Effect of neurological monitoring in postoperative 5–15 days residual thyroidectomy after primary thyroid cancer surgery

Long, M. Louisa; Diao, Feiyang; Peng, Lina; Tan, Langping; Zhu, Yue; Li, Honghao

doi:10.1111/ajco.12981

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…4 Unlike tumours of the extremities, HNO presents a diagnostic challenge due to its rare occurrence, its variation in presenting complaints and its suboptimal visualization of the typical radiological features, which often leads to the misinterpretation of lesions as other diseases. Until now, there have been few studies reporting the imaging features of HNO, [6][7][8][9][10] with case reports only describing CT features in review articles and case series in the head and neck. The present large series aims to review the imaging features of HNO in CT and MRI scans from 37 patients and to analyze the clinical and pathological characteristics of patients with HNO across three institutions from June 2005 to January 2019.…”

Section: Introductionmentioning

confidence: 99%

Head and neck osteosarcoma: CT and MR imaging features

Luo

Chen

Shen

et al. 2020

Dentomaxillofacial Radiology

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Objective: This study aims to assess the CT and MRI features of head and neck osteosarcoma (HNO). Methods: 37 HNOs were identiﬁed, and the following imaging characteristics were reviewed on CT and MRI. Results: A total of 37 patients(age 41.5 ± 15.0 years old; 16 males, 21 females) were included in the study. Tumours occurred in the maxilla (16, 43.2%), mandible (8, 21.6%), skull base (6, 16.2%), calvarium (5, 13.5%), paranasal sinuses (1, 2.7%) and cervical soft tissue (1, 2.7%). 16 patients received radiotherapy for nasopharyngeal carcinoma. Three patients (8.1%) developed osteosarcomas related to a primary bone disease. 16 of the (43.2%) tumours demonstrated lytic density on CT scans, followed by 13 (35.1%) showing mixed density and 7 (18.9%) with sclerotic density. Matrix mineralization was present in 32 (86.5%). 3 out of 24 (12.5%) tumours showed lamellar periosteal reactions, 21 out of 24 (87.5%) showed spiculated periosteal reactions. 12 tumours showed low signal intensities on T1WI, with 16 having heterogeneous signal intensities. 10 tumours showed high signal intensities on T2WI, and 18 showed heterogeneous signal intensities. With contrast-enhanced images, 3 tumours showed homogeneous enhancement (2 osteoblastic and 1 giant cell-rich), 18 tumours showed heterogeneous enhancement (13 osteoblastic, 4 fibroblastic and 1 giant cell-rich), and 7 tumours showed peripheral enhancement (6 chondroblastic and 1 osteoblastic). These tumours were characterized by soft tissue masses with a diameter of 5.6 ± 1.8 cm. Conclusions: HNO is a rare condition and is commonly associated with previous radiation exposure. This study provides age, sex distribution, location, CT and MRI features of HNO.

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Section: Introductionmentioning

confidence: 99%

Head and neck osteosarcoma: CT and MR imaging features

Luo

Chen

Shen

et al. 2020

Dentomaxillofacial Radiology

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The impact of intraoperative neural monitoring during papillary thyroid cancer surgery on completeness of thyroidectomy and thyroglobulin response: a propensity-score matched study

Iscan,

Sengun,

Karatas

et al. 2024

Acta Chirurgica Belgica

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Does the Use of Intraoperative Neuromonitoring during Thyroid and Parathyroid Surgery Reduce the Incidence of Recurrent Laryngeal Nerve Injuries? A Systematic Review and Meta-Analysis

Saxe,

Idris,

Gemechu

2024

Diagnostics

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Injury to the recurrent laryngeal nerve (RLN) can be a devastating complication of thyroid and parathyroid surgery. Intraoperative neuromonitoring (IONM) has been proposed as a method to reduce the number of RLN injuries but the data are inconsistent. We performed a meta-analysis to critically assess the data. After applying inclusion and exclusion criteria, 60 studies, including five randomized trials and eight non-randomized prospective trials, were included. A meta-analysis of all studies demonstrated an odds ratio (OR) of 0.66 (95% CI [0.56, 0.79], p < 0.00001) favoring IONM compared to the visual identification of the RLN in limiting permanent RLN injuries. A meta-analysis of studies employing contemporaneous controls and routine postoperative laryngoscopy to diagnose RLN injuries (considered to be the most reliable design) demonstrated an OR of 0.69 (95% CI [0.56, 0.84], p = 0.0003), favoring IONM. Strong consideration should be given to employing IONM when performing thyroid and parathyroid surgery.

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Effect of neurological monitoring in postoperative 5–15 days residual thyroidectomy after primary thyroid cancer surgery

Cited by 3 publications

References 12 publications

Head and neck osteosarcoma: CT and MR imaging features

Head and neck osteosarcoma: CT and MR imaging features

The impact of intraoperative neural monitoring during papillary thyroid cancer surgery on completeness of thyroidectomy and thyroglobulin response: a propensity-score matched study

Does the Use of Intraoperative Neuromonitoring during Thyroid and Parathyroid Surgery Reduce the Incidence of Recurrent Laryngeal Nerve Injuries? A Systematic Review and Meta-Analysis

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