Anatomical variations of the recurrent laryngeal nerve (RLN) during thyroidectomy, such as extralaryngeal branching and relation to the inferior thyroid artery (ITA), significantly increase the risk of vocal cord paralysis (VCP). This retrospective study on 1070 neck sides found that extralaryngeal branching nerves had higher VCP rates compared to nonbranching nerves. RLN crossing anteriorly or […]

Radiofrequency ablation (RFA) demonstrates a 99.81% volume reduction rate with minimal complications in treating low-risk papillary thyroid microcarcinomas. Over 46.59 months follow-up, only 69 patients experienced local recurrence, positioning RFA as a compelling alternative to surgery and active surveillance. Notably, retreatment rates were significantly lower post-RFA, highlighting its effectiveness as a long-term treatment option with […]

Thyroglobulin wash-out after fine-needle aspiration cytodiagnosis effectively evaluates lymph node metastasis in papillary thyroid carcinoma. A cutoff value of 3.2 ng/ml for FNA-TG offers higher accuracy and lower false negatives than single diagnoses. Combining FNAC with FNA-TG increases sensitivity, though specificity decreases slightly. Ultrasonography provides dynamic LN assessment, enhancing diagnostic efficacy without added patient discomfort. […]

Ultrasound features like loss of fatty hilum, architectural distortion, enlarged size, and microcalcifications are associated with metastatic papillary thyroid cancer. A combination of these features shows high specificity and positive predictive value for malignancy. This study suggests a risk stratification model based on these ultrasound characteristics could improve the classification of nodal metastases in patients […]

Patients with low-risk thyroid cancer changed their valuation of treatment outcomes after surgical decisions, favoring quality of life factors post-treatment. Emotional impact led to overuse of total thyroidectomy. Those choosing lobectomy increased importance on risk of recurrence, while total thyroidectomy patients valued it less. Surgeons can better discuss post-surgery effects on energy levels with patients […]

Preoperative inhaled budesonide combined with intravenous dexamethasone significantly decreased postoperative sore throat (post) incidence and severity at 6, 12, and 24 hours in patients undergoing thyroidectomy. Additionally, this combination resulted in lower postoperative coughing rates at 24 hours compared to intravenous dexamethasone alone. Hoarseness outcomes were similar between the two groups. This combination therapy shows […]

Autofluorescence-guided total thyroidectomy significantly reduced immediate and permanent hypoparathyroidism rates in low-volume, nonparathyroid institutions. Introduction of autofluorescence decreased immediate hypoparathyroidism from 37% to 19% and permanent hypoparathyroidism from 32% to 6%, eventually reaching 0%. More parathyroid glands were identified and fewer inadvertently excised with autofluorescence. These findings suggest that the use of autofluorescence in thyroid […]

Long-term multicenter study comparing image-guided thermal ablation to lobectomy for solitary papillary thyroid microcarcinoma showed no significant differences in disease progression or survival outcomes. Ablation had lower complication rates, shorter hospitalization, procedure time, reduced blood loss, and lower costs compared to lobectomy. Thermal ablation could be a safe and effective alternative for properly selected patients […]

Adrenalectomy significantly improved body weight, glucose, and blood pressure in patients with mild autonomous cortisol secretion. The study found a higher frequency of improved control in the adrenalectomy group compared to the control group. Factors like adrenalectomy, body mass index, and cortisol levels were associated with better weight control, while adrenalectomy and diabetes were linked […]

In a study evaluating an innovative intraoperative parathyroid hormone monitoring system, 96.2% of patients undergoing parathyroidectomy for hyperparathyroidism were cured. The system showed high sensitivity (98.6%) and accuracy (98.6%) in predicting biochemical cure, with no false positives. Strong correlations with conventional devices and improvements in sampling protocols make this system a reliable and efficient tool […]