Video 50.1 Introduction to Chapter 50, Reoperative Thyroid Surgery Introduction Approximately one-third of patients with differentiated thyroid cancer (DTC) have tumor recurrence, and most are diagnosed within 10 years of initial treatment. Locoregional recurrences may arise in the thyroid bed,…
Video 38.1 Introduction to Chapter 38, Central Neck Dissection: Indications and Technique. Video 38.2 Central Compartment Dissection. Introduction Central lymph node metastasis is very common in differentiated thyroid cancers, especially in papillary thyroid carcinomas (PTCs). Although therapeutic central neck dissection…
Video 36.1 Introduction to Chapter 36, Surgical Anatomy and Monitoring of the Recurrent Laryngeal Nerve. Video 36.2 Recurrent Laryngeal Nerve Monitoring. Video 36.3 Continuous Vagal Nerve Monitoring. Introduction Galen, in the second century, discovered and named the recurrent laryngeal nerve…
Video 15.1 Fiberoptic Laryngeal Exam: Laryngeal Anatomy and Function. Introduction Thyroid and parathyroid surgery is undertaken by surgeons from a variety of surgical disciplines and backgrounds. The implications of this type of surgery on the voice are a frequent patient…
Papillary thyroid carcinoma (PTC) is the most common histologic type of thyroid carcinoma worldwide. Microscopic lymph node (LN) metastases occur in the majority of patients presenting with PTC. LN metastases are associated with an increased risk of local or regional…
Video 6.1 Surgery for Cervical and Substernal Goiter. The word goiter is derived from “guttur,” the Latin term for throat. Surgery for goiter is as complex as it is rewarding. With goiter, the normally complex neck base anatomy is distorted…
The history of thyroid surgery closely parallels the evolution of modern surgical techniques and the synthesis of our understanding of anatomy, physiology, endocrinology, and pathology. The evolution of thyroid surgical techniques has been convoluted. Even when thyroid and parathyroid disorders…
Key Points Most patients diagnosed with primary hyperparathyroidism are asymptomatic or are only mildly symptomatic, compared with the classic descriptions of patients with hyperparathyroidism. Calcium levels are regulated by the actions of parathyroid hormone (PTH), vitamin D, and calcitonin on…