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Risk factors of postoperative hypoparathyroidism after total thyroidectomy in pediatric patients with thyroid cancer

Choe Y, Lee YJ, Shin CH, Chung EJ, Lee YA

Purpose: Hypoparathyroidism (hypoPTH) is the most common complication following thyroidectomy. We investigated the frequency and risk factors of hypoPTH after total thyroidectomy (TT) in pediatric patients with thyroid cancer. Methods: This...
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Guideline for the Surgical Management of Locally Invasive Differentiated Thyroid Cancer From the Korean Society of Head and Neck Surgery

Park JO, Kim JH, Joo YH, Kim SY, Kim GJ, Kim HB, Lee DH, Hong HJ, Park YM, Chung EJ, Ji YB, Oh KH, Lee HS, Lee DK, Park KN, Ban MJ, Kim BH, Kim DH, Cho JK, Ahn DB, Kim MS, Seok JG, Jang JY, Choi HG, Kim HJ, Park SJ, Jung EK, Kim YS, Hong YT, Lee YC, Won HR, Shin SC, Baek SK, Kwon SY

The aim of this study was to develop evidence-based recommendations for determining the surgical extent in patients with locally invasive differentiated thyroid cancer (DTC). Locally invasive DTC with gross extrathyroidal...
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Benefits and Limitations in Transoral Endoscopic Thyroidectomy

Hong YT

Transoral endoscopic thyroidectomy (TOET) is the recent remote access approach which leaves no cutaneous scar in the body. It has advantages in minimize the surgical dissection, could perform total thyroidectomy...
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A Scoping Review of Methods to Prevent Hypertrophic Neck Scars in Conventional Open Thyroid Surgery

Yu HW, Lee JK, Kim W, Kwak J, Kim Sj, Chai YJ, Choi JYC, Lee KE

Conventional open thyroidectomy leaves a 5 to 7 cm scar on the neck. This method has the advantage of being able to effectively perform thyroidectomy but has the limitation of...
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Transoral Robotic Lingual Thyroidectomy

Seo W, Ji YB, Tae K, Song CM

Base of tongue is the most common location of ectopic thyroid. Conservative management is the mainstay of treatment, but surgical treatment is required when complications occur due to the airway...
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Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve Using Adhesive Skin Electrodes during Minimally Invasive Open Hemithyroidectomy

Cheon YI, Shin SC, Seo MG, Kwon HN, Cho YJ, Lee BJ

Background: Intraoperative neuromonitoring (IONM) using adhesive skin electrodes has been reported to be useful method for preserving recurrent laryngeal nerve (RLN) in thyroid surgery. The aim of this study is...
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Risk Factors and Prevention (New Technology) for Hypoparathyroidism after Thyroidectomy

Kim WW

Despite the development of various instruments and techniques for thyroid surgery, the most common complication after total thyroidectomy is hypoparathyroidism. Among them, direct damage to the parathyroid glands, unintentional removal,...
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Clinical Manifestations of Thyroid-associated Ophthalmopathy Accompanied by Thyroid Cancer

Lee SH, Lee JK

Purpose: To analyze the clinical manifestations of thyroid-associated ophthalmopathy accompanied by thyroid cancer. Methods: We performed a retrospective chart review of 33 patients diagnosed at our ophthalmology department with both thyroid-...
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Is craniocaudal dissection of recurrent laryngeal nerve safer than lateral approach: a prospective randomized study comparing both techniques by using continuous intraoperative nerve monitoring

Iscan Y, Aygun N, Sormaz IC, Tunca F, Uludag M, Senyurek YG

Purpose: This study was performed to compare the real-time electromyographic (EMG) changes and the rate of recurrent laryngeal nerve (RLN) injury in craniocaudal and lateral approaches for RLN during thyroidectomy. Methods:...
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Diagnostic Performance of Core Needle Biopsy for Characterizing Thyroidectomy Bed Lesions

Jeong SY, Baek JH, Chung SR, Choi YJ, Song DE, Chung KW, Kim WW, Lee JH

Objective: Thyroidectomy bed lesions frequently show suspicious ultrasound (US) features after thyroid surgery. Fine-needle aspiration (FNA) may not provide definitive pathological information about the lesions. Although core-needle biopsy (CNB) has...
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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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Single-Port Transaxillary Robotic Thyroidectomy (START) for Benign Thyroid Tumors

Kim JK, Lee IA, Lee CR, Kang SW, Jeong JJ, Nam KH, Chung WY

Purpose: Single-port transaxillary robotic thyroidectomy using the da Vinci SP ® system with a two-step retraction method is known to be a practical surgical method that maximizes the cosmetic and...
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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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Single-Port Transaxillary Robotic Bilateral Total Thyroidectomy (START) for Graves’ Disease: First Initial 10 Cases Using da Vinci SP Robotic System

Lee IA, Kim JK, Lee CR, Kang SW, Jeong JJ, Nam KH, Chung WY

Purpose: Graves’ disease (GD) is an autoimmune disorder and the most common cause of persistent hyperthyroidism. Recently, robotic transaxillary thyroidectomy has served as a minimally invasive surgical alternative to conventional...
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