Retrosternal Goiter
Fig. 20.1 Pemberton’s sign. The presence of a retrosternal goiter causes facial flushing and distended superficial veins. Mild flushing is noted with the arms by the side indicating some baseline…
Extended Surgery for Extra-thyroidal Disease Invasion
Structure “T” stage Symptom/signs Central neck Strap muscles T3 Hard fixed thyroid mass Parathyroids T3 – Skin T4a Skin ulceration/erythema RLN and SLN T4a Dysphonia or weak fatigable voice,…
Reoperative Parathyroid Surgery
John C. Watkinson and David M. Scott-Coombes (eds.)Tips and Tricks in Endocrine Surgery201410.1007/978-1-4471-2146-6_35 © Springer-Verlag London 2014 35. Reoperative Parathyroid Surgery Thomas W. J. Lennard1 (1) Department of Surgery, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne,…
Surgery for Primary Hyperparathyroidism
John C. Watkinson and David M. Scott-Coombes (eds.)Tips and Tricks in Endocrine Surgery201410.1007/978-1-4471-2146-6_33 © Springer-Verlag London 2014 33. Surgery for Primary Hyperparathyroidism R. James England1 and Hisham Mehanna2 (1) Department of ENT/Head and Neck Surgery, Hull and East…
Consent and Litigation in Thyroid Surgery
Abandoned by client 37.7 % Settled out of court 45 % Damages approved by court 3.16 % Yet to settle 14.14 % Definitions Duty of care is the watchfulness, attention,…
Thyroidectomy Technique
Fig. 18.1 Marking of the neck Incision is usually 2 cm above the sternal notch. When asleep, position the patient supine with a gel roll under the shoulders extending the…
Outcomes and Audit in Endocrine Surgery
John C. Watkinson and David M. Scott-Coombes (eds.)Tips and Tricks in Endocrine Surgery201410.1007/978-1-4471-2146-6_29 © Springer-Verlag London 2014 29. Outcomes and Audit in Endocrine Surgery Richard Wight1 and David M. Scott-Coombes2 (1) Department of Otolaryngology, Head and Neck Surgery,…
Postoperative Management of Thyroid Cancer
TNM stage Description I131 Decreased risk of death I131 Decreased risk of recurrence May facilitate initial staging and follow-up RAI usually recommended T1a ≤1 cm, intrathyroidal, microscopic multifocal No No…
Differentiated Thyroid Cancer
Stage TX Primary tumor cannot be assessed T0 No evidence of primary tumor T1a Tumor 1 cm or less in greatest dimension, limited to the thyroid T1b Tumor 1–2 cm…
Voice Change Following Thyroid and Parathyroid Surgery
John C. Watkinson and David M. Scott-Coombes (eds.)Tips and Tricks in Endocrine Surgery201410.1007/978-1-4471-2146-6_26 © Springer-Verlag London 2014 26. Voice Change Following Thyroid and Parathyroid Surgery Jeremy Davis1 and Meredydd Harries2 (1) ENT Department, Medway Maritime Hospital, Gillingham,…
