Morbidity Following Central Compartment Reoperation for Recurrent or Persistent Thyroid Cancer

Michael K. Kim, Susan H. Mandel, Zubair Baloch, Virginia A. LiVolsi, Jill E. Langer, Liesje DiDonato, Stephanie Fish, Randal S. Weber
2004 Archives of Otolaryngology - Head and Neck Surgery  
Objective: To determine the incidence of recurrent laryngeal nerve injury and hypoparathyoidism, we reviewed our experience with central compartment reoperation. Design: Patients underwent preoperative ultrasonography and magnetic resonance imaging of the neck. Ultrasound-guided fine-needle aspiration biopsy was performed and demonstrated evidence of tumor in 15 patients. At the time of surgery, hook wire electrodes were placed endoscopically into 1 or both vocal cords to monitor the integrity
more » ... itor the integrity of the recurrent laryngeal nerve. Patients: The study population comprised 20 patients who had undergone reoperative central compartment dissections between the years 1997 and 2001. There were 15 women and 5 men whose mean age was 49.4 years. All of the patients had prior total or subtotal thyroidectomy, and 4 patients had prior neck dissections. A primary thyroid cancer recurrence in the thyroid bed was present in 7 patients, and the remainder of the patients had cytological evidence of paratracheal or mediastinal metastases. A single patient had evidence of distant metastases involving the lung. Main Outcome Measure: Short-and long-term postoperative morbidity.
doi:10.1001/archotol.130.10.1214 pmid:15492172 fatcat:viajsxndavfjjpculjg5xy5q7a