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Related Concept Videos

Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Pulmonary Tuberculosis III01:31

Pulmonary Tuberculosis III

Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis IV01:26

Pulmonary Tuberculosis IV

Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Pulmonary Tuberculosis V01:28

Pulmonary Tuberculosis V

Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...

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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Incorporating Microdebrider Use in a Community-Based Thyroidectomy Practice.

Keith R Conti1, Jason F Ohlstein1,2, David M Brown1,2

  • 1Division of Otolaryngology, Department of Surgery, St. Luke's University Health Network, Bethlehem, PA, USA.

Ear, Nose, & Throat Journal
|May 6, 2024
PubMed
Summary
This summary is machine-generated.

The microdebrider, a soft tissue shaver, can safely aid in transcervical removal of substernal goiters. This technique reduces the need for sternotomy, improving patient outcomes and convenience.

Keywords:
communitymicrodebridersubsternal goiterthyroidthyroidectomy

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Technology

Background:

  • Substernal goiters pose surgical challenges due to their location.
  • Transcervical removal is common, but extensive goiters may necessitate sternotomy.
  • Microdebrider use for substernal goiter removal is not widely adopted despite its use in other surgeries.

Purpose of the Study:

  • To report the experience of using a microdebrider (soft tissue shaver) to facilitate transcervical removal of substernal goiters.
  • To evaluate the safety and efficacy of this technique in a community thyroidectomy practice.

Main Methods:

  • Retrospective review of thyroidectomy cases from January 2017 to December 2019.
  • Analysis of four cases where microdebrider was used for intracapsular debulking of substernal goiters.
  • Evaluation of pre- and perioperative factors, surgical technique, estimated blood loss, surgical time, complications, and length of stay.

Main Results:

  • No sternotomy was required in the four cases.
  • Average estimated blood loss was 237.5 ml, and average surgical time was 137 minutes.
  • One patient experienced a postoperative hematoma; all others had uncomplicated recoveries and overnight stays.

Conclusions:

  • The microdebrider is a safe and effective tool for general otolaryngologists to facilitate transcervical substernal goiter removal.
  • Adoption of this technique can decrease the need for sternotomy, reduce morbidity, shorten hospital stays, and lower costs.