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Intraoperative assessment of parathyroid perfusion using indocyanine green angiography in robotic thyroidectomy

Park JH, Lee J, Jung JH, Park HY, Kim WW

In recent da Vinci robot systems (Intuitive Surgical), near-infrared f luorescence imaging (Firef ly technology) has been used. With this technique, it is possible for surgeons to see important structures...
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Fluorescence imaging, an emerging tool for preserving the parathyroid glands during thyroidectomy

Kang KH

With vocal cord palsy, hypoparathyroidism is one of the two major complications after thyroid surgery. Traditional approaches to preserving the parathyroid glands during thyroid surgery include identifying the glands precisely...
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Change of Voice Parameters After Thyroidectomy Without Apparent Injury to the Recurrent Laryngeal or External Branch of Superior Laryngeal Nerve: A Prospective Cohort Study

Lee DY, Choe G, Park H, Han S, Park SJ, Kim SD, Kim BH, Jin YJ, Lee KE, Park YJ, Kwon TK

Background and Objectives The quality of life after thyroidectomy, such as voice change, is considered to be as important as control of the disease. In this study, we aimed to...
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Comparative Study of Gasless Transaxillary, Bilateral Axillo-Breast, Unilateral Axillo-Breast With Carbon Dioxide Insufflation, Retroauricular, and Transoral Vestibular Endoscopic Thyroidectomy Approaches at a Single Institution: A Retrospective Analysis and Lessons Learned

Lee MC, Ahn J, Choi IJ, Lee BC, Ryu J

Objectives. This study aimed to present our experiences with various approaches for endoscopic thyroidectomy (ET) and to offer lessons for choosing an approach. Methods. The medical records of 701 patients who...
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Anti-adhesive effect and safety of a thermosensitive adhesion barrier (Mediclore) for thyroid surgery: a double-blinded randomized controlled trial

Ahn Jh, Yoon SG, Yi JW, Kim Sj, Lee KE

Purpose: Postoperative adhesions after thyroidectomy adversely affect patients’ quality of life. This study assessed the anti-adhesive effect and safety of thermosensitive sol-gel agents for patients undergoing thyroidectomy. Methods: A double-blind parallel-group...
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Intraocular Hemorrhage After Transoral Endoscopic Thyroidectomy Vestibular Approach

Kim JH, Yeo GE, Kim T, Hong YT

Transoral endoscopic thyroid surgery vestibular approach (TOETVA) is now widely performed globally with good cosmetic outcomes. However, there are complications related to this approach which surgeons should be aware of....
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A Case of Voice Therapy for Post-Thyroidectomy Syndrome

Kang YA, Song KH

Post-thyroidectomy syndrome refers to various voice changes experienced after the thyroid surgery. Among them, surgery or injection therapy has been prioritized over voice therapy for the bilateral vocal cord paralysis....
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The effect of fibrin glue on the quantity of drainage after thyroidectomy: a randomized controlled pilot trial

Ha EJ, Lee J

Purpose: A seroma is a collection of exudates after surgical trauma in wound healing. Fibrin glue is used to prevent seroma by reducing the generation of exudate. However, the impact...
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Application of Ultrasonography for Safe Flap Elevation at the Learning Period of Transoral Thyroidectomy: A Technical Report

Lee DW, Kim JK, Shin SH, Tae K

Transoral thyroidectomy using the vestibular approach has achieved excellent cosmetic outcomes without leaving any visible scars. However, concerns have been raised on how to prevent complications, such as skin perforation...
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Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline

Korean Society of Laryngology, Phoniatrics and Logopedics Guideline Task Force, Ryu CH, Lee SJ, Cho JG, Choi IJ, Choi YS, Hong YT, Jung SY, Kim JW, Lee DY, Lee DK, Lee G, Lee SJ, Lee YC, Lee YS, Nam IC, Park KN, Park YM, Sung ES, Son HY, Seo IH, Lee BJ, Lim JY

Voice change is a common complaint after thyroid surgery and has a significant impact on quality of life. The Korean Society of Laryngology, Phoniatrics and Logopedics assembled a task force...
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Reduced Port Robotic Bilateral Axillo-Breast Approach (BABA) Isthmusectomy

Kim W, Lee JK, Choi JH, Yu HW, Kim Sj, Chai YJ, Choi JY, Lee KE

Purpose: To investigate whether reduced port robotic bilateral axillo-breast approach (BABA) surgery can be a safe alternative approach for patients undergoing isthmusectomy for well differentiated papillary thyroid cancer confined to...
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The Use of Intermittent Intra-Operative Neural Monitoring in Reducing the Recurrent Laryngeal Nerve Palsy Rate in High-Risk Thyroidectomy

Cheng KY, Bryant Chan SY

Purpose: To determine if intra-operative neural monitoring (IONM) is effective in lowering the rate of recurrent laryngeal nerve (RLN) injury, when selectively applied in thyroidectomy for certain diagnoses which carry...
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Thyroid Nodule Requiring Thyroidectomy in a Patient with Thyroid Hemiagenesis

Kim JC, Kim JJ, Hwang KT, Chai YJ

Thyroid hemiagenesis (TH) is a rare congenital disorder in which one lobe of the thyroid gland fails to develop. Since most patients experience no clinical symptoms, TH is typically diagnosed...
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The Imminent Sign of SVC Syndrome Secondary to Retrosternal Goiter

Idrees S, Mayilvaganan S

We present a case of retrosternal goiter with dilated external jugular veins which points to retrosternal extension. This case highlights the importance of clinical examination even in this era of...
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Balloon Dilators for Fast and Safe Flap Dissection in Transoral Endoscopic Vestibular Approach Thyroidectomy Vestibular Approach (TOETVA)

Oh MY, Chai YJ, Lee JM, Dionigi G, Wu CW, Kim HY, Yu HW, Kim SJ, Choi JY, Lee KE

Purpose: Creating working space while performing thyroid surgery via a transoral endoscopic thyroidectomy vestibular approach (TOETVA) can be technically challenging. We describe our experiences using a balloon dilator for easy...
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Collagenous Fibroma at the Surgical Site after Thyroidectomy for Papillary Thyroid Carcinoma

Yun JM, Chang S, So YK

Collagenous fibroma (CF) is a rare benign tumor that occurs at various anatomical sites including the head and neck. CFs are often omitted from differential diagnosis before surgery. We describe...
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Is Completion Thyroidectomy Necessary in Patients with Papillary Thyroid Carcinoma who Underwent Lobectomy?

Kang IK, Kim K, Bae JS, Kim JS

Background/Objectives: Although thyroid lobectomy recently is considered as sufficient for low-risk papillary thyroid carcinoma (PTC), completion thyroidectomy is required due to the insufficiency of the preoperative evaluation. The aim of...
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Neck Discomfort after Thyroidectomy

Kim B, Park JH

Thyroid and parathyroid surgery is commonly performed for diagnostic or therapeutic purposes for benign tumors as well as malignant tumors. Vocal cord paralysis and hypoparathyroidism are known as major complications....
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Tips for Preservation of Parathyroid Gland During Thyroid Surgery

Kim JH

Failure to preserve parathyroid function in patients who have undergone total thyroidectomy is of major concern because hypocalcemia is difficult to prevent and remains a common postoperative complication. It is...
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Completion Thyroidectomy

Cheon Y, Shin SC, Lee BJ

Completion thyroidectomy is defined as surgical removal of the remnant thyroid tissue after resection of the thyroid gland. The frequency of completion thyroidectomy varies among researchers, but is estimated to...
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