Thyroidectomy during laryngectomy for advanced laryngeal carcinoma ? whole organ section study with long-term functional evaluation

1995 ◽  
Vol 20 (2) ◽  
pp. 145-149 ◽  
Author(s):  
A. P. W. YUEN ◽  
W. I. WEI ◽  
K. H. LAM ◽  
C. M. HO
2021 ◽  
Vol 12 (4) ◽  
pp. 1220-1230
Author(s):  
Zhongyang Lin ◽  
Hanqing Lin ◽  
Yuqing Chen ◽  
Yuanteng Xu ◽  
Xihang Chen ◽  
...  

Author(s):  
G Viljoen ◽  
J K McGuire ◽  
A Alhadad ◽  
S Dalvie ◽  
J J Fagan

Abstract Background Thyroid lobectomy is recommended with total laryngectomy for laryngeal cancer in the National Comprehensive Cancer Network (‘NCCN’) guidelines. However, it is associated with a 32–89 per cent risk of hypothyroidism, with or without adjuvant radiotherapy. Objective The study aimed to determine whether preserving the whole thyroid, compared to a single lobe, does indeed significantly lower the incidence of hypothyroidism in the setting of total laryngectomy. Method A retrospective study was conducted at Groote Schuur Hospital in Cape Town, South Africa. Results Eighty-four patients met the inclusion criteria. The overall incidence of hypothyroidism was 45.2 per cent. The incidence of hypothyroidism was significantly reduced in patients who underwent thyroid-sparing total laryngectomy compared to hemithyroidectomy (p = 0.037). Adjuvant radiotherapy was associated with a higher incidence of hypothyroidism (p = 0.001). Conclusion Thyroid-preserving laryngectomy should be advocated in carefully selected patients with advanced laryngeal carcinoma, as it reduces the incidence of hypothyroidism.


2015 ◽  
Vol 34 ◽  
pp. S161
Author(s):  
M. Caloglu ◽  
V. Yurut-Caloglu ◽  
G. Turkkan ◽  
G. Saglik ◽  
S. Uzunoglu

2019 ◽  
Vol 9 ◽  
Author(s):  
Fei Wang ◽  
Bin Zhang ◽  
Xiangjun Wu ◽  
Lizhi Liu ◽  
Jin Fang ◽  
...  

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Giampietro Farronato ◽  
Lucia Giannini ◽  
Guido Galbiati ◽  
Santo Andrea Stabilini ◽  
Michele Sarcina ◽  
...  

2011 ◽  
Vol 104 (6) ◽  
pp. 447-453
Author(s):  
Yoshihiro Akazawa ◽  
Shoji Watanabe ◽  
Shigeru Kasugai ◽  
Mistuhiro Mukaide ◽  
Takashi Otsuka ◽  
...  

Author(s):  
Achmad Sjarwani ◽  
OK Ilham Abdullah Irsyam

Background: Neck femur fracture has a poor prognosis due to its anatomical structure. Fractures that occur in the elderly often have a heavy comorbid so that the mortality rate in 1 year in this case reaches 30-50%. The techniques that have been developed at this time are not satisfactory results with non-union rate of about 30%.Purpose: Assessing the long-term effectiveness of fibular auto strut graft techniques for neck femoral fracture therapy.Methods: The study was conducted retrospectively using primary data in the form of clinical evaluation and secondary data in the form of medical record data and questionnaires of neck femur fracture patients who performed non-vascularized autofibular strutgraft therapy in the period January 2005 to August 2015 in operating room IRD RSUD Dr. Soetomo Surabaya. Patients were evaluated with Harris Hip Score.Result: Medical record data shows that surgery was performed in January 2005 until August 2015 in the IRD hospital operating room. Soetomo Surabaya with 15 patients that fit criteris inclusion. The final result of Harris Hip Score is excellent in 66.66% of patients, good in 20% of patients, and poor on 13.33% of patients. It can be seen that in large part, the technique of autofibular strutgraft (Surabaya Technique) gives good results to the sufferer.Conclusion: Autofibular strutgraft and reinforcement with cancellous lag screw on neck femur fracture can generally provide good functional results in long term evaluation. From the assessment of functional aspects, abnormal anatomical conditions, and Range of Motion (ROM), obtained satisfactory results. This supports autofibular strutgraft as a neck femur fracture therapy as a major therapeutic option at a young age.


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