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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.
Transoral Robotic Thyroidectomy: Description of the Surgical Technique in the Cadaveric Model
Özer Makay,Varlık Erol 대한갑상선-내분비외과학회 2018 The Koreran journal of Endocrine Surgery Vol.18 No.2
Purpose: Nowadays, minimally invasive surgical approach in thyroid surgery is getting more and more attention. The purpose of this report is to describe the surgical technique of transoral robotic thyroidectomy (TORT) in the cadaveric model which is the one of these minimally invasive methods. Methods: Transoral thyroidectomy through vestibular approach was performed on 67 year old lady fresh cadaveric model. The da Vinci Xi surgical system (Intuitive Surgical, Inc.) was used to complete TORT. Total thyroidectomy was successfully completed. Results: Total thyroidectomy was successfully completed and all vital structures (recurrent laryngeal nerves and parathyroid glands) were identified and preserved. Conclusion: TORT is a technique that can be successfully applied on the cadaver. We believe that this tecnique is an alternative approach in scarless thyroid surgery that can be safely applied to selected patients.
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.
Transoral Robotic Thyroidectomy: Description of the Surgical Technique in the Cadaveric Model
Özer Makay;Varlık Erol 대한갑상선-내분비외과학회 2018 The Koreran journal of Endocrine Surgery Vol.18 No.2
Purpose: Nowadays, minimally invasive surgical approach in thyroid surgery is getting more and more attention. The purpose of this report is to describe the surgical technique of transoral robotic thyroidectomy (TORT) in the cadaveric model which is the one of these minimally invasive methods. Methods: Transoral thyroidectomy through vestibular approach was performed on 67 year old lady fresh cadaveric model. The da Vinci Xi surgical system (Intuitive Surgical, Inc.) was used to complete TORT. Total thyroidectomy was successfully completed. Results: Total thyroidectomy was successfully completed and all vital structures (recurrent laryngeal nerves and parathyroid glands) were identified and preserved. Conclusion: TORT is a technique that can be successfully applied on the cadaver. We believe that this tecnique is an alternative approach in scarless thyroid surgery that can be safely applied to selected patients.
The Consistency of Intraoperative Neural Monitoring in Thyroid Surgery
Gianlorenzo Dionigi,채영준,Francesco Freni,Özer Makay,Bruno Galletti,Francesco Galletti,김훈엽 대한갑상선-내분비외과학회 2018 The Koreran journal of Endocrine Surgery Vol.18 No.2
Numerous operating tools and technology transfers are available for thyroid surgery teams performing open, endoscopic and robotic procedures but none, or very few, of them constitutes a mandatory prerequisite. Over the past decade, the choice of intraoperative neurophysiological monitoring (IONM) of the recurrent laryngeal nerve (RLN), has been reached certain consensus, which must at least be selected on an individual basis. Identification and intraoperative assessment of the RLN seems to be more effectively performed with IONM than solely visually or endoscopically. Today, IONM has evolved sufficiently to increase the likelihood of successful functional outcomes in many patients. The transition from the concept of intermitted neural monitoring of the RLN to that of continuous functions evaluation that must be appreciate requires highly skilled knowledge of IONM. This goal will be more likely achieved in centers highly specialized in thyroid surgery.
Subglottic Laryngeal Perforation After Redo Thyroidectomy: A Case Report
Muhammed Adi Syazni,Türk Yiğit,Özdemir Murat,Öztürk Kerem,Makay Özer 대한내분비외과학회 2023 The Koreran journal of Endocrine Surgery Vol.23 No.3
Inadvertent airway injury is a rare complication of thyroidectomy that can be life-threatening. Most studies report injuries occurring within the tracheal region. In this report, we present a case of subglottic laryngeal perforation following completion thyroidectomy. Based on our literature review, we believe that this is the first report of such a case. Through a multidisciplinary approach, the patient was treated successfully with surgery. This article aims to emphasise that more proximal airway injuries may occur with thyroidectomy and explore the possible factors and treatment options.