Types of Thyroidectomy
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A board-certified otolaryngologist, Dr. Frank Brettschneider has led as president of Port Huron Ear, Nose, and Throat for more than 27 years. There, Dr. Frank Brettschneider offers services including surgical treatment of the larynx, salivary glands, and thyroid.
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2) While radial access was seen as superior for patient comfort and safety, many cardiologists viewed it as inferior for procedure time and success, especially at hospitals performing fewer radial procedures.
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Chest trauma requires a methodical and exact approach following general trauma principles. Signs of chest injury can be easily missed if other injuries are present. Thoracic trauma accounts for over 70% of traffic accident deaths. Blunt chest trauma alone has a 10% fatality rate, increasing to 30% with additional injuries. Emergency thoracotomy is indicated for massive hemothorax, suspected cardiac tamponade, or witnessed cardiac arrest in the resuscitation area, though success rates are low. The standard incision approach is a left anterior thoracotomy, extending to bilateral thoracotomies or clam-shell for right-sided penetrating injuries. Early deaths after thoracic trauma are often due to hypoxemia,
Rao SV - AIMRADIAL 2014 - Volume-outcome relationship
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A 44-year-old female with stage IV rectal cancer, bilateral nephrostomy tubes, and a history of DVTs on Eliquis presented with shortness of breath. A CTA showed new large bilateral pleural effusions and ascites, likely malignant. The patient would benefit from a therapeutic thoracentesis to drain the pleural fluid. Thoracentesis is generally safe in patients taking novel oral anticoagulants like Eliquis, with a low risk of major bleeding complications. Individualized management of anticoagulation is important to minimize risks. Validated bleeding risk scores can help guide anticoagulation management for percutaneous procedures.
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1) The document discusses the evaluation and management of different types of anterior neck masses, including thyroid nodules, thyroglossal cysts, carotid body tumors, cervical lymphadenitis, and branchial cysts.
2) It provides guidance on the questions to ask patients about neck lumps, associated symptoms, and examination findings. It also outlines the appropriate tests and workup depending on the suspected diagnosis.
3) The key points are that thyroid status must be determined, thyroid nodules in euthyroid patients should be referred to a surgeon for FNA, and different surgical procedures or treatments are used depending on the specific diagnosis.
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Oral Cancer
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Thyroid
This document summarizes a presentation given at SUNY Downstate Medical Center Surgery Grand Rounds on February 28, 2013. The presentation discusses the case of a 35-year old male with an asymptomatic right neck mass found to be a papillary thyroid carcinoma on biopsy. It reviews the debate between thyroid lobectomy versus total thyroidectomy for treatment of well-differentiated thyroid cancers. Studies presented show that total thyroidectomy may be preferred due to the high rate of multifocality in thyroid cancers and reduced recurrence rates and improved survival with total thyroidectomy compared to lobectomy. Complications from total thyroidectomy like hypocalcemia are discussed.
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Types of Thyroidectomy
- 2. Introduction ■ A board-certified otolaryngologist, Dr. Frank Brettschneider has led as president of Port Huron Ear, Nose, andThroat for more than 27 years. There, Dr. Frank Brettschneider offers services including surgical treatment of the larynx, salivary glands, and thyroid. There are several reasons a physician may recommend thyroid surgery. Often, the recommendation is in response to diagnosed thyroid cancer or a potentially cancerous nodule. In other cases, the patient has developed a nodule or goiter compressing the thyroid in a way that directly causes difficulty swallowing or other discomfort, or stimulates the release of excess thyroid hormone. If a patient has a large goiter or tumor that involves both halves of the thyroid, his or her physician is likely to recommend a total thyroidectomy, or full removal of the gland. In addition, current standards of practice suggest a patient with a diagnosed cancer prior to surgery undergo a total thyroidectomy.
- 3. Thyroidectomy ■ If the patient has a growth confined to only one side of the thyroid and does not have a cancer diagnosis, a hemithyroidectomy may be more appropriate.Also known as a thyroid lobectomy, this procedure allows the surgeon to remove only one of the two thyroid lobes. Finally, if the patient has a very small tumor in the isthmus - the bridge of tissue between the lobes - the patient may undergo an isthmusectomy.This procedure also may be part of a total surgical plan that includes a lobectomy. In some cases, the patient may undergo removal of part of the other lobe as well.