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Related Experiment Video

Updated: Sep 14, 2025

Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model
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Controversies in thyroid and parathyroid surgery.

Courtney Brooke Shires1, Aaron Parsons2, Karuna Dewan2

  • 1Division of Head & Neck Surgical Oncology, West Cancer Institute, Memphis, TN, USA.

American Journal of Otolaryngology
|July 22, 2025
PubMed
Summary
This summary is machine-generated.

Common thyroid and parathyroid surgery practices, including nerve monitoring and airway management, were reviewed against evidence. Ten common surgical myths were identified, offering opportunities to improve patient care through evidence-based modifications.

Keywords:
CT scanEndocrine surgeryGoiterIntubationIodineLugolMythsNerve monitoringPTHParathyroidectomyThyroidectomy

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Area of Science:

  • Otolaryngology
  • Endocrinology
  • Surgical Oncology

Background:

  • Clinical practices in thyroid and parathyroid surgery are often based on deeply held beliefs.
  • Some established practices may be rooted in outdated or inaccurate evidence.
  • This can lead to suboptimal patient outcomes.

Purpose of the Study:

  • To critically analyze common practices in thyroid and parathyroid surgery.
  • To identify and refute clinical practices not supported by current scientific literature.
  • To promote evidence-based decision-making in surgical care.

Main Methods:

  • Clinical practice patterns were observed and compared with existing literature.
  • Practices strongly communicated but lacking evidence were identified.
  • A list of "myths" was compiled based on discordance with published evidence.

Main Results:

  • Ten common practice patterns in thyroid and parathyroid surgery were identified as "myths."
  • Examples include practices related to muscle relaxants, airway management, CT contrast use, and neural monitoring.
  • These practices were found to be discordant with high-quality published evidence.

Conclusions:

  • Clinicians strive for optimal outcomes in thyroid and parathyroid surgery.
  • Strongly held practices may persist despite evidence supporting alternatives.
  • Modifying 10 identified practices based on evidence can lead to improved, less complex, or more precise patient care.