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Mixed Reality Assisted Radical Endoscopic Thyroidectomy
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[Analysis of cases with emergency thyroid surgery].

X Zhu1, Z C Huang1, X Feng1

  • 1Department of Otorhinolaryngology Head and Neck Surgery, Zhongda Hospital, Southeast University, Nanjing 210009, China.

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|October 20, 2021
PubMed
Summary

Emergency thyroid surgery effectively treats severe dyspnea from thyroid tumors, improving outcomes. This vital intervention offers life-saving respiratory relief and potential for radical cure in patients with thyroid malignancies.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Critical Care Medicine

Background:

  • Severe dyspnea is a critical complication of thyroid diseases.
  • Emergency surgical intervention is sometimes required for airway compromise.

Purpose of the Study:

  • To investigate the clinical features, treatment, and outcomes of emergency thyroid surgery.
  • To evaluate the efficacy and prognosis of emergency thyroid surgery for severe dyspnea.

Main Methods:

  • Retrospective analysis of 19 patients undergoing emergency thyroid surgery (May 2014-May 2019).
  • Inclusion criteria: severe dyspnea necessitating urgent thyroidectomy.
  • Data collected: patient demographics, thyroid pathology, surgical procedures, complications, and outcomes.

Main Results:

  • All 19 patients (9 male, 10 female) had severe dyspnea; 6 with nodular goiters, 13 with thyroid malignancies.
  • Surgical procedures included thyroidectomy, tracheal resection with anastomosis, laryngectomy, and tracheostomy.
  • No intraoperative complications; 2 deaths post-operatively due to tumor progression; remaining patients survived with good prognosis.

Conclusions:

  • Emergency thyroid surgery is a life-saving procedure for patients with severe dyspnea due to thyroid tumors.
  • Active surgical management can relieve respiratory obstruction and potentially achieve a radical cure.
  • Patients with dyspnea from thyroid tumors have a high mortality rate, underscoring the need for prompt intervention.