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Erratum: A Historical Account for Thyroid Surgery

Christoforides C, Dionigi G, Vasileiou , Vamvakidis K

There is an error in ‘A Historical Account for Thyroid Surgery’. In Page 2, we wrote “Hippocrates (331–156 BC)...” but this should corrected as “Hippocrates (460–370 BC)...”.
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Active Surveillance of Papillary Thyroid Microcarcinoma: A Mini-Review from Korea (Endocrinol Metab 2017;32:399-406, Tae Yong Kim et al.)

Sun H, Dionigi G

No abstract available.
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Monitoring the Bifurcated Recurrent Laryngeal Nerve

Kim HY, Liu X, Sun H, Chai YJ, Chung WY, Dionigi G

Anatomical anomalies of the recurrent laryngeal nerve (RLN) can not only mean an operational challenge in thyroid operations for the endocrine surgeon, but also an increased risk of postoperative vocal...
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Bilateral Vocal Palsy After Total Thyroidectomy: Expert Opinion on Two Malpractice Claims

Dionigi G, Sun H, Chai YJ, Catalfamo , Mangraviti A, Rizzo GA, Portinari , Wu CW

Two patients complained of hoarseness, respiratory distress and swallowing disorders early after total bilateral thyroidectomy for multinodular goiter and cancer, respectively. Faulty surgical techniques had caused injury to bilateral recurrent...
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Standards for Intraoperative Neuromonitoring in Thyroid Operations

Kim HY, Liu X, Chai YJ, Tufano R, Dralle H, Dionigi G, the Korean Intraoperative Neural Monitoring Society (KINMoS)

After the introduction of intraoperative neural monitoring (IONM) of the recurrent laryngeal nerve (RLN) in clinical thyroid practice almost 16 years ago, the procedure has expanded rapidly with an area-wide...
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Medico-Legal Issues of Intraoperative Neuromonitoring in Thyroid Surgery

Kim HY, Liu X, Sun H, Wu CW, Chai YJ, Chung WY, Tufano R, Dralle H, Lavazza M, Dionigi G

Advances in intraoperative neuromonitoring (IONM) in thyroid surgery have provided significant insights into recurrent laryngeal nerve function during thyroid surgery. Despite the limitations and necessary caution when using intraoperative monitors...
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What You Need to Know about Mental Nerve Surgical Anatomy for Transoral Thyroidectomy

Pino A, Parafioriti A, Caruso E, De Pasquale M, Del Rio P, Calò PG, Dionigi G, Stagno d'Alcontres F

No abstract available.
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Efficacy of Percutaneous Thermal Ablation of Papillary Thyroid Carcinoma

Caruso E, Gagliano E, Dionigi G

Percutaneous thermoablation (PTA) has become an increasingly used option in the interventional treatment of symptomatic, cytologic and sonographic benign solid thyroid gland disease. Currently, there is no high-level evidence of...
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A Historical Account for Thyroid Surgery

Christoforides C, Dionigi G, Vasileiou , Vamvakidis K

Thyroid surgery is nowadays considered one of the most common surgical procedures globally. For nearly 4,000 years, thyroid gland pathology and surgery have been a field of observation, research, and...
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It Sometimes Happens: Staging Surgery in Coexisting Graves' Disease and Thyroid Cancer

Caruso E, De Pasquale M, Pino A, Bartolo V, Famà F, Ieni A, Dionigi G

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...
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Improving Safety of Neural Monitoring in Thyroid Surgery: Educational Considerations in Learning New Procedure

Dionigi G, Bartolo V, Rizzo AG, Marullo M, Fabiano V, Catalfamo , Pergolizzi FP, Cancellieri A, Melita G

Literature on intraoperative neuro monitoring (IONM) during endocrine surgery have increased over recent years. A comprehensive understanding of the role of IONM for prevention of nerve injuries is critical to...
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Preoperative Treatment with Lugol Solution for Graves' Disease

Makay O, Sun H, Caruso E, Pino A, Pontin A, Mandolfino T, Dionigi G

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...
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Patient Choice and Adherence to Active Surveillance for Low-risk Thyroid Cancer

Sun H, Pino A, Mastrojeni C, Mangraviti A, Dionigi G

Currently, treatment decisions for low-risk micro thyroid cancer (TC) are arguably some of the most challenging in thyroidology. Active surveillance has emerged as an important option for low-risk micro TC....
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Recommended Surgery for >1 cm Noninvasive Follicular Neoplasia with Papillary-Like Nuclear Features (NIFTP)

Pontin A, Gagliano E, Dionigi G

Papillary thyroid carcinoma (PTC) is a heterogeneous tumor group with differing pathogenesis and prognosis of the individual subtypes. In addition, a tumor entity has been spun off, now referred to...
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Venous Thromboembolism Following Thyroid Surgery

Makay O, Sun H, Pontin A, Caruso E, Pino A, Mandolfino T, Dionigi G

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...
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The Consistency of Intraoperative Neural Monitoring in Thyroid Surgery

Dionigi G, Chai YJ, Freni F, Makay O, Galletti B, Galletti F, Kim HY

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...
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Intraoperative Vagal Nerve Stimulation in a Patient with Long QT Syndrome during Thyroidectomy

Kritikos G, Christoforides C, Moutafis D, Papandrikos I, Arambatzi , Misichronis G, Koureas A, Dionigi G, Vamvakidis K

Intraoperative neural monitoring (IONM) of the recurrent laryngeal nerve is a useful tool during thyroidectomies for the safe accomplishment of the operation. The latest guidelines suggest that stimulation of vagus...
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Treatment Decision Making in Papillary Thyroid Microcarcinoma

Navarra G, Zanghì GN, Freni F, Galletti B, Galletti F, Pagano G, Cogliandolo A, Barbera A, Lazzara S, Dionigi G

The objective of this article is to detail the treatment for papillary thyroid microcarcinoma (PTMC). The literature presents only few contributions, with controversial results, about comparison between ‘active surveillance’ and...
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Future Directions of Neural Monitoring in Thyroid Surgery

Kim HY, Liu X, Wu CW, Chai YJ, Dionigi G

Dissecting and identifying the recurrent laryngeal nerve (RLN) are considered routine procedures now that safe and effective methods have been established. Preventing RLN injury during thyroid surgery requires good visualization...
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Comparing the safety of harmonic ACE and ACE+ around the recurrent laryngeal nerve in swine models

Kim HK, Chai YJ, Lee HY, Kim HY, Dionigi G

PURPOSE: Among the various energy-based devices, ultrasonic shears are popular in thyroid surgeries. In this study, we tested the safety of Harmonic ACE and Harmonic ACE+ around the recurrent laryngeal...
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