Thyroid and parathyroid surgery in pregnancy Journal Article
| Authors: | Owen, R. P.; Chou, K. J.; Silver, C. E.; Beilin, Y.; Tang, J. J.; Yanagisawa, R. T.; Rinaldo, A.; Shaha, A. R.; Ferlito, A. |
| Article Title: | Thyroid and parathyroid surgery in pregnancy |
| Abstract: | The consideration of surgery during pregnancy requires weighing the benefit of urgent surgery against the risk to mother and fetus. Surgery during pregnancy involves an increase in both maternal and fetal risks. Thyroid and parathyroid surgery involves physiological risks to both mother and fetus specific to the disease and function of these endocrine glands. Evaluation of a thyroid mass is similar in pregnant patients with ultrasound and fine-needle aspiration biopsy providing the most important information, while the use of radiographic imaging is severely constrained except when specifically required. In general, thyroid surgery can be delayed until after delivery except in cases of airway compromise or aggressive cancer. In contrast, parathyroid surgery is recommended during pregnancy to avoid adverse effects to the neonate. © 2010 Springer-Verlag. |
| Keywords: | review; calcium; calcium blood level; radioactive iodine; methoxy isobutyl isonitrile technetium tc 99m; hyperparathyroidism; thyroidectomy; postoperative infection; pregnancy; thyroid cancer; hyperthyroidism; aspiration biopsy; thyroid nodule; postoperative hemorrhage; medical ethics; thyroid papillary carcinoma; gluconate calcium; nodular goiter; thyroid function test; hypocalcemia; anesthesia; thyroid surgery; airway obstruction; thyroid medullary carcinoma; parathyroid carcinoma; parathyroid surgery; cinacalcet; propylthiouracil; thiamazole; birth defect; endocrine surgery; esophagus obstruction; fetus hypoxia; fetus monitoring; goiter; parathyroidectomy; premature labor; primary hyperparathyroidism; spontaneous abortion; teratogenesis |
| Journal Title: | European Archives of Oto-Rhino-Laryngology |
| Volume: | 267 |
| Issue: | 12 |
| ISSN: | 0937-4477 |
| Publisher: | Springer |
| Date Published: | 2010-12-01 |
| Start Page: | 1825 |
| End Page: | 1835 |
| Language: | English |
| DOI: | 10.1007/s00405-010-1390-0 |
| PROVIDER: | scopus |
| PUBMED: | 20878196 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 20 April 2011" - "CODEN: EAOTE" - "Source: Scopus" |
