Revision thyroid surgery - Technical considerations Journal Article
| Author: | Shaha, A. R. |
| Article Title: | Revision thyroid surgery - Technical considerations |
| Abstract: | Reoperative thyroid surgery is a technical challenge with a high incidence of complications and recurrent disease. It requires a thorough understanding of the anatomy and biology of the disease process, expertise in surgical technique, and avoidance of complications related to recurrent laryngeal nerve and parathyroid glands. Preoperative evaluation includes review of previous surgical procedures and pathology reports and evaluation of the extent of the disease with appropriate imaging studies. Preoperative evaluation of the vocal cord and vocal cord function is vitally important. Postoperative adjuvant treatment with radioactive iodine or external radiation therapy should be considered in selected individuals. Proper histologic evaluation of the recurrent thyroid tumor is important, to rule out poorly differentiated thyroid carcinoma. Despite good surgical resection, the incidence of local recurrence in the central compartment is high in patients undergoing reoperative thyroid surgery. © 2008 Elsevier Inc. All rights reserved. |
| Keywords: | surgical technique; review; neck dissection; follow up; lymph node metastasis; lymphatic metastasis; treatment indication; recurrence; calcitonin; calcium; postoperative complication; radioactive iodine; tumor recurrence; reoperation; nerve injury; thyroidectomy; thyroid cancer; thyroid carcinoma; thyroid neoplasms; thyroid diseases; thyroglobulin; thyroid nodule; postoperative hemorrhage; hematoma; drainage; nodular goiter; hypocalcemia; thyroid surgery; hypoparathyroidism; recurrent laryngeal nerve palsy; subtotal thyroidectomy; graves disease; esophagus perforation; trachea injury; goiter, nodular |
| Journal Title: | Otolaryngologic Clinics of North America |
| Volume: | 41 |
| Issue: | 6 |
| ISSN: | 0030-6665 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2008-12-01 |
| Start Page: | 1169 |
| End Page: | 1183 |
| Language: | English |
| DOI: | 10.1016/j.otc.2008.05.002 |
| PUBMED: | 19040977 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 6" - "Export Date: 17 November 2011" - "CODEN: OCNAB" - "Source: Scopus" |
