It Sometimes Happens: Staging Surgery in Coexisting Graves' Disease and Thyroid Cancer

Ettore Caruso; Maria De Pasquale; Antonella Pino; Vincenzo Bartolo; Fausto Fama; Gianlorenzo Dionigi

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자료유형: 학술저널

저자정보: Ettore Caruso Maria De Pasquale Antonella Pino Vincenzo Bartolo Fausto Fama Gianlorenzo Dionigi

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제19권 제3호

발행연도: 2019.1

수록면: 88 - 93 (6page)

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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.

참고문헌 (17)

참고문헌 신청

Schneider R / 2018 / International neural monitoring study group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal / Laryngoscope 128(Suppl 3):S1~S17

Dralle H / 2015 / Vocal cord paralysis after thyroid surgery : current medicolegal aspects of intraoperative neuromonitoring / Chirurg 86:698~706

Pemberton JD / 1929 / Exophthalmic goiter : indications for the stage-operation / Arch Surg 18:735~744

Randolph GW / 2011 / Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement / Laryngoscope 121(Suppl 1):S1~S16

Sadowski SM / 2013 / Systematic use of recurrent laryngeal nerve neuromonitoring changes the operative strategy in planned bilateral thyroidectomy / Thyroid 23:329~333

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