undergo surgery. This retrospective study set out to analyze the surgical approach to retrosternal goiter and to evaluate perioperative complications, with the aim of recommending best surgical technique. Read More

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http://dx.doi.org/10.21037/gs.2020.03.43DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225497PMC

Comparing Ligasure Exact dissector with other energy devices in total thyroidectomy: a pilot study.

Gland Surg 2020 Apr;9(2):271-277

1st Propedeutic Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background: Hemostasis is fundamental in thyroid surgery. The aim of this randomized active comparator-controlled study was to compare the effectiveness of Ligasure Exact to previously existing sealing devices in patients undergoing thyroidectomy.

Methods: A total of 180 patients were randomly allocated into 4 groups according to the hemostatic device used: Focus Harmonic Scalpel (FHS), Ligasure Small Jaw (LSJ), Thunderbeat (TB), and Ligasure Exact (LE). Read More

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http://dx.doi.org/10.21037/gs.2020.02.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225447PMC

Ultrasonic scalpel with knot tying protects parathyroid function for total thyroidectomy with central neck dissection.

Gland Surg 2020 Apr;9(2):192-199

Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Background: Hypoparathyroidism might be due to collateral thermal injury induced by harmonic scalpel (HS) after total thyroidectomy (TT) with central neck dissection (CND). The current study aimed to evaluate whether a clamp and tie (CAT) technique used to preserve parathyroid glands in situ could reduce damage to parathyroid function in HS patients undergoing TT plus unilateral or bilateral CND.

Methods: Medical records of 537 HS-operated patients with papillary thyroid carcinoma (PTC) undergoing TT plus unilateral or bilateral CND were retrospectively evaluated. Read More

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http://dx.doi.org/10.21037/gs.2020.01.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225474PMC

Comparison of the vessel sealer Extend with harmonic ACE in robotic bilateral axillary-breast approach thyroid surgery.

Gland Surg 2020 Apr;9(2):164-171

Department of Surgery, Inha University Hospital & College of Medicine, Incheon, Korea.

Background: Harmonic ACE (Harmonic) Curved Shears are frequently used for vessel sealing in patients undergoing robotic thyroidectomy. Unlike other robotic devices with articulation, the Harmonic device can only move in a straight-forward direction without articulation. The recently introduced Vessel Sealer Extend (VSE) provides bipolar sealing and cutting with articulation movement. Read More

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http://dx.doi.org/10.21037/gs.2020.01.18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225504PMC

The efficacy and safety of microwave ablation versus lobectomy for the treatment of benign thyroid nodules greater than 4 cm.

Endocrine 2020 May 18. Epub 2020 May 18.

Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun, 130000, Jilin, China.

Purpose: To evaluate the safety and effectiveness of microwave ablation (MWA) versus lobectomy for the treatment of benign thyroid nodules > 4 cm.

Methods: We retrospectively analyzed the data of 48 patients who underwent MWA and 53 patients who underwent lobectomy to treat benign thyroid nodules > 4 cm. The patients were followed up for 12 months. Read More

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http://dx.doi.org/10.1007/s12020-020-02338-wDOI Listing

Transoral endoscopic thyroidectomy via vestibular approach: First case in Saudi Arabia.

Int J Surg Case Rep 2020 May 7;70:75-77. Epub 2020 May 7.

Imam Abdulrahman Bin Faisal University, Saudi Arabia.

Introduction: There has been increased interest in applying the principles of minimally invasive surgery in thyroid surgery which was promoted by Miccoli and his colleagues in 1999. Different surgical techniques since then were introduced, transcervical and extracervical approaches.

Presentation Of Case: A 33-year-old Saudi female presented with a swelling over the left side of her neck and dysphagia for three years. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226639PMC

Pre-operative transthoracic echocardiography in ambulatory surgery-A cross-sectional study.

Acta Anaesthesiol Scand 2020 May 14. Epub 2020 May 14.

Department of Surgical and Perioperative Sciences, Anesthesiology and Intensive Care Medicine, Sunderby Research Unit, Umeå University, Umeå, Sweden.

Background: Cardiac disease and aberrations in central volume status are risk factors for perioperative complications, and should be identified prior to surgery. This study investigated the benefit of transthoracic echocardiography (TTE) for pre-operative identification of cardiac disease and hypovolemia in ambulatory surgery.

Methods: Ninety-six patients, with a mean age of 63. Read More

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http://dx.doi.org/10.1111/aas.13620DOI Listing

Diagnosis and treatment of low T3 syndrome in neurocritical patients.

J Clin Pharm Ther 2020 May 14. Epub 2020 May 14.

Department of Neurosurgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

What Is Known And Objective: Low levels of serum triiodothyronine (T3) are a strong predictor of mortality and poor prognosis in critical care patients. Few reports, however, have focused on neurocritical patients. The application of hormone replacement therapy (HRT) in the treatment of neurocritical patients with low T3 syndrome remains controversial. Read More

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http://dx.doi.org/10.1111/jcpt.13162DOI Listing

I radioactive seed localization (RSL) in surgery of cervical metastasis of thyroid cancer.

Rev Esp Med Nucl Imagen Mol 2020 May - Jun;39(3):140-145. Epub 2020 May 8.

Departamento de Endocrinología y Nutrición, Hospital Universitario Virgen Macarena, Sevilla, España. Electronic address:

Introduction: The aim of this work is the evaluation of usefulness of radioactive seed localization (RSL) for the detection of cervical recurrence of thyroid cancer in order to improve the surgical outcome.

Material And Method: Ten patients with thyroid cancer and lymph node involvement (4 naive and 6 with cervical recurrence) evidenced by ultrasound, cytology/Tg-FNAB (reoperated group) were selected for this procedure. A I seed was placed in the metastatic lesion using a needle guided by ultrasound. Read More

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http://dx.doi.org/10.1016/j.remn.2019.11.003DOI Listing

The effect of robot-assisted transaxillary thyroidectomy (RATT) on body image is better than the conventional approach with cervicotomy: a preliminary report.

Updates Surg 2020 May 12. Epub 2020 May 12.

Endocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, Pisa Hospital, University of Pisa, Via Paradisa 2, Edificio 30 J, 56100, Pisa, Italy.

Background: Cosmetic satisfaction is not only based on the patient's perception of the scar itself but is also related to body image self-evaluation. Cosmetic superiority of Robot-assisted transaxillary thyroidectomy (RATT) over conventional thyroidectomy (CT) has not yet been clearly demonstrated. Aim of our study was to compare body image in patients undergoing CT versus RATT. Read More

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http://dx.doi.org/10.1007/s13304-020-00785-8DOI Listing

Sistrunk Procedure on Malignant Thyroglossal Duct Cyst.

Case Rep Oncol Med 2020 16;2020:6985746. Epub 2020 Jan 16.

Department of Anatomical Pathology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

A thyroglossal duct cyst is a lesion that occurs as a result from failure of the thyroglossal duct to obliterate during fetal development. Malignant progression is a rare event that might occur in less than 1% of all cases. Because of its rarity, there are conflicting opinions regarding the management of the case. Read More

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http://dx.doi.org/10.1155/2020/6985746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201451PMC
January 2020

Chondrolaryngoplasty for transgender patients: feasibility of a scar-free approach.

Eur Arch Otorhinolaryngol 2020 May 8. Epub 2020 May 8.

Department of Otorhinolaryngology & Head and Neck Surgery, Centre Hospitalier Universitaire Saint-Pierre, Rue Haute 322, 1000, Brussels, Belgium.

Purpose: Adult male-to-female transgender patients with a prominent thyroid notch can benefit from chondrolaryngoplasty with high satisfaction rates. It is a safe, effective, and established procedure with only minor and temporary complications. Until now, only external approaches have been described, leaving the patient with a cervical scar, which remains a frequent complaint. Read More

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http://dx.doi.org/10.1007/s00405-020-06020-9DOI Listing

A simple, efficient, and safe way of finding recurrent laryngeal nerve beneficial for PTC patients.

Medicine (Baltimore) 2020 May;99(19):e20138

Department of Thyroid and Vascular Surgery.

Background: More surgeons have known the importance of parathyroid grand and recurrent laryngeal nerve protection in the surgery, but there is still plenty of scope to improve the surgical techniques. This study aims at investigating whether the improved method of finding recurrent laryngeal nerve (RLN) can protect parathyroid grand and RLN.

Methods: One hundred fifty-eight patients were enrolled and divided randomly into the test and control group according to different methods of finding RLN in the surgery. Read More

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http://dx.doi.org/10.1097/MD.0000000000020138DOI Listing

THYROID SURGERY, IONM AND SUGAMMADEX SODIUM RELATIONSHIPS: BENEFITS IN SUGAMMADEX SODIUM USE FOR IONM.

Acta Endocrinol (Buchar) 2019 Oct-Dec;15(4):454-459

Lutfiye Nuri Burat State Hospital, Istanbul Provincial Health Directorate, Istanbul, Turkey.

Background: It is important to protect recurrent laryngeal nerve (RLN) during thyroid surgery. Thus, intra- operative neuromonitoring (IONM) has got popularity. But, the half life of neuromuscular blocking agents used has a reverse correlation with reliability and effectiveness of IONM. Read More

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http://dx.doi.org/10.4183/aeb.2019.454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200106PMC

Postoperative Bleeding after Thyroid Surgery: Care Instructions.

Sisli Etfal Hastan Tip Bul 2019 21;53(4):329-336. Epub 2019 Nov 21.

Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', Division for Endocrine and Minimally Invasive Surgery, University Hospital G. Martino, University of Messina, Messina, Italy.

Prospective studies on the incidence, etiology, and prognosis of well-characterized patients with bleeding after thyroid surgery are lacking. Bleeding after thyroid surgery cannot be predicted or prevented even if risk factors are known in every single procedure, which enhances the im-portance of the following issues: (a) meticulous hemostasis and surgical technique; (b) coopera-tion with the anesthesiologist, i.e. Read More

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http://dx.doi.org/10.14744/SEMB.2019.95914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192296PMC
November 2019

Surgical Treatment of Primary Hyperparathyroidism: Which Therapy to Whom?

Sisli Etfal Hastan Tip Bul 2019 27;53(3):201-214. Epub 2019 Aug 27.

Department of General Surgery, Health Sciences University, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Primary hyperparathyroidism (pHPT) is characterized by an increase in the levels of PTH and Ca, or one of these (Ca, PTH) as a result of a dysregulation of calcium (Ca) metabolism due to inappropriate excess parathyroid hormone (PTH) autonomously produced from one or more than one parathyroid glands. Ninety to 95% of pHPT is a sporadic type, which is not associated with the familial history and other endocrine organ tumors, and 5-10% of it is hereditary. While 80-85% of pHPT arises from a single parathyroid adenoma, 4-5% is caused by a double adenoma, 10-15% by multigland hyperplasia and less than 1% by parathyroid cancer. Read More

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http://dx.doi.org/10.14744/SEMB.2019.56873DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192265PMC

Limitations of Continuous Neural Monitoring in Thyroid Surgery.

Sisli Etfal Hastan Tip Bul 2019 26;53(2):81-83. Epub 2019 Jun 26.

Division for Endocrine Surgery, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital G. Martino, University of Messina, Messina, Italy.

Continuous intraoperative neuromonitoring is currently the gold standard technique available to prevent recurrent laryngeal nerve injuries. It significantly reduces the complication rate compared with intermittent intraoperative neuromonitoring, and represents significant progress in thyroid surgery, particularly in cases of more difficult dissections. There are, however, some technological and interpretative limits related to the lack of standardization of continuous intraoperative neuromonitoring and the prolonged length of time employed in the surgical positioning of the probe, despite various proposed approaches to the vagal nerve. Read More

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http://dx.doi.org/10.14744/SEMB.2019.85698DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199830PMC

Long-term Follow-up Results of Ultrasound-guided Radiofrequency Ablation for Low-risk Papillary Thyroid Microcarcinoma: More than 5 year follow-up for 84 tumors.

Thyroid 2020 May 7. Epub 2020 May 7.

Asan Medical Center, 65526, Department of Radiology and Research Institute of Radiology, 86 Olympicro 43-Gil, Songpa-Gu, Seoul, Korea (the Republic of), 138-736;

Background: Despite reports describing favorable short-term results for thermal ablation of thyroid cancer, there remains a need to evaluate long-term results because of its indolent characteristics. The purpose of this study was to evaluate the long-term efficacy and safety of ultrasound (US)-guided radiofrequency ablation (RFA) for low-risk papillary thyroid microcarcinoma (PTMC) over a follow-up period of more than 5 years.

Methods: From a cohort of patients under surveillance following US-guided RFA for primary low-risk PTMC, those with a record of follow-up data of more than 5 years were selected for this study. Read More

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http://dx.doi.org/10.1089/thy.2020.0106DOI Listing
May 2020
4.493 Impact Factor

Lateral conservative approach for recurrent/persistent hypopharyngeal carcinoma: a case series.

Eur Arch Otorhinolaryngol 2020 May 4. Epub 2020 May 4.

Ospedali Riuniti Padova Sud, Madre Teresa Di Calcutta, ENT Surgery, Via Albere 30, Monselice, 35043, Padua, Italy.

Purpose: Early persistent/recurrent hypopharyngeal tumours represent a challenge for surgeons who have to balance the need for oncological radicality and the desire to maintain a functioning larynx with preservation of the patient's quality of life. The aim of this study was primarily to understand the technical feasibility, functional outcomes, and the possibility of obtaining oncological radicality using lateral hypopharyngectomy with laryngeal preservation in early recurrent post-radio/(chemo)therapy hypopharyngeal tumours.

Methods: Patients with recurrent T1 hypopharyngeal squamous cell carcinoma were retrospectively selected from our institutional database. Read More

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http://dx.doi.org/10.1007/s00405-020-06009-4DOI Listing

Graded transantral orbital decompression outcomes in stable thyroid eye disease: a series of 47 orbits.

Orbit 2020 May 3:1-7. Epub 2020 May 3.

Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

: To provide outcome data for transantral orbital decompression for functional and aesthetic rehabilitation for exophthalmos in stable thyroid eye disease (TED).: Retrospective, non-comparative chart review of consecutive TED patients who underwent primary-graded transantral orbital decompression for exophthalmos by a single surgeon (MAB) between 2005 and 2018. Additional inclusion criteria included follow-up >90 days and no prior orbital surgery. Read More

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http://dx.doi.org/10.1080/01676830.2020.1760313DOI Listing

[Modern thyroid surgery - the surgeon's endocrine-surgical understanding and his responsibility for the extent of surgery and complication rate].

Wien Med Wochenschr 2020 Apr 27. Epub 2020 Apr 27.

Chirurgie, Sanatorium Kettenbrücke der Barmherzigen Schwestern, Sennstraße 1, 6020, Innsbruck, Österreich.

High quality thyroid surgery implies a surgeon with an endocrine-surgical understanding aiming at best possible outcome. This includes an appropriate extent of the resection and a low rate of complications. It is important that the surgeon is involved at an early stage being part of the decision process for or against partial or total thyroidectomy. Read More

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http://dx.doi.org/10.1007/s10354-020-00750-5DOI Listing

Thoracic Duct Embolization in Post-neck Dissection Chylous Leakage: A Case Series of Six Patients and Review of the Literature.

Cardiovasc Intervent Radiol 2020 Jun 27;43(6):931-937. Epub 2020 Apr 27.

Department of Interventional Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Suite H-188, New York, NY, 10065, USA.

Chylous leak is a serious complication of neck dissection. Patients are often managed conservatively, and failure of conservative management necessitates surgical management, which adds to their morbidity. We present a case series demonstrating the value of thoracic duct embolization (TDE) in management of patients with chylous leaks following neck dissection who have failed conservative management and to review the literature on this specific application of TDE. Read More

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http://dx.doi.org/10.1007/s00270-020-02475-9DOI Listing

Efficacy and safety of ultrasonography-guided radiofrequency ablation for the treatment of T1bN0M0 papillary thyroid carcinoma: a retrospective study.

Int J Hyperthermia 2020 ;37(1):392-398

School of Medicine, Nankai University, Tianjin, China.

To evaluate the efficacy and safety of ultrasonography (US)-guided radiofrequency ablation (RFA) for treating low-risk T1bN0M0 papillary thyroid cancer (PTC). This retrospective study was approved by the ethics committee of the Chinese People's Liberation Army General Hospital (S2019-211-01). Sixty-six patients with T1bN0M0 PTC (14 men and 52 women with a mean age of 41. Read More

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http://dx.doi.org/10.1080/02656736.2020.1752945DOI Listing
January 2020

Energy vessel sealant devices are associated with decreased risk of neck hematoma after thyroid surgery.

Updates Surg 2020 Apr 24. Epub 2020 Apr 24.

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.

Postoperative neck hematomas following thyroidectomy occur in up to 6.5% of cases. It is unclear whether the use of energy vessel sealant devices effects the rate of PNH. Read More

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http://dx.doi.org/10.1007/s13304-020-00776-9DOI Listing

High rate incidence of post-surgical adverse events in patients with low-risk papillary thyroid cancer who did not accept active surveillance.

Endocrine 2020 Apr 24. Epub 2020 Apr 24.

Division of Endocrinology, Hospital de Clínicas, University of Buenos Aires, Buenos Aires, Argentina.

Purpose: To describe the outcomes and the incidence of adverse events following active surveillance (AS) versus immediate surgery in patients with low-risk papillary thyroid carcinoma (PTC).

Methods: We prospectively evaluated 286 patients who attended the Hospital de Clínicas, with a single thyroid nodule <1.5 cm classified as Bethesda category V or VI (PTC). Read More

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http://dx.doi.org/10.1007/s12020-020-02310-8DOI Listing
April 2020
3.527 Impact Factor

Prevalence and implications of thyroid related embryological remnants: A prospective study of 1118 total thyroidectomies.

J Family Med Prim Care 2020 Feb 28;9(2):632-636. Epub 2020 Feb 28.

Department of Endocrine Surgery, Madras Medical College, Chennai, Tamil Nadu, India.

Context: Modern thyroid surgery has undergone a paradigm shift from subtotal thyroidectomy to an extended total thyroidectomy (TT) even for benign disorders. This entails removal of all embryological remnants even in benign disorders.

Aims: To study the prevalence of various embryological remnants of the thyroid and surgical utility and implications in preventing complications. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_1141_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113993PMC
February 2020

Embolization of a Superior Thyroid Artery Hemorrhage after Fine-Needle Aspiration Biopsy of a Thyroid Nodule.

Case Rep Otolaryngol 2020 6;2020:3727696. Epub 2020 Apr 6.

Department of Otolaryngology, Head and Neck Surgery, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown, West Virginia, USA.

Fine-needle aspiration biopsy (FNAB) is a procedure completed thousands of times daily across the world as an efficacious and safe way to evaluate thyroid nodules. Complications of an FNAB typically range from patient intolerance to small intrathyroidal hematomas. In rare situations, an FNA may result in significant bleeding leading to airway compromise or significant blood loss. Read More

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http://dx.doi.org/10.1155/2020/3727696DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7166287PMC

Vitamin D Status as a Predictor of Postoperative Hypocalcemia after Thyroidectomy.

Otolaryngol Head Neck Surg 2020 Apr 21:194599820917907. Epub 2020 Apr 21.

Department of Otolaryngology-Head and Neck Surgery, Boston University Medical Center, Boston, Massachusetts, USA.

Objective: To determine whether perioperative vitamin D levels are predictive of postoperative hypocalcemia in patients receiving thyroidectomy.

Study Design: Single center retrospective study.

Subjects And Methods: This study included all patients receiving total or completion thyroidectomy between January 2007 and March 2017 at a single tertiary care hospital. Read More

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http://dx.doi.org/10.1177/0194599820917907DOI Listing

Relationship between the Incidence of Postoperative Fistula or Dysphagia and Resection Style, Gastric Tube Formation, and Irradiation following Free Jejunal Flap Transfer.

Plast Reconstr Surg Glob Open 2020 Feb 26;8(2):e2663. Epub 2020 Feb 26.

Department of Surgery, Takahashi Central Hospital, Okayama, Japan.

Background: The purpose of this study was to examine the relationship between the incidence of dysphagia or fistula formation in an anastomotic region and factors such as extent of resection, gastric tube formation, and irradiation among patients who underwent free jejunal flap transfer.

Methods: We retrospectively examined 100 cases (88 men and 12 women; average age, 65.8 years; range, 46-88 years) in whom the evaluation of postoperative oral intake was possible after undergoing total pharyngo-laryngo-esophagectomy (TPLE) and free jejunal flap transfer. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002663DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159956PMC
February 2020

The effect of preterm birth, recurrent laryngeal nerve lesion, and postnatal maturation on hyoid and thyroid movements, and their coordination in infant feeding.

J Biomech 2020 May 12;105:109786. Epub 2020 Apr 12.

Department of Anatomy and Neurobiology, Northeast Ohio Medical University (NEOMED), Rootstown, OH, 44272, United States.

Movements of the hyoid and thyroid are critical for feeding. These structures are often assumed to move in synchrony, despite evidence that neurologically compromised populations exhibit altered kinematics. Preterm infants are widely considered to be a neurologically compromised population and often experience feeding difficulties, yet measuring performance, and how performance matures in pediatric populations is challenging. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2020.109786DOI Listing
May 2020
2.751 Impact Factor

Real Scarless Transoral Robotic Thyroidectomy Using Three Ports Without Axillary Incision.

J Laparoendosc Adv Surg Tech A 2020 Apr 16. Epub 2020 Apr 16.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Conventional transoral robotic thyroidectomy (TORT) requires an axillary incision and additional flap dissection. This study aimed to outline the first ever experiences with TORT using three ports without axillary incision and compare the results between three-port and four-port TORT. A total of 100 consecutive patients were enrolled. Read More

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http://dx.doi.org/10.1089/lap.2020.0102DOI Listing

The Emerging Crisis of Stakeholders in Implant-based Augmentation Mammaplasty in Korea.

J Korean Med Sci 2020 Apr 20;35(15):e103. Epub 2020 Apr 20.

Department of Surgery, Breast Cancer Center, Gachon University Gil Medical Center, Incheon, Korea.

Background: Korea is no longer safe from the risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL); the first reported case was a Korean woman in her 40s who had a 7-year-history of receiving an implant-based augmentation mammaplasty using a textured implant. We conducted this study to discuss the emerging crisis of stakeholders in implant-based augmentation mammaplasty and to propose a multi-disciplinary approach to early detection of its complications.

Methods: We analyzed medical examination data that was collected from patients who visited us between August 12 and September 27, 2019. Read More

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http://dx.doi.org/10.3346/jkms.2020.35.e103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167397PMC

Clinical Treatment Efficacy of Total Thyroidectomy Combined with Radioactive Iodine on Treatment of Thyroid Cancer and Its Effect on the Quality of Life of Patients.

Iran J Public Health 2019 Aug;48(8):1461-1468

Department of Endocrine, Jiangxi Provincial People's Hospital, Nanchang University, Nanchang, 330006, P.R. China.

Background: To investigate the treatment efficacy of radioactive iodine therapy on patients after total thyroidectomy and its effect on the quality of life.

Methods: A retrospective analysis of clinical data of 120 thyroid cancer patients admitted to Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang, China from February 2014 to February 2017 was performed. According to different treatment methods, they were divided into observation group of 62 cases and control group of 58 cases. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145917PMC

Comparison of outcomes after differentiated thyroid cancer surgery performed with and without energy devices: A population-based cohort study using a nationwide database in Japan.

Int J Surg 2020 May 9;77:198-204. Epub 2020 Apr 9.

Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Japan.

Background: The benefits of using energy devices (EDs) such as ultrasonic coagulating shears or electrothermal bipolar vessel sealing devices for thyroid cancer surgery have been evaluated only with limited data obtained from small samples.

Materials And Methods: Using a Japanese national inpatient database, we identified 59,394 patients with thyroid cancer who underwent thyroidectomy without EDs (without-ED group, n = 32,360) and with EDs (with-ED group, n = 26,764) from July 2010 to March 2017. One-to-one propensity score matching was performed to compare the occurrence of postoperative complications including recurrent laryngeal nerve paralysis and chyle leakage, duration of anesthesia, length of stay, total costs, in-hospital mortality rate between the two groups. Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.03.072DOI Listing

Non-antibiotic prophylaxis in thyroid surgery. Experience of a single Institution and revision of literature.

Ann Ital Chir 2020 Apr 8;9. Epub 2020 Apr 8.

Aim: To evaluate the incidence of SSI and systemic infectious complications in a consecutive series of patients undergoing thyroid surgery in the absence of prophylactic antibiotic (NO-AP).

Methods: Prospective observational study including 77 patients who underwent total thyroidectomy and completion of previous hemithyroidectomy in NO-AP. The surgical intervention was performed by surgeons who were experienced in the procedure, and involved the use of Ligasure Harmonic Ethicon®, absorbable hemostat in oxidized regenerated cellulose (Tabotamp®), and skin incision suture device Skin Stapler®. Read More

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Outpatient thyroidectomy in the pediatric population.

Am J Surg 2020 Apr 2. Epub 2020 Apr 2.

University of Alabama at Birmingham, Department of Surgery, 1808 7th Ave S, Boshell Diabetes Building, Birmingham, AL, 35233, USA. Electronic address:

Preoperative optimization and patient education have allowed for the transition of thyroid surgery to the outpatient setting over the last few decades. Performing these operations in the outpatient setting has proven to be cost-effective and safe in the adult population. The purpose of this study is to evaluate the safety and efficacy of outpatient thyroid surgery in the pediatric population. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.03.025DOI Listing

Laparoscopic needle catheter jejunostomy by using a double semipurse string suture method in minimally invasive Ivor Lewis esophagectomy.

J Thorac Dis 2020 Mar;12(3):240-248

Department of Thoracic Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.

Background: To investigate the safety and effectiveness of a double semipurse string suture method for jejunum fixation in laparoscopic needle catheter jejunostomy in minimally invasive Ivor Lewis esophagectomy (MIILE).

Methods: Two hundred and six esophageal cancer patients continuously receiving MIILE from March 2014 to February 2018 were enrolled. In all patients, the double semipurse string suture method was applied for jejunum fixation in laparoscopic needle catheter jejunostomy. Read More

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http://dx.doi.org/10.21037/jtd.2020.01.53DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139043PMC