keyword
https://read.qxmd.com/read/38540288/current-knowledge-on-the-use-of-neuromonitoring-in-thyroid-surgery
#1
REVIEW
Beata Wojtczak, Karolina Sutkowska-Stępień, Mateusz Głód, Krzysztof Kaliszewski, Krzysztof Sutkowski, Marcin Barczyński
Thyroid surgery rates have tripled over the past three decades, making it one of the most frequently performed procedures within general surgery. Thyroid surgery is associated with the possibility of serious postoperative complications which have a significant impact on the patient's quality of life. Recurrent laryngeal nerve (RLN) palsy and external branch of the superior laryngeal nerve (EBSLN) palsy are, next to hypoparathyroidism and postoperative bleeding, some of the most common complications. The introduction of neuromonitoring into thyroid surgery, which enabled both the confirmation of anatomical integrity and the assessment of laryngeal nerve function, was a milestone that began a new era in thyroid surgery...
March 18, 2024: Biomedicines
https://read.qxmd.com/read/38537070/intraoperative-nerve-monitoring-reduces-recurrent-laryngeal-nerve-palsy-in-endoscopic-thyroid-surgery-a-trial-sequential-analysis
#2
JOURNAL ARTICLE
Kuo-Chuan Hung, Wei-Ting Wang, I-Wen Chen
No abstract text is available yet for this article.
April 3, 2024: International Journal of Surgery
https://read.qxmd.com/read/38530608/characteristics-and-risk-factors-of-cervical-lymph-node-metastasis-in-cn0-papillary-thyroid-microcarcinoma-of-the-isthmus
#3
JOURNAL ARTICLE
Linjie Ma
The surgical resection range of papillary thyroid microcarcinoma of the isthmus (PTMCI) is controversial, and the guidelines do not fully guide the central lymph node dissection (CLND).We retrospectively studied the comparison of PTMCI (Group A, n = 65 cases) and non-PTMCI (Group B, n = 80 cases). Based on whether central lymph node metastasis (CLNM) was further detected, they were further divided into the PTMCI with CLNM (group C, n = 42 cases), the PTMCI without CLNM (group D, n = 23 cases), the non-PTMCI with CLNM (group E, n = 45 cases), the non-PTMCI without CLNM (group F, n = 35 cases)...
March 26, 2024: Updates in Surgery
https://read.qxmd.com/read/38520624/perioperative-outcomes-of-bilateral-axillo-breast-approach-robotic-thyroidectomy-babart-versus-minimally-invasive-thyroidectomy-mit-a-systematic-review-and-meta-analysis
#4
REVIEW
Xia Xu, ChaoYing Pan, Xiang Gao, LinXing Zhang, Shuai Lin
Minimally invasive thyroidectomy (MIT) is increasingly being used for the thyroid tumors. The comparison of bilateral axillo-breast approach robotic thyroidectomy (BABART) with other MIT has not yet led to a unified conclusion with regard to surgical outcomes. To conduct a systematic review and meta-analysis of the literature on the surgical outcomes of BABART compared with MIT. We performed a systematic search in PubMed, Web of Science, Embase and Cochrane Library database for randomized control trials (RCTs) and non-RCTs that compare BABART to MIT...
March 23, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38514734/dysphagia-in-patients-with-severe-covid-19-a-retrospective-study
#5
JOURNAL ARTICLE
Rie Asayama, Kaori Tanaka-Nishikubo, Masahiro Okada, Naoki Mukai, Suguru Annen, Hironori Matsumoto, Jun Takeba, Norio Sato, Naohito Hato
To investigate dysphagia after extubation in patients with severe coronavirus disease 2019 (COVID-19). We retrospectively examined patients with severe COVID-19 treated in our hospital between August 2021 and March 2022. Feeding outcomes were categorized into two groups-(1) total oral intake, and (2) difficulty in oral intake. To assess the feeding outcome, we used modified water-swallowing test (MWST) for all patients. However, in cases where aspiration or recurrent laryngeal nerve palsy was suspected, we conducted the fiberoptic endoscopic evaluation of swallowing after MWST...
March 21, 2024: Scientific Reports
https://read.qxmd.com/read/38514480/the-weepy-cry-short-neural-signal-bursts-in-intraoperative-neuromonitoring
#6
JOURNAL ARTICLE
Philipp C B Munk, Mick E Merkelbach, Wolfram Lamadé
PURPOSE: This study aimed to establish an in-vitro alternative to existing in-vivo systems to analyze nerve dysfunction using continuous neuromonitoring (C-IONM). METHODS: Three hundred sixty-three recurrent laryngeal nerves (RLN) (N(pigs)  = 304, N(cattle)  = 59) from food industry cadavers were exposed by microsurgical dissection following euthanasia. After rinsing with Ringer's lactate, they were tempered at 22 °C. Signal evaluation using C-IONM was performed for 10 min at 2 min intervals, and traction forces of up to 2N were applied for a median time of 60 s...
March 22, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38504342/right-upper-lobectomy-with-mediastinal-dissection-under-uniportal-video-assisted-thoracoscopic-surgery-for-lung-cancer-in-a-patient-with-a-right-sided-aortic-arch-a-case-report
#7
JOURNAL ARTICLE
Hidenori Goto, Kozo Nakanishi
BACKGROUND: A right-sided aortic arch is a rare congenital vascular structure variation. Right lobectomy is not commonly performed on patients with such a condition. Further, there are no reports on lobectomy under uniportal video-assisted thoracoscopic surgery (VATS) in this patient group. CASE PRESENTATION: A 67-year-old man with a right-sided aortic arch and Kommerell diverticulum underwent right upper lobectomy with mediastinal lymph node dissection under uniportal VATS for primary lung cancer...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38493015/utilizing-surgeon-performed-intraoperative-translaryngeal-ultrasound-for-verifying-vocal-fold-function-a-troubleshooting-approach-for-intraoperative-neuromonitoring-in-neck-surgery
#8
JOURNAL ARTICLE
Hakan Balbaloglu, Emre Karadeniz, Ahmet Erkek, Cem Yilmaz, Mustafa Umit Ugurlu, Guldeniz Karadeniz Cakmak
INTRODUCTION: We investigated transcutaneous laryngeal ultrasonography (TLUS) for assessing vocal fold (VF) mobility during thyroid and parathyroid surgeries, emphasizing its precision and utility in signal loss scenarios. METHODS: Between October 2020 and January 2023, we performed TLUS, Doppler sonography, laryngeal twitch response (LTR) palpation, and electromyography (EMG) to monitor recurrent laryngeal nerve function during neck surgeries. Postoperatively, the VF activity was verified using fiberoptic video laryngoscopy (FL)...
March 15, 2024: Journal of Voice
https://read.qxmd.com/read/38492067/short-term-outcomes-of-robot-assisted-versus-conventional-minimally-invasive-esophagectomy-for-esophageal-cancer-a-systematic-review-and-meta-analysis-of-18-187-patients
#9
REVIEW
Rui Perry, José Pedro Barbosa, Isabel Perry, José Barbosa
The role of robotic surgery in the curative-intent treatment of esophageal cancer patients is yet to be defined. To compare short-term outcomes between conventional minimally invasive (cMIE) and robot-assisted minimally invasive esophagectomy (RAMIE) in esophageal cancer patients. PubMed, Web of Science and Cochrane Library were systematically searched. The included studies compared short-term outcomes between cMIE and RAMIE. Individual risk of bias was calculated using the MINORS and RoB2 scales. There were no statistically significant differences between RAMIE and cMIE regarding conversion to open procedure, mean number of harvested lymph nodes in the mediastinum, abdomen and along the right recurrent laryngeal nerve (RLN), 30- and 90-day mortality rates, chyle leakage, RLN palsy as well as cardiac and infectious complication rates...
March 16, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38482163/surgical-complications-in-papillary-thyroid-cancer-patients-with-cervical-lymph-node-metastases
#10
JOURNAL ARTICLE
Minh-Chien Pham, Thang Nguyen, Hong-Phong Nguyen
BACKGROUND: The reported complication rates of neck dissection are not specific patients with papillary thyroid cancer` with metastatic lymph nodes. This study aimed to describe the complication profile of neck dissection and the effect of concurrent lateral neck dissection on complication rates. METHODS: This single-center prospective cohort study analyzed the data of 52 patients who underwent a total thyroidectomy and therapeutic lymph node dissection between March 2021 and March 2023...
2024: Clinical Medicine Insights. Oncology
https://read.qxmd.com/read/38479219/ten-year-outcomes-of-recurrent-laryngeal-nerve-reinnervation-for-thyroidectomy-related-unilateral-vocal-fold-paralysis-a-single-surgeon-prospective-study
#11
JOURNAL ARTICLE
Young-Jeong Lee, Seung-Won Lee
OBJECTIVES: This study evaluated the long-term outcomes of intraoperative recurrent laryngeal nerve (RLN) reinnervation for managing thyroidectomy-related unilateral vocal fold paralysis (UVFP) over a period of 10 years and assessed the long-term efficacy of this technique. METHODS: This study was conducted between March 2006 and July 2022 at Soonchunhyang University Bucheon Hospital. We enrolled 25 patients who underwent RLN reinnervation via direct neurorrhaphy or ansa cervicalis-to-RLN anastomosis and completed subjective and objective voice measurements over 5 years period...
February 28, 2024: American Journal of Otolaryngology
https://read.qxmd.com/read/38473368/continuous-intraoperative-nerve-monitoring-of-a-non-recurrent-laryngeal-nerve-real-life-data-of-a-high-volume-thyroid-surgery-center
#12
JOURNAL ARTICLE
Ann-Kathrin Lederer, Julia I Staubitz-Vernazza, Rabea Margies, Florian Wild, Thomas J Musholt
Thyroid surgery is associated with a risk of injury to the recurrent laryngeal nerve, especially in the presence of anatomical variants such as a non-recurrent laryngeal nerve (NRLN). Injury to the nerve leads to transient or permanent vocal cord palsy (VCP). A novel method to prevent VCP is continuous intraoperative nerve monitoring (cIONM), but less is known about the applicability of this method in patients with NRLN. The aim of this study was to evaluate our own data regarding feasibility and detailed characteristics of cIONM in NRLN patients...
February 29, 2024: Cancers
https://read.qxmd.com/read/38468654/perspective-cervical-laminoforaminotomy-clf-is-safer-than-anterior-cervical-diskectomy-fusion-acdf-for-lateral-cervical-disease
#13
REVIEW
Nancy E Epstein, Marc A Agulnick
BACKGROUND: The literature documents that laminoforaminotomy (CLF), whether performed open, minimally invasively, or microendoscopically, is safer than anterior cervical diskectomy/fusion (ACDF) for lateral cervical disease. METHODS: ACDF for lateral cervical disc disease and/or spondylosis exposes patients to multiple major surgical risk factors not encountered with CLF. These include; carotid artery or jugular vein injuries, esophageal tears, dysphagia, recurrent laryngeal nerve injuries, tracheal injuries, and dysphagia...
2024: Surgical Neurology International
https://read.qxmd.com/read/38465121/comparison-of-robotic-versus-conventional-open-thyroidectomy-for-recurrent-laryngeal-nerve-safety-a-systematic-review-and-meta-analysis
#14
REVIEW
Christos Sialakis, Aikaterini Frantzana, Christos Iliadis, Petros Ouzounakis, Panagiota Antoniou Sialaki, Lambrini Kourkouta
This review aims to investigate the safety of recurrent laryngeal nerve (RLN) by comparing robotic thyroidectomy (RT) versus open thyroidectomy (OT) in Western and Asian populations. Two main outcomes of this review were (1) the safety of RLN comparing the robotic and OT assessing transient and permanent laryngeal nerve (PLN) palsy as a postoperative complication in each surgical procedure and (2) the safety of RLN comparing the robotic and OT assessing transient and permanent laryngeal nerve (PLN) palsy as a postoperative complication between studies conducted in USA/Europe and Asia...
February 2024: Curēus
https://read.qxmd.com/read/38465063/challenging-case-of-anaplastic-thyroid-cancer-with-unusual-clinical-and-histological-features-a-diagnostic-dilemma-with-undifferentiated-pleomorphic-sarcoma
#15
Ali Alkhlaifat, Laith Albudour, Mohammad Buwaitel, Ra'ad Alomari, Alia Hajjat, Khaled Helael, Faris Abu Za'nouneh
Thyroid cancer is a common malignancy worldwide, and its incidence is increasing rapidly, especially in women. In the majority of cases, it presents solely with a palpable neck swelling. Less commonly, the disease manifests with symptoms of advanced stages, such as superior vena cava (SVC) obstruction and indications of recurrent laryngeal nerve invasion. Anaplastic thyroid cancer is a rare variant of thyroid cancer and is considered to have one of the poorest prognoses, and its diagnosis and treatment are challenging...
February 2024: Curēus
https://read.qxmd.com/read/38462410/the-overtreatment-of-papillary-thyroid-microcarcinoma-in-the-community
#16
JOURNAL ARTICLE
Peter J Abraham, Christopher Wu, Rongzhi Wang, Brendon Herring, Polina Zmijewski, Andrea Gillis, Jessica Fazendin, Brenessa Lindeman, Herbert Chen
INTRODUCTION: Total thyroidectomy is the traditional primary approach for papillary thyroid cancer. However, recent evidence supports conservative management for low-risk tumors like papillary thyroid microcarcinomas (PTMCs). This study explores the adoption of these practices in our community, using a cancer database to analyze treatment strategies. METHODS: A retrospective review of a 1433-patient institutional database identified 258 ​PTMC cases. Outcomes, including 30-day mortality, reoperation rate, postoperative hypocalcemia, and recurrent laryngeal nerve (RLN) injury, were assessed...
March 4, 2024: American Journal of Surgery
https://read.qxmd.com/read/38458575/netrin-1-as-a-neural-guidance-protein-in-development-and-reinnervation-of-the-larynx
#17
JOURNAL ARTICLE
Ignacio Hernandez-Morato, Shira Koss, Emily Honzel, Michael J Pitman
Neural guidance proteins participate in motor neuron migration, axonal projection, and muscle fiber innervation during development. One of the guidance proteins that participates in axonal pathfinding is Netrin-1. Despite the well-known role of Netrin-1 in embryogenesis of central nervous tissue, it is still unclear how the expression of this guidance protein contributes to primary innervation of the periphery, as well as reinnervation. This is especially true in the larynx where Netrin-1 is upregulated within the intrinsic laryngeal muscles after nerve injury and where blocking of Netrin-1 alters the pattern of reinnervation of the intrinsic laryngeal muscles...
March 6, 2024: Annals of Anatomy
https://read.qxmd.com/read/38443270/clinical-outcomes-of-outpatient-thyroidectomy-a-systematic-review-and-single-arm-meta-analysis
#18
REVIEW
Hayato Nakanishi, Rongzhi Wang, Shahid Miangul, Grace E Kim, Omotayo A Segun-Omosehin, Natalie E Bourdakos, Christian A Than, Benjamin E Johnson, Herbert Chen, Andrea Gillis
BACKGROUND: The aim of this meta-analysis is to investigate the safety of outpatient thyroidectomy based on 24-h and same-day discharge criteria. METHODS: CENTRAL, Embase, PubMed, and Scopus were searched. A meta-analysis of selected studies was performed. The review was registered prospectively with PROSPERO (CRD42022361134). RESULTS: Thirty-one studies met the eligibility criteria, with a total of 74328 patients undergoing thyroidectomy in an outpatient setting based on 24-h discharge criteria...
February 27, 2024: American Journal of Surgery
https://read.qxmd.com/read/38440634/role-of-loupes-magnification-in-tracheal-resection-and-anastomosis
#19
JOURNAL ARTICLE
Ahmed Yahia Yahia Fouda, Hussein Magdy Abdelkader, Esmail Hassan Ramadan Ahmed, Marwan Ahmed Ibrahim
UNLABELLED: Tracheal resection and anastomosis is characterized in the last years by significant innovations which are well codified and standardized. Although the mortality rate is markedly reduced, the operation is still not free from risk of complications such as recurrent laryngeal nerve injury, anastomosis dehiscence, granulation tissue formation and restenosis. Pearson FG, Cooper ID, Nelems JL (1975) Primary tracheal anastomosis after resection of the cricoide cartilage with preservation of the recurrent laryngeal nerves...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440474/outcomes-of-central-neck-dissection-for-papillary-thyroid-carcinoma-in-primary-versus-revision-setting
#20
JOURNAL ARTICLE
Hasan Alansari, Nalin Mathur, Husain Ahmadi, Zaki Hassan AlWatban, Naji Alamuddin, Omar Sabra
INTRODUCTION: Surgery in the central compartment after previous thyroidectomy involves an increased risk of injury to critical organs, including the parathyroids and recurrent laryngeal nerve. Contrastingly, primary central neck dissection involves a relatively low operative risk. OBJECTIVE: This study aimed to compare the outcomes of central neck dissection in primary versus revision settings with respect to the lymph node yield and complication rates. METHODS: This single-center prospective study included patients who underwent primary or revision neck dissection surgery for histologically confirmed thyroid malignancy between January 2018 and January 2022...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
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