[Indications for goiter surgery].

Dtsch Med Wochenschr

Published: April 1977

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Importance: Intraoperative nerve monitoring (IONM) is not considered standard of care during thyroidectomy, and guidelines are vague about its use in the absence of strong evidence of superiority over visualization of the recurrent laryngeal nerve (RLN) alone.

Objective: To characterize patterns of IONM use during thyroidectomy in the US and evaluate the association of IONM with postoperative outcomes.

Design, Setting, And Participants: This cohort study used the National Surgical Quality Improvement Program (NSQIP) thyroidectomy data from January 1, 2016, to December 31, 2022.

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Department of Otolaryngology, Pendik Training and Research Hospital, Marmara University, Istanbul, Türkiye.

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The ex-utero intrapartum treatment (EXIT) procedure is a specialized delivery strategy that extends utero-placental-fetal circulation to convert a potential neonatal emergency condition into a condition that is compatible with postnatal life. Cesarean section with operation on placental support is an EXIT technique that requires a relatively short duration of placental support and few skilled medical personnel and specialized instruments; it can successfully treat selected fetal indications. In the present study, we report a case of fetal thyroid goiter as an example of a fetal anomaly requiring the procedure.

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Article Synopsis
  • The study examines the surgical outcomes of thyroidectomy in patients aged 80 and older, noting an increase in procedures due to the growing elderly population.
  • Seventeen patients were analyzed, primarily female, with a mean age of 85.6 years; most had benign conditions and experienced no major complications post-surgery.
  • The findings suggest that thyroidectomy can be safely performed in older patients, offering significant benefits, including reduced compressive symptoms and improved overall quality of life.
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