Do flow volume loops alter surgical management in patients with a goitre?

Stevens, Jennifer; Constantinides, Vasilis; Todd, Jeannie F; Meeran, Karim; Christakis, Ioannis; Tolley, Neil; Palazzo, Fausto

doi:10.1111/cen.12539

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Evaluation of a suspected ITG includes full history and examination including fibreoptic nasendoscopy (FNE), baseline thyroid function tests (TFT), thyroid autoantibody screen, ultrasound guided fine-needle aspiration cytology (USgFNAC) and CT or MRI scanning [15]. The use of flow volume loops may detect subradiological tracheal compression, but rarely influences management in patients with ITG [16].…”

Section: Preoperative Evaluationmentioning

confidence: 99%

Surgical management of intrathoracic goitres

Simó

Nixon

Poorten

et al. 2018

Eur Arch Otorhinolaryngol

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Background Intrathoracic goitres (ITG) often present with compressive symptoms and require specialised care by experienced surgical teams. Most ITG can be accessed by a transcervical approach (TCA) and only between 1 and 15% will require an extracervical approach (ECA). Many controversies exist regarding the clinical presentation, evaluation, selection of cases for ECA, surgical technique and outcomes. This paper reviews the recent literature on the management, outcomes and evidence-based treatment strategies of ITG. Methods We conducted a review of the literature on the evaluation, management and outcomes of surgery for ITGs. Results The incidence of cancer in the ITGs ranges between 4 and 20%. Multiplanar CT scanning offers the best preoperative evaluation and aids to determine the approach. Most ITG can be accessed by TCA and ECA are only needed in maximum 15% of cases. In experienced hands, the outcome of these surgeries is comparable to thyroid surgery for non-ITG. Conclusions Surgery for ITG is challenging. The experienced surgeon however, with few exceptions can address ITG via TCA, with outcomes comparable to those of uncomplicated thyroid surgery.

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Section: Preoperative Evaluationmentioning

confidence: 99%