scholarly journals Frequency and risk factors of early tetany onset after thyroid gland surgery

2020 ◽  
Vol 40 (3) ◽  
pp. 211-215
Author(s):  
Koko ADACHI ◽  
Yu KAIHO ◽  
Kohkichi ANDOH ◽  
Satoshi SEKIGUCHI ◽  
Yumiko SAKURADA ◽  
...  
2011 ◽  
Vol 76 (2) ◽  
pp. 251-253
Author(s):  
Fulvio A. Scorza ◽  
Esper A. Cavalheiro ◽  
Marly de Albuquerque ◽  
Juliana de Albuquerque ◽  
Roberta M. Cysneiros ◽  
...  

2001 ◽  
Vol 124 (1) ◽  
pp. 111-114 ◽  
Author(s):  
M. P. Prim ◽  
J. I. DE Diego ◽  
D. Hardisson ◽  
R. Madero ◽  
J. Gavilan

2021 ◽  
Vol 64 (3) ◽  
pp. 208-213
Author(s):  
Jun-Ook Park

The increased incidence of thyroid cancer in young females may raise concerns about visible hypertrophic scarring on the center of the neck after thyroid gland surgery. Therefore, endoscopic surgical procedures have attracted significant interest from patients with thyroid cancer, leading to the development of various endoscopic and robotic approaches. Although the cosmetic outcomes of current endoscopic and robotic thyroid surgeries have been excellent, all the procedures still require a large incision and extensive flap elevation. Transoral endoscopic thyroid surgery is a newly developed surgical method performed by inserting an endoscope through a mucosal opening created in the mouth, obviating the need for a skin incision. Additionally, the dissection area is relatively small and no dressings are required. Showering or shaving may resume the day after surgery and the port created within the oral mucous membrane generally heals within one week. Importantly, this approach is markedly less invasive than other endoscopic approaches. Although transoral endoscopic thyroid surgery has not yet been universally accepted, it may emerge as the preferred method for thyroid surgery in the near future.


2003 ◽  
Vol 128 (3) ◽  
pp. 396-400 ◽  
Author(s):  
Julio Cesar Furlan ◽  
Anói Castro Cordeiro ◽  
Lenine Garcia Brandã

OBJECTIVE: This study evaluates some “intrinsic risk factors” for a surgical injury of the external branch of superior laryngeal nerve (EBSLN) based on its anatomic relationship with the thyroid gland. STUDY DESIGN AND SETTING: Seventy-two neck dissections were performed in 36 fresh human adult cadavers. Every EBSLN was dissected and categorized using Cernea's classification. All data regarding gender, ethnicity, stature, side of the neck, and volume of hemi thyroid were collected and statistically analyzed by the χ 2 –test and analysis of variance. RESULTS: Although no statistical differences were observed between genders ( P = 0.3770), ethnicities ( P = 0.9780) or sides of the neck ( P = 0.2523), statistical significance was reached regarding the nerve type when the groups were divided by stature ( P = 0.0006) and glandular volume ( P = 0.0007). CONCLUSION: Individual stature and volume of the hemi thyroid gland are probably involved in risk of the surgical EBSLN injury. SIGNIFICANCE: Surgeons should be aware of these anatomic findings in order to obtain a good voice-related outcome in the thyroidectomies.


2007 ◽  
Vol 79 (7) ◽  
Author(s):  
Aleksander Konturek ◽  
Marcin Barczyński ◽  
Stanisław Cichoń ◽  
Ryszard Anielski ◽  
Wojciech Cichoń ◽  
...  

Head & Neck ◽  
2020 ◽  
Vol 42 (4) ◽  
pp. 636-644
Author(s):  
Robert E. Plaat ◽  
Boukje A. C. Dijk ◽  
Anneke C. Muller Kobold ◽  
Roel J. H. M. Steenbakkers ◽  
Thera P. Links ◽  
...  

2012 ◽  
Vol 84 (5) ◽  
Author(s):  
Bartosz Kowalski ◽  
Jacek Bierca ◽  
Jan Zmora ◽  
Małgorzata Kołodziejczak ◽  
Anna Kosim ◽  
...  

2019 ◽  
Vol 128 (12) ◽  
pp. 1104-1110 ◽  
Author(s):  
Rudolf Reiter ◽  
Adrienne Heyduck ◽  
Thomas Karl Hoffmann ◽  
Sibylle Brosch ◽  
Maria Anna Buchberger ◽  
...  

Objectives: This study is set to analyze clinicopathological factors predicting the recovery of unilateral vocal fold paralysis (UVP) in patients after thyroid gland surgery. The quality of voice was additionally assessed in these patients. Methods: The charts and videolaryngostroboscopy (VLS) examinations of 84 consecutive patients with a complete UVP after surgery of the thyroid gland were retrospectively reviewed. Patients were divided into 2 groups: patients who fully recovered from vocal fold paralysis and those who failed to recover after a follow-up of 12 months. The quality of voice was analyzed among other things by determining the Voice Handicap Index (VHI). Results: The UVP fully recovered in 52 of 84 (61.9%) patients. Positive mucosal waves (pMWs) on the paralyzed side, a minimal glottic gap <3 mm seen at the first postoperative VLS, age ≤50 years, and surgery duration ≤120 minutes were associated factors for a complete recovery of nerve function. The voice parameters improved independently from recovery of the paralysis in 90% of the patients. Conclusions: For patients with a poor prognosis of a UVP, early intervention may be beneficial. Thus, predicting factors for a full recovery of vocal fold motion would be a valuable tool. In our cohort, about 60% of recoveries could have been predicted using the above-mentioned parameters. Good quality of voice was independently reached in 90% of the cases.


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