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Affirma JC

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5 papers 0 to 25 followers
Peter M Neary, Owen J O'Connor, Azher Shafiq, Edel M Quinn, Justin J Kelly, Buckley Juliette, Ronan A Cahill, Josephine Barry, Henry P Redmond
BACKGROUND: Thyroid drains following thyroid surgery are routinely used despite minimal supportive evidence. Our aim in this study is to determine the impact of routine open drainage of the thyroid bed postoperatively on ultrasound-determined fluid accumulation at 24 hours. METHODS: We conducted a prospective randomised clinical trial on patients undergoing thyroid surgery. Patients were randomly assigned to a drain group (n = 49) or a no-drain group (n = 44) immediately prior to wound closure...
April 28, 2012: World Journal of Surgical Oncology
Patrick Sheahan, Rania Mehanna, Naveed Basheeth, Matthew S Murphy
OBJECTIVES/HYPOTHESIS: Routine identification of all four parathyroid glands has been advocated as a means of reducing rates of postoperative hypocalcemia and inadvertent parathyroidectomy. The object of the present study was to investigate whether identification of more parathyroid glands during thyroidectomy performed by capsular dissection technique had any impact on incidence of postoperative hypocalcemia and unintentional parathyroid resection. STUDY DESIGN: Prospective cohort study of consecutive patients undergoing total thyroidectomy by capsular dissection technique over a 3-year period...
September 2013: Laryngoscope
Pietro Giorgio Calò, Giuseppe Pisano, Fabio Medas, Jacopo Marcialis, Luca Gordini, Enrico Erdas, Angelo Nicolosi
BACKGROUND: Cervical lymph node metastases in papillary thyroid cancer are common. Although central neck dissection is indicated in clinically nodal-positive disease, it remains controversial in patients with no clinical evidence of nodal metastasis. The aim of this retrospective study was to determine the outcomes of clinically lymph node-negative patients with papillary thyroid cancer who underwent total thyroidectomy without a central neck dissection, in order to determine the rates of recurrence and reoperation in these patients compared with a group of patients submitted to total thyroidectomy with central neck dissection...
May 20, 2014: World Journal of Surgical Oncology
Luciana Reck Remonti, Caroline Kaercher Kramer, Cristiane Bauermann Leitão, Lana Catani F Pinto, Jorge Luiz Gross
BACKGROUND: Thyroid nodules are a common finding in the general population, and their detection is increasing with the widespread use of ultrasound (US). Thyroid cancer is found in 5-15% of cases depending on sex, age, and exposure to other risk factors. Some US parameters have been associated with increased risk of malignancy. However, no characteristic seems sufficiently reliable in isolation to diagnose malignancy. The objective of this meta-analysis was to evaluate the diagnostic performance of US features for thyroid malignancy in patients with unselected thyroid nodules and nodules with indeterminate fine-needle aspiration (FNA) cytology...
May 2015: Thyroid: Official Journal of the American Thyroid Association
Catherine Brophy, James Stewart, Neil O'Donovan, Julie McCarthy, Matthew Murphy, Patrick Sheahan
OBJECTIVE: Adverse sonographic features such as microcalcification may predict increased likelihood of malignant cytology by fine-needle aspiration and, accordingly, increased risk of malignant histology. Our objective was to study the predictive value of microcalcifications and other sonographic features for malignancy among thyroid nodules with benign or indeterminate cytology. STUDY DESIGN: Case series with chart review. SETTING: Academic teaching hospital...
January 2016: Otolaryngology—Head and Neck Surgery
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