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What You Need to Know about Mental Nerve Surgical Anatomy for Transoral Thyroidectomy
Antonella Pino,Andrea Parafioriti,Ettore Caruso,Maria De Pasquale,Paolo Del Rio,Pietro Giorgio Calò,Gianlorenzo Dionigi,Francesco Stagno d'Alcontres 대한갑상선-내분비외과학회 2019 The Koreran journal of Endocrine Surgery Vol.19 No.4
Patient Choice and Adherence to Active Surveillance for Low-risk Thyroid Cancer
Hui Sun,Antonella Pino,Claudio Mastrojeni,Antonio Mangraviti,Gianlorenzo Dionigi 대한갑상선-내분비외과학회 2019 The Koreran journal of Endocrine Surgery Vol.19 No.3
Currently, treatment decisions for low-risk micro thyroid cancer (TC) are arguably some of the most challenging in thyroidology. Active surveillance has emerged as an important option for low-risk micro TC. Multiple patient and physician factors affect the final selection, adherence to active surveillance or definitive conservative surgery. While baseline clinical criteria are used to identify candidates for this approach, it is important to identify and understand other forces that may influence the management of low-risk micro TC with active surveillance.
It Sometimes Happens: Staging Surgery in Coexisting Graves' Disease and Thyroid Cancer
Ettore Caruso,Maria De Pasquale,Antonella Pino,Vincenzo Bartolo,Fausto Famà,Gianlorenzo Dionigi 대한갑상선-내분비외과학회 2019 The Koreran journal of Endocrine Surgery Vol.19 No.3
Thyroidectomy is a safe procedure often performed either for benign or malignant thyroid diseases. Complication rate is low and bilateral recurrent laryngeal nerve (RLN) injury associated with thyroidectomy is rarely described. The RLN may be injured bilaterally and damage is usually recognized postoperatively. With an increased use of intraoperative neural monitoring (IONM), an adaptation of the resection strategy appears to be necessary in case of an intraoperative loss of signal of the first operated side with total thyroidectomy planned. We review a case of a 21-year-old female with a history of Graves' disease who underwent a total thyroidectomy in a 2-stage procedure due to a loss of RLN function detected intraoperatively. The patient recovered uneventfully from the 2 surgeries.
Preoperative Treatment with Lugol Solution for Graves' Disease
Özer Makay,Hui Sun,Ettore Caruso,Antonella Pino,Alessandro Pontin,Tommaso Mandolfino,Gianlorenzo Dionigi 대한갑상선-내분비외과학회 2019 The Koreran journal of Endocrine Surgery Vol.19 No.4
Graves' disease is one of the commonest causes of hyperthyroidism. Pre-treatment with Lugol solution, containing iodine/potassium iodide, to induce euthyroidism before surgery may be suggested, especially in case of adverse events due to antithyroid medication. Whether post-operative outcomes are any different following a course of Lugol solution in patient with Graves' disease is not well-documented in the literature. It is definite that large, prospective, randomized controlled trials of clinical and scientific are warranted to answer whether or not preparation with Lugol solution is necessary prior to surgery for Graves' disease.
Venous Thromboembolism Following Thyroid Surgery
Özer Makay,Hui Sun,Alessandro Pontin,Ettore Caruso,Antonella Pino,Tommaso Mandolfino,Gianlorenzo Dionigi 대한갑상선-내분비외과학회 2019 The Koreran journal of Endocrine Surgery Vol.19 No.4
Venous thromboembolism is viewed as a serious health care issue. Patients who experience venous thromboembolism often have an detoriorated quality of life after the event that may require anticoagulation. This results to the risks of spontaneous bleeding. Bleeding after thyroid surgery can present acutely and can lead to airway compromise and death if not recognized and treated appropriately. Whether prophylaxis in a low-risk patient puts the patient at a greater risk of developing a bleeding complication is not well documented. The literature is scarce regarding the prevalence of venous thromboembolism following thyroid and parathyroid surgery.