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    Tytuł:
    Total Thyroidectomy for Multinodular Goiter. Possibility of Implementation in a District Hospital
    Autorzy:
    Cichoń, Wojciech
    Walencik, Grzegorz
    Gierczak, Wojciech
    Aksędowski, Krzysztof
    Bucki, Jerzy
    Cichoń, Stanisław
    Powiązania:
    https://bibliotekanauki.pl/articles/1396038.pdf
    Data publikacji:
    2013-02-01
    Wydawca:
    Index Copernicus International
    Tematy:
    thyroid
    total
    thyroidectomy
    multinodular
    goiter
    Opis:
    Increasing number of surgical subspecialities causes general surgeons have little experience with more complex procedures as total thyroidectomy. The aim of the study was to present the outcome of total thyroidectomy following its implementation in a district hospital where such procedure has not been performed previously. Material and methods. 293 patients were operated on for goiter between 01.10.2008 and 30.09.2011 in the District Hospital in Proszowice by one contracted endocrine surgeon. Hemithyroidectomy was performed in 75 (23.7%) patients and total thyroidectomy in 191 (76.3%) patients for multinodular goiter and only the latter group was subjected for further analysis. Results. There were no bilateral recurrent laryngeal nerve palsy. A unilateral transient recurrent laryngeal nerve palsy occured in 6 patients (3.1%; 1.5% per risk) and postoperative hypocalcemia in 29 (15.7%) patients. 2 (1%) patients required wound revision due to a postoperative bleeding. Postoperative pathology revealed in 12 (6.2%) patients differentiated thyroid cancer. Conclusions. 1. Total thyroidectomy in a district hospital is still a safe way to operate on thyroid for nonmalignant disorders with low number of complications. 2. Total thyroidectomy is a definite surgical treatment in patients diagnosed by postoperative pathology with differentiated thyroid cancer.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 2; 53-57
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Usefulness of electrosurgical techniques in thyroid gland surgery
    Autorzy:
    Kowalski, Bartosz
    Bierca, Jacek
    Zmora, Jan
    Kołodziejczak, Małgorzata
    Kosim, Anna
    Frączek, Mariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1394593.pdf
    Data publikacji:
    2012
    Wydawca:
    Index Copernicus International
    Tematy:
    thyroidectomy
    Thermostapler®
    bipolar coagulation
    Opis:
    Wide propagation of new generation of electrosurgical devices such as bipolar vessel sealing systems (eg. Thermostapler® by EMED) enabled seamless closing of blood vessels with a diameter up to 7 mm while maintaining the necessary safety margin, as well as reducing the duration of the operation. We decided to verify these reports in our material. Aim of the study was comparison of thyroid surgery performed with the electrocautery tool – Thermostapler® by EMED with surgery using classic hemostasis technique to evaluate the operative time and complications in the form of bleeding, recurrent laryngeal nerve paralysis, symptoms of hypoparathyroidism, and wound infection. Material and methods. We retrospectively analyzed 256 patients operated in the Department of General and Proctological Surgery Solec Hospital in Warsaw due to inert thyroid goitre. All patients underwent total thyroidectomy. Patients were divided into two groups. The first group consisted of 126 patients operated in 2000, using classic techniques of hemostasis. While the second group consisted of 130 patients operated in 2007-2008 with Thermostapler®. We compared duration of surgery and the incidence of postoperative complications. Results. The operative time was significantly shorter (average 18 minutes) in the second group of patients. We also recorded a statistically significant decrease in the incidence of complications in the group operated with Thermostapler. conclusions. Use of bipolar vessel sealing system in a decisive manner shortens the duration of operation. Use of bipolar vessel sealing system also enables a radical reduction in the incidence of complications rate such as bleeding, recurrent laryngeal nerve paralysis, symptoms of hypoparathyroidism, and wound infection. In the future, similar studies should be performed to assess the real costs resulting from the use Thermostapler®
    Źródło:
    Polish Journal of Surgery; 2012, 84, 5; 225-229
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Analysis of factors affecting the development of hypocalcaemia after multinodular goitre surgery
    Autorzy:
    Papaj, Piotr
    Kozieł, Sławomir
    Mrowiec, Sławomir
    Powiązania:
    https://bibliotekanauki.pl/articles/1393196.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    thyroidectomy
    hypocalcemia
    calcium
    TSH
    multinodular goiter
    Opis:
    Introduction: Thyroidectomy is a common surgery performed especially in treatment of multinodular goitre. The most common post-thyroidectomy complication is a postoperative hypocalcaemia, and the percentage of postoperative hypoparathyroidism could reach even 50%. Tested group and methods: A forward-looking, randomized testing was done on a group of 113 women being subject to multinodular goitre surgery. In this article, we wish to present an analysis of the results obtained in the control group, focusing on the predicative factors which determine the development of postoperative hypocalcaemia. Obtained results: The rate of postoperative biochemical hypocalcaemia development was significantly higher in the group of patients, where the preoperative calcium concentration was lower than 2,4 mmol/l. In that group, the development of biochemical hypocalcaemia was observed in 93,7% of cases (30 out of 32 patients), in comparison with 65,3% (17 out of 26) in the group of higher preoperative concentration of calcium. The highest risk of occurrence of postoperative hypocalcaemia was borne by the total thyroidectomy, while the lowest one by the subtotal thyroid lobectomy of one lobe only. Conclusions: A higher preoperative concentration of calcium in blood serum is related to the lower rate of occurrence of postoperative biochemical hypocalcaemia. However, no such correlation was revealed in the case of postoperative symptomatic hypocalcaemia. Lack of correlation was determined between the preoperative concentration of TSH and FT4 in blood serum and the rate of occurrence of postoperative hypocalcaemia, both symptomatic and asymptomatic. The performed statistics did not reveal a relation between the postoperative hypocalcaemia and the duration of the surgery, but a significant correlation was stated with the scope of the performed surgery. Revealing a relation between the rate of occurrence of postoperative hypocalcaemia and the experience of the surgeon performing the surgery was not successful.
    Źródło:
    Polish Journal of Surgery; 2017, 89, 2; 26-30
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Cervical thyroid remnant consistent with papillary carcinoma as an incidental finding in a patient with benign total thyroidectomy ten years prior
    Autorzy:
    Ruano Campos, Adriana
    Rivera Alonso, Daniel
    Ochagavía Cámara, Santiago
    Powiązania:
    https://bibliotekanauki.pl/articles/1391852.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    benign thyroidectomy
    cervical thyroid remnant
    papillary thyroid carcinoma
    Opis:
    Background: Differential diagnosis of a cervical lesion corresponding with papillary thyroid carcinoma (PTC) after benign total thyroidectomy can be a real challenge. Methods: A cervical thyroid remnant compatible with papillary carcinoma was incidentally found ten years after total thyroidectomy for a non-functional multinodular goitre. Histological analysis of fine needle puncture aspiration (FNPA) was highly suggestive for PTC. Surgical excision of the cervical lesion was performed. Specimen study demonstrated a classic variant of PTC contacting a peripheral margin, applying ablative treatment with radioactive iodine postoperatively. Results: The patient did not present signs of recurrence during follow-up. Small thyroid remnants after benign thyroidectomy are often left behind, although their risk of malignancy is exceptional. Conclusions: It is important to individualize therapeutic approach when facing this rare entity. We decided to treat the patient by removing the lesion followed by ablation therapy with successful results. PTC: Papillary thyroid carcinoma FNPA: Fine needle puncture aspiration
    Źródło:
    Polish Journal of Surgery; 2020, 92, 1; 52-54
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Perioperative calcium and vitamin D supplementation in patients undergoing thyroidectomy – literature review
    Autorzy:
    Grzegory, Anna
    Pomorski, Lech
    Powiązania:
    https://bibliotekanauki.pl/articles/1392434.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    hypocalcemia
    hypoparathyroidism
    calcium
    vitamin D
    thyroidectomy
    perioperative period
    Opis:
    Introduction: Postoperative hypocalcemia is a narrow but significant problem for patients undergoing thyroid and parathyroid surgery. It is the most common complication after thyroidectomy. It is associated with transient or permanent hypoparathyroidism. It could potentially be life-threatening for patients and increases the costs of hospitalization. The aim of the study was to evaluate the results of studies that routinely administrated calcium and/or vitamin D during the postoperative period. Materials and Methods: In this article, a literature review – 15 studies that used routine perioperative calcium (7 studies), vitamin D (2 studies) and calcium with vitamin D (11 studies) supplementation was performed. Supplementation effectiveness in prevention of postoperative hypocalcemia was compared to no prophylaxis in 10 studies. Five studies compared the effect of combined administration (calcium and vitamin D) to calcium alone. The number of papers dealing with this problem is not particularly high. Results: Supplementation significantly decreased the rate of laboratory and symptomatic hypocalcemia. It was also effective in reducing the severity of symptoms. The combination of calcium with vitamin D was the most effective strategy. No hypercalcemia or parathyroid hormone inhibition was observed in the supplemented groups. Routine supplementation was less expensive than performing laboratory tests in the course of treatment of hypocalcemia. Conclusions: The results of analyzed studies showed the clinical and economic advantage of routine perioperative prophylactic supplementation of vitamin D and/or calcium as compared to no prophylaxis. However, the majority of studies showed a significant range of variability in patients’ characteristics. Numerous studies did not evaluate the preoperative 25-hydroxycholecalciferol level – a risk factor for postoperative hypocalcemia. Discussion: The use of routine prophylactic supplementation of calcium and vitamin D in the perioperative period can be useful in everyday clinical practice. Further research is needed to draw clear guidelines regarding prophylactic calcium and vitamin D therapy for patients after thyroidectomy.
    Źródło:
    Polish Journal of Surgery; 2018, 90, 4; 46-50
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Persistent hyperthyroidism in a patient after total thyroidectomy: the thyroid anatomy has implications for treatment
    Autorzy:
    Młodożeniec, Aleksandra
    Gala-Błądzińska, Agnieszka
    Powiązania:
    https://bibliotekanauki.pl/articles/2038197.pdf
    Data publikacji:
    2021-06-30
    Wydawca:
    Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
    Tematy:
    Grave’s disease
    pyramidal lobe
    scintigraphy
    thyroidectomy
    Opis:
    Introduction. Grave’s disease (GD) can be treated using three modalities: anti-thyroid medications, radioactive iodine therapy (RAI), or surgery. If surgery is selected, total thyroidectomy is the procedure of choice. Patients with hyperthyroidism frequently have an enlarged thyroid gland, occasionally with a pyramidal lobe. Aim. We point the usefulness of thyroid scintigraphy, which provides valuable information regarding the thyroid anatomy. Description of the case. The manuscript presents a case report of 43-year-old woman with unstable Grave’s disease, who underwent thyroidectomy and developed persistent hyperthyroidism postoperatively. She was referred by an endocrinologist to a nuclear medicine outpatient clinic for RAI therapy. I-iodide scintigraphy revealed two foci with excessive tracer accumulation. One of the foci in the middle of the neck corresponded to the pyramidal lobe. Conclusion. The thyroid anatomy anomalies can lead to unnecessary implications for treatment. Identifying the pyramidal lobe preoperatively and removing it from patients requiring total thyroidectomy may decrease the recurrence rate of hyperthyroidism. Thyroid scintigraphy is a useful diagnostic tool to visualize the pyramidal lobe.
    Źródło:
    European Journal of Clinical and Experimental Medicine; 2021, 2; 186-188
    2544-2406
    2544-1361
    Pojawia się w:
    European Journal of Clinical and Experimental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Preparation of patients submitted to thyroidectomy with oral glucose solutions
    Autorzy:
    Lubiszewski, Michał
    Drozda, Rafał
    Śmigielski, Janusz
    Kuzdak, Krzysztof
    Kołomecki, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/1394599.pdf
    Data publikacji:
    2012
    Wydawca:
    Index Copernicus International
    Tematy:
    postoperative insulin-resistance
    thyroidectomy
    response to injury
    Opis:
    The aim of the study was to determine postoperative insulin-resistance in patients subject to total thyroidectomy, the prevalence of subjective feelings of hunger immediately before surgery, and the incidence of nausea/ vomiting after surgery in patients prepared for elective operations by means of oral glucose solutions. Material and methods. The study group comprised 115 patients, including 71 patients prepared for surgery by means of oral glucose solutions (12.5% glucose) administered 12 and 3 hours before the procedure, at a dose of 800 and 400 ml. The control group comprised 44 patients prepared for surgery by means of the traditional manner- the last meal was served before 2pm the day before the surgical procedure, while fluids before 10pm. Considering both groups, we evaluated glucose and insulin levels three times, as well as determined the insulin-resistance ratio (HOMA-IR) 24 before, and 12 hours and 7 days after surgery. The incidence of nausea and vomiting after surgery, and the subjective feeling of hunger before surgery were also evaluated. Results. Statistically significant differences considering insulin level and HOMA-IR values were observed during the II and III measurements. The glucose and insulin values, and the HOMA-IR insulinresistance ratio, showed no statistically significant differences during measurement I. No statistically significant glucose level differences were observed during measurements II and III. A significantly greater subjective feeling of hunger before surgery and nausea/vomiting afterwards were observed in the control group. Conclusions. The preparation of patients with oral glucose solutions decreases the incidence of postoperative (thyroidectomy) insulin-resistance, and occurrence of nausea/vomiting during the postoperative period.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 5; 253-257
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    One-Day Thyroid Surgery – Is it Safe?
    Autorzy:
    Wieloch, Maria
    Koza, Piotr
    Kuzdak, Krzysztof
    Ziemniak, Piotr
    Kołomecki, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/1396277.pdf
    Data publikacji:
    2013-06-01
    Wydawca:
    Index Copernicus International
    Tematy:
    thyroidectomy
    one-day surgery
    postoperative bleeding
    tetany
    Opis:
    was to evaluate the safety of one-day thyroid surgery based on the assessment of the incidence of early postoperative complications. Material and methods. The study comprised 726 patients who underwent total thyroidectomy during the period between January, 2012 and February, 2013. The study considered the three most common thyroidectomy complications. Results. In the group of 726 patients, recurrent laryngeal nerve paralysis was observed in 22 cases, accounting for 3.07% of all patients. Postoperative bleeding was observed in 12 cases (1.65%). In 8 cases, bleeding occurred during the first 8 hours after surgery, while in the remaining four cases- 9, 12, 18, and 26 hours after surgery. The study group was divided into three subgroups, in which the concentrations of calcium and parathyroid hormone, 6 hours and 20 hours after surgery, were determined. In the first group (223 patients), only the parathyroid hormone level was determined. The decreased PTH level was associated with the appearance of tetany symptoms in 15% of cases. Amongst patients in whom the parathyroid hormone level was normal, tetany symptoms were observed in 0.5% of cases. In the second group (256 patients), only the serum calcium level was determined. Amongst patients with normal serum calcium levels, 1% of cases presented with tetany symptoms. In patients where the serum calcium level was reduced, tetany symptoms appeared in 35% of cases. In the third group (247 patients), both serum calcium and parathyroid hormone levels were determined. In the group of patients with normal, both serum calcium and parathyroid hormone levels, tetany symptoms were not observed. Amongst patients with normal serum calcium levels and decreased PTH levels on the day of surgery, tetany symptoms were observed in 25% of cases, while during the first postoperative day-37% of cases. Conclusion. One-day thyroid surgery, due to the appearance of complications cannot be regarded as a completely safe procedure.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 6; 317-322
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Early predictors of post – thyroidectomy hypoparathyroidism
    Autorzy:
    Sieniawski, Karol
    Kaczka, Krzysztof
    Paduszyńska, Katarzyna
    Fendler, Wojciech
    Tomasik, Bartłomiej
    Pomorski, Lech
    Powiązania:
    https://bibliotekanauki.pl/articles/1393727.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    hypoparathyroidism
    thyroid surgery
    total thyroidectomy
    intact PTH assay
    hypocalcemia
    Opis:
    Thyroid surgery is the most commonly performed procedure in the field of endocrine surgery. Studies are still ongoing on the development of a single algorithm for diagnosis and care of patients at risk of postoperative hypoparathyroidism. The aim of the study was to determine the biochemical marker that would allow the most accurate diagnosis of patient groups at risk of developing hypoparathyroidism and to identify risk factors for this disorder. Material and methods. The prospective study included 142 consecutive patients undergoing total thyroidectomy for benign goiter from January 1st 2014 to December 31st 2015. Serum intact parathyroid hormone (iPTH), total calcium (Ca), phosphate (P), and magnesium (Mg) levels have been measured preoperatively and at 1, 6, 24, and 48 h postoperatively. Results. Clinical symptoms of hypoparathyroidism developed in 25 (17.6%) of 142 patients. The best diagnostic accuracy for hypoparathyroidism based on ROC curves was obtained for iPTH at 6h (AUC 0.942; 95% CI: 0.866-1.000, p<0.001) and its percentage change from baseline ΔiPTH at 6h (AUC 0.930; 95% CI: 0.858-1.000, p<0.001). In an multivariate analysis, the preoperative Ca level higher by 0.1 mmol/l, and iPTH level higher by 0.1 pmol/l were associated with a lower risk of hypoparathyroidism, by 68% (p=0.012) and 61% (p=0.007), respectively. A 1% decline in iPTH from baseline increased the risk of hypoparathyroidism by 15% (p<0.001). Conclusions. The most reliable markers indicating a high risk of postoperative hypoparathyroidism are the decline in ΔiPTH at 6h by > 65% or iPTH level at 6h <1.57 pmol /l. A postoperative decline in iPTH levels is an independent risk factor for the development of hypoparathyroidism. Preoperative higher concentrations of Ca and iPTH are protective factors for the development of this disorder.
    Źródło:
    Polish Journal of Surgery; 2016, 88, 6; 540-555
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Endoscopic treatment of oesophageal injury after thyroidectomy – a case report
    Autorzy:
    Radziuk, Dagmara
    Witzling, Mieczysław
    Powiązania:
    https://bibliotekanauki.pl/articles/1392110.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    cervical oesophageal perforation
    oesophageal injury
    oesophagogastroscopy
    oesophagus dilation
    thyroidectomy
    Opis:
    The most common complications after thyroidectomy are postoperative neck hematoma, recurrent laryngeal nerve injury and hypoparathyroidism [1]. However, iatrogenic cervical esophageal perforation is a very rare repercussion of this procedure. In literature there are a few reported cases concerning this complication. We want to report a case of a patient with severe esophageal injury resulting from thyroidectomy.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 6; 50-52
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Glove failure in elective thyroid surgery: A prospective randomized study
    Autorzy:
    Timler, Dariusz
    Kusiński, Michał
    Iltchev, Petre
    Szarpak, Łukasz
    Śliwczyński, Andrzej
    Kuzdak, Krzysztof
    Marczak, Michał
    Powiązania:
    https://bibliotekanauki.pl/articles/2177242.pdf
    Data publikacji:
    2015-04-02
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    thyroidectomy
    surgical gloves
    surgeon
    glove failure
    elective surgery
    thyroid surgery
    Opis:
    Objectives To analyze perforation rate in sterile gloves used by surgeons in the operating theatre of the Department of Endocrinological and General Surgery of Medical University of Lodz. Material and Methods Randomized and controlled trial. This study analyses the incidents of tears in sterile surgical gloves used by surgeons during operations on 3 types of thyroid diseases according to the 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. Nine hundred seventy-two pairs (sets) of gloves were collected from 321 surgical procedures. All gloves were tested immediately following surgery using the water leak test (EN455-1) to detect leakage. Results Glove perforation was detected in 89 of 972 glove sets (9.2%). Statistically relevant more often glove tears occurred in operator than the 1st assistant (p < 0.001). The sites of perforation were localized mostly on the middle finger of the non-dominant hand (22.5%), and the non-dominant ring finger (17.9%). Conclusions This study has proved that the role performed by the surgeon during the procedure (operator, 1st assistant) has significant influence on the risk of glove perforations. Nearly 90% of glove perforations are unnoticed during surgery.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2015, 28, 3; 499-505
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Use of piezoelectric instruments in larynx surgery
    Autorzy:
    Jurek, Olga
    Wójtowicz, Piotr
    Krzeski, Antoni
    Powiązania:
    https://bibliotekanauki.pl/articles/1398485.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    piezoelectric knife
    cartilages of larynx
    thyroidectomy
    open partial laryngectomy
    larynx stenosis
    Opis:
    Objective: The aim of the study was to estimate usability of the piezoelectric knife in larynx surgery. Prove that the piezoelectric staff can be used to do any different shape incision within the larynx cartilages. Material and methods: 35 patients hospitalized in our Department in 2014–2016 were enrolled in our study. 24 patients went vertical partial laryngectomy and 1 patient went horizontal partial laryngectomy because of larynx cancer. 5 patients went partial laryngectomy because of low stage of piriformis recess cancer. Piezoelectric staff was used to do thyroidectomy and resection of thyroid cartilage suspected of carcinomatosis infiltration. The rest 4 patients had done widening of larynx lumen due to larynx stenosis or slenderness. The piezoelectric tool was used to do different incision or resection within the larynx cartilages in case of widening lumen of the larynx. Results: The larynx cartilages, especially thyroid cartilage could be cut in different shapes using piezoelectric tools. The usage of this equipment causes the minimal loss and small destruction of local healthy tissues. Conclusions: The Piezoelectric instrument is useful instrument suit to operate within larynx cartilages. Exchangeable tip available in different shapes enables different resections of cartilages. Using the piezoelectric staff we can remove pathological tissue with minimal local destruction. Our observation shows that larynx operation with a usage of the piezoelectric knife is safe and effective. Current English literature does not describe usage piezoelectric tools in larynx surgery. It is essential to do more observation about that type of operations.
    Źródło:
    Polish Journal of Otolaryngology; 2017, 71, 5; 1-4
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Impact of the laryngeal nerves anatomy on the intraoperative neuromonitoring results in surgery of thyroid gland and functional results after partial laryngectomies
    Autorzy:
    Berger, Greta
    Kosztyła - Hojna, Bożena
    Chyczewski, Lech
    Powiązania:
    https://bibliotekanauki.pl/articles/1392222.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    recurrent laryngeal nerve (RLN)
    superior laryngeal nerve (SLN)
    thyroidectomy
    partial laryngectomy
    neuromonitoring
    Opis:
    The aim of this work was to describe, interpret and highlight the impact of neuroanatomy in the region of the larynx on intraoperative neuromonitoring (IONM) during thyroidectomy. A rich network of anastomoses of the recurrent laryngeal nerve (RLN) and superior laryngeal nerve (SLN) may have impact on the results of thyroidectomy and partial laryngectomy. Intraoperative neuromonitoring is a useful tool in the armamentarium of a head and neck surgeon but it will never replace profound knowledge of surgical anatomy and good surgical technique.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 2; 30-37
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Does neuromonitoring affect voice quality in patients subjected to a complete thyroidectomy ?
    Autorzy:
    Bryk, Piotr
    Głuszek, Stanislaw
    Powiązania:
    https://bibliotekanauki.pl/articles/23203211.pdf
    Data publikacji:
    2021-05-12
    Wydawca:
    Index Copernicus International
    Tematy:
    intraoperative neuromonitoring
    recurrent laryngeal nerve
    vocal cord
    thyroidectomy
    voice assessment
    voice quality
    Opis:
    Introduction: Voice dysfunction is the most common complication of thyroid surgery. The use of intraoperative neuromonitoring (IONM) is to protect the recurrent laryngeal nerves, the damage of which causes voice dysfunction. Aim: The aim of the study was to evaluate voice quality in patients who underwent complete thyroidectomy operated on with the application of IONM as well as a group of patients operated on with only macroscopic nerve visualization. In the analysis, clinical voice assessment was performed with particular focus on voice efficiency using the Voice Handicap Index (VHI), Vocal Tract Discomfort (VTD) and GRBAS scale. Material and methods: The study group consisted of 205 patients operated on with IONM. The control group consisted of 162 patients subjected to surgery only with macroscopic visualization of recurrent laryngeal nerves, without IONM. During the follow-up period from 2 to 10 years after surgery, checkups were performed. Each patient who came for a checkup was subjected to perceptual voice evaluation with the use of the GRBAS scale, indirect laryngoscopy procedure and voice selfevaluation with two questionnaires (VHI and VTD). Results: The frequency of vocal fold palsy did not differ significantly statistically in the study group and the control group. Both in the study group and in the control group, patients with vocal fold paralysis had statistically significantly higher results in the VHI and VTD questionnaires as well as in the GRBAS study. Conclusion: Patients with recurrent laryngeal nerve injury show significant differences in the scope of voice handicap, both in the voice quality assessment with the use of the GRBAS scale, and self-evaluation questionnaires: VHI and VTD. All voice disorders evaluated with self-assessment are medium voice disability
    Źródło:
    Polish Journal of Otolaryngology; 2021, 75, 5; 16-23
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Quality of life of patients after total and subtotal thyroidectomy
    Jakość życia pacjentów po tyroidektomii totalnej i subtotalnej
    Autorzy:
    Król, Anna
    Grochowska, Aneta
    Bodys-Cupak, Iwona
    Łabuzek, Monika
    Kołpa, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/2098011.pdf
    Data publikacji:
    2020-10-06
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    jakość życia
    tarczyca
    zabieg operacyjny
    tyroidectomia
    thyroidectomy
    quality of life
    thyroid gland
    surgical procedure
    Opis:
    Introduction: Thyroid diseases, especially those that require surgical treatment, are an extremely strong emotional stimulus for the patient. They evoke not only anxiety disorders, but also in the case of complications (especially those long-lasting) can even generate depressive disorders, or significantly affect the patient’s self-esteem, and thus its functioning at the social level. Aim of the study: The objective of the study was to examine the quality of life of patients who underwent surgical treatment of total and subtotal thyroidectomy. Material and methods: The study was conducted in a group of 102 patients undergoing surgery at the General Surgery Ward of the Hospital. St. Łukasz in Tarnów in the period from December 2018 to April 2019, as well as residents of Małopolska, who had performed thyroidectomy. In research have been used ThyPROpl, VAS Scale, and self-prepared questionnaires. Results: The most common complications of thyroidectomy were tingling and numbness around the mouth and limbs (42.2%). Patients who had symptoms of tetany had a reduced perception of quality of life and health, as well as the quality of life in all its areas. The respondents had a degraded, reduced quality of life in terms of the negative impact of the disease on life (62.01) and fatigue (56.23). The greater the intensity of pain, the lower the quality of life of patients after thyroidectomy. Conclusions: There is the relationship between the quality of life and the number of complications, as well as the severity of pain. This dependence is directly proportional.
    Wprowadzenie: Choroby tarczycy, zwłaszcza te, które wymagają leczenia operacyjnego są niezwykle silnym bodźcem emocjonalnym dla chorego. Wywołują one nie tylko dolegliwości lękowe, ale także w przypadku powikłań (zwłaszcza tych długotrwałych) mogą generować nawet zaburzenia depresyjne, bądź w znaczący sposób wpływać na samoocenę pacjenta, a tym samym jego funkcjonowanie na płaszczyźnie społecznej. Cel pracy: Celem pracy było zbadanie jakości życia pacjentów, którzy poddani byli zabiegowi strumektomii tak totalnej jak i subtotalnej. Materiał i metody: Badanie przeprowadzono w grupie 102 pacjentów poddanych operacji w Oddziale Chirurgii Ogólnej Szpitala im. Św. Łukasza w Tarnowie w okresie od grudnia 2018 roku do kwietnia 2019 roku, a także mieszkańców Małopolski, którzy mieli wykonaną tyreodektomię. W badaniach wykorzystano kwestionariusz ThyPROpl, skalę VAS, a także ankietę autorską. Wyniki: Najczęstszymi powikłaniami strumektomii były mrowienie i drętwienie wokół ust oraz kończynach (42,2%). Pacjenci, u których występowały objawy tężyczki posiadali obniżoną percepcję jakości życia i zdrowia, a także jakość życia we wszystkich jego dziedzinach. Ponadto ankietowani posiadali zdegradowaną obniżoną jakość życia w zakresie negatywnego wpływu choroby na życie (62,01) oraz zmęczenia (56,23). Im większe było natężenie bólu, tym niższa była jakość życia pacjentów po strumektomii. Wnioski: Istnieje związek pomiędzy jakością życia badanych po strumektomii a liczbą powikłań, stopniem nasilenia dolegliwości bólowych. Zależność ta jest wprost proporcjonalna.
    Źródło:
    Health Promotion & Physical Activity; 2020, 12, 3; 29-39
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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