The role of otolaryngologist - head and neck surgeon's in the treatment of thyroid cancer
Journal Title: Otolaryngologia Polska - Year 2016, Vol 70, Issue 1
Abstract
Introduction: Thyroid gland is an integral part of the neck region. In the topographic anatomy of the head and neck the gland is located in the middle triangle of the neck. Therefore, it is an organ which is also subject for diagnostic and treatment by otorhinolaryngologists - head and neck surgeons. Material and methods The study group consists of 50 patients aged from 22 to 76 years (mean 48). All patients were treated for suspected thyroid tumor. The ratio of women to men was 35:15. In all patients the same panel of diagnostic tests was used including: endocrinologic consultation, ENT examination with stroboscopic examination with assessment of vocal cord mobility, neck ultrasound examination to assess the thyroid gland and lymph nodes. Results In 50 patients following surgical methods were used: total resection of the thyroid - 28 patients (56%), resection of one lobe of the thyroid - 17 (34%), open biopsy - 6 (12%) patients. In 5 cases tracheotomy was performed. In the case of malignancy (excluding unresctable lesions - 6 patients) selective lymph node dissection of the neck was performed (field III, IV, VI) - 11 patients (22%). Discussion Results of surgical treatment (relative to the percentage damage to the recurrent laryngeal nerve) achieved by head and neck surgeons are at levels comparable or higher compared to the results achieved by general surgeons - 1.3% for primary benign lesions (Enomoto et al.)
Authors and Affiliations
Marcin Sówka, Anna Wegner, Ewa Majchrzak, Wojciecj Golusiński
Keywords
Related Articles
- EP ID EP76628
- DOI 10.5604/00306657.1193070
- Views 93
- Downloads 0
Reconstruction after maxillectomy using the temporalis muscle flap – our experience
The aim of study: The study presents a method of a reconstruction of the palatum after maxillectomy.This method is choosen in selected cases of malignant tumors of the maxilla. Material and methods: The method is combine...
Ocena testu skrętu szyi w badaniach obiektywnych u chorych z zawrotami głowy i/lub niedosłuchem
Wstęp: Celem pracy była ocena wartości diagnostycznej testu skrętu szyi w badaniu VNG i ultrasonografii dopplerowskiej oraz słuchowych potencjałów wywołanych z pnia mózgu u chorych z zawrotami głowy i/lub zaburzeniami sł...
Uchyłki przedniej ściany gardła po laryngektomii całkowitej
Pharyngeal anterior diverticulum, also known as pseudoepiglottis is one of the most common disorders after total laryngectomy. The aim of this studywas to evaluate frequency of diverticulum after different types of total...
Emergence pathogens infections in ENT Department of Children’s Hospital in 2005-2008
Introduction: The development of medicine, in this the new techniques and antibiotic therapy enlarged the survivability of patients in hospital. Applying antibiotics caused breakthrough in treatment stepping out in ill’s...
Round window’s movability measurements with helping of LDV in evaluation of ossicular chain functioning
Round window’s movability measurements with helping of LDV in evaluation of ossicular chain functioning. Aim of study: Quantitive evaluation of round window movability in normal conditions and after malleus stapes assemb...