10 results match your criteria Revision and Reoperative Thyroid Surgery

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AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons.

Head Neck 2018 Aug 2;40(8):1617-1629. Epub 2018 Aug 2.

Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard University, Boston, Massachusetts.

Background: Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present.

Methods: A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this topic with the purpose of making recommendations based on current best evidence. The literature was also reviewed on May 12, 2017. Read More

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http://dx.doi.org/10.1002/hed.25023DOI Listing
August 2018
7 Reads
2.641 Impact Factor

Revision neural monitored surgery for recurrent thyroid cancer: Safety and thyroglobulin response.

Laryngoscope 2016 Apr 26;126(4):1020-5. Epub 2015 Nov 26.

Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary and Harvard Medical School, Boston, Massachusetts, U.S.A.

Objectives/hypothesis: To evaluate the quantitative biochemical response, recurrence rate, and rate of surgical complications for thyroid cancer revision surgery.

Study Design: Retrospective review.

Methods: This is a single institution analysis of a prospective database of 181 patients undergoing reoperation for local recurrent thyroid cancer by the same surgeon from 2004 to 2013 with intraoperative neural monitoring. Read More

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http://doi.wiley.com/10.1002/lary.25796
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http://dx.doi.org/10.1002/lary.25796DOI Listing
April 2016
28 Reads

Surgical approach and outcomes for revision surgery of the central neck compartment.

J Craniofac Surg 2014 Sep;25(5):1797-800

From the *Department of Otorhinolaryngology, Amasya University Training and Research Hospital, Amasya, Turkey; and †Department of Otorhinolaryngology and Head Neck Surgery, Ankara Numune Training and Research Hospital, Altindag, Ankara, Turkey.

Revision surgery of the central neck compartment is still a controversial subject, and data are scarce in the literature regarding surgical approaches and outcomes. This might be a result of the small number of patients in need of revision of the central neck compartment. Therefore, the purpose of this study was to document the approach and outcomes for revision surgery of the central neck compartment performed in our clinic. Read More

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http://pdfs.journals.lww.com/jcraniofacialsurgery/2014/09000
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SCS.0000000000000950DOI Listing
September 2014
8 Reads

Papillary thyroid carcinoma nodal surgery directed by a preoperative radiographic map utilizing CT scan and ultrasound in all primary and reoperative patients.

Head Neck 2014 Feb 2;36(2):191-202. Epub 2013 Apr 2.

Division of Thyroid and Parathyroid Surgery, Massachusetts Eye and Ear Infirmary, Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.

Background: To study the diagnostic accuracy of physical examination (PE), ultrasonography (US), contrastenhanced computed tomography (CT) and in preoperative detection of macroscopic nodal metastasis in primary/recurrent papillary thyroid carcinoma (PTC) patients to determine if the routine addition of CT would be beneficial in accurate preoperative lymph-node surgery planning.

Methods: In a tertiary center prospective study, 162 PTC patients underwent preoperative lymph-node evaluation by PE, US, and CT. Sensitivity, specificity, positive/negative predictive value (PPV/NPV) of each nodal detection technique were calculated in central/lateral cervical compartments. Read More

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https://www.masseyeandear.org/~/media/testupload/files/us-ct
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http://doi.wiley.com/10.1002/hed.23277
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http://dx.doi.org/10.1002/hed.23277DOI Listing
February 2014
26 Reads

Risk factors in reoperative thyroid surgery for recurrent goitre: our experience.

G Chir 2012 Oct;33(10):335-8

Department of Surgical Sciences, University of Cagliari, Italy.

Aim: Reoperative thyroid surgery is an uncommon operation associated with a higher complication rate; we reviewed our series of patients on whom reoperative thyroid surgery was performed.

Method: 106 patients had a thyroid reoperation for recurrent multinodular goiter (93 patients), recurrent thyrotoxicosis (3) or suspected malignancy (10); bilateral completion thyroidectomy was performed in 68 cases, lobectomy in 36, removal of a mediastinal recurrence and of a pyramidal remnant in 1 patient respectively.

Results: Temporary hypoparathyroidism occurred in 41 patients (38. Read More

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October 2012
7 Reads

Revision thyroid surgery - technical considerations.

Authors:
Ashok R Shaha

Otolaryngol Clin North Am 2008 Dec;41(6):1169-83, x

Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, NY 10065, USA.

Reoperative thyroid surgery is a technical challenge with a high incidence of complications and recurrent disease. It requires a thorough understanding of the anatomy and biology of the disease process, expertise in surgical technique, and avoidance of complications related to recurrent laryngeal nerve and parathyroid glands. Preoperative evaluation includes review of previous surgical procedures and pathology reports and evaluation of the extent of the disease with appropriate imaging studies. Read More

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http://dx.doi.org/10.1016/j.otc.2008.05.002DOI Listing
December 2008
5 Reads

Intraoperative monitoring of the recurrent laryngeal nerve during revision thyroid surgery.

Otolaryngol Clin North Am 2008 Dec;41(6):1147-54, ix

Impulse Monitoring, Inc., Columbia, MD 21044, USA.

Reoperation for recurrent or persistent thyroid cancer presents a challenge for the head and neck surgeon. Scarring, edema, and friability of the tissues together with distortion of the landmarks make reoperative thyroid hazardous. Meticulous surgical dissection with identification of the recurrent laryngeal nerve is of paramount importance. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S003066650800092
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http://dx.doi.org/10.1016/j.otc.2008.05.006DOI Listing
December 2008
6 Reads

Gamma probe-guided surgery for revision thyroidectomy: in comparison with conventional technique.

J Endocrinol Invest 2005 Jul-Aug;28(7):583-8

Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, CAPA 34390 Istanbul, Turkey.

Reoperative thyroid surgery may be required in patients who undergo any procedure less than total or near total thyroidectomy. The aim of this study was to investigate advantages of gamma-probe guided revision thyroidectomy (GGRT) over conventional revision thyroidectomy (CRT) in patients with differentiated thyroid carcinoma (DTC). GGRT was assessed according to the TSH values, complication rates and the incidence of carcinoma in residual thyroid tissue. Read More

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January 2006
8 Reads

Morbidity following central compartment reoperation for recurrent or persistent thyroid cancer.

Arch Otolaryngol Head Neck Surg 2004 Oct;130(10):1214-6

Fair Grounds Medical Center, Allentown, PA, USA.

Objective: To determine the incidence of recurrent laryngeal nerve injury and hypoparathyroidism, we reviewed our experience with central compartment reoperation.

Design: Patients underwent preoperative ultrasonography and magnetic resonance imaging of the neck. Ultrasound-guided fine-needle aspiration biopsy was performed and demonstrated evidence of tumor in 15 patients. Read More

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http://dx.doi.org/10.1001/archotol.130.10.1214DOI Listing
October 2004
30 Reads

Mycotic aneurysm of common carotid artery induced by Staphylococcus aureus infection after cervical reoperation.

Authors:
A Machens H Dralle

World J Surg 2001 Sep;25(9):1113-6

Department of General Surgery, Martin Luther University, Halle-Wittenberg, Ernst-Grube-Strasse 40, D-06097 Halle/Saale, Germany.

The objective of this study was to define a novel type of mycotic aneurysm of the carotid artery arising after cervical reoperation. We retrospectively analyzed all staphylococcal mycotic aneurysms of the common carotid artery. These aneurysms had developed after reoperative thyroid or parathyroid surgery, including resection of the central lymph node compartment and cervical reexploration. Read More

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September 2001
9 Reads
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