Nasotracheal prolonged safe extubation in acute respiratory failure post-thyroidectomy: An efficacious technique to avoid tracheotomy? A retrospective analysis of a large case series

Ferraro, Fabrizio; Gambardella, Claudio; Testa, Domenico; Santini, Luigi; Marfella, Raffaele; Fusco, Pierluigi; Lombardi, Celestino Pio; Polistena, Andrea; Sanguinetti, Alessandro; Avenia, Nicola; Conzo, Giovanni

doi:10.1016/j.ijsu.2017.03.082

International Journal of Surgery

2017

DOI: 10.1016/j.ijsu.2017.03.082

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Nasotracheal prolonged safe extubation in acute respiratory failure post-thyroidectomy: An efficacious technique to avoid tracheotomy? A retrospective analysis of a large case series

Fabrizio Ferraro

Claudio Gambardella

Domenico Testa

et al.

Abstract: In our series, the prolonged safe extubation reduced the almost totality of expected tracheotomies in patients with acute respiratory failure following thyroid surgery (84.2%), demonstrating its feasibility and efficacy. It was a well tolerated and minimal invasive procedure that allowed a good respiratory ability and a fast clinical resolution of the laryngeal functional impairment.

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Cited by 4 publications

References 25 publications

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Recurrent nerve damage following thyroid surgery: What can I do?

Testa,

Del Vecchio,

Motta

et al. 2024

World j. otorhinolaryngol.-head neck surg.

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ObjectivesBilateral recurrent nerve damage still represents one of the main complications following thyroid surgery, even though the nerve intraoperative monitoring has allowed the decrease of this injury. This observational retrospective study aims to define the onset modalities and the recovery time of different clinical conditions that may occurs after thyroidectomy.MethodsFrom a total of 1417 patients who underwent total thyroidectomy for benign tumors between 2017 and 2022 in ENT Unit of University of Campania “L. Vanvitelli,” this study involved 30 patients with bilateral vocal folds motility deficit. These patients (28 F, 2 M), aged from 24 to 78 years old (average age 51.7), presented a bilateral vocal fold motility deficit. Five patients of the study developed an acute respiratory failure upon the awakening that required a nasotracheal prolonged safe extubation. The other 25 patients underwent 9 months diagnostic and therapeutic process, which started approximately 30 days after thyroid surgery.ResultsIndeed, there are several outcomes of these complications, like functional laryngeal defects, which are mainly related to respiratory and phonatory activities. These clinical manifestations can evolve in different ways within a context of a wide range of possibilities, from the spontaneous bilateral or monolateral recovery to the necessity of a functional or surgical restoration.ConclusionThis study allowed the acquisition of useful information about prognostic indications and an adequate therapeutic process, based on the specific clinical characteristics.

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Recurrent nerve damage following thyroid surgery: What can I do?

Testa,

Del Vecchio,

Motta

et al. 2024

World j. otorhinolaryngol.-head neck surg.

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Management of surgical diseases of thyroid gland indications of the United Italian Society of Endocrine Surgery (SIUEC)

Río

Polistena²,

Chiofalo

et al. 2023

Updates Surg

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A task force of the United Italian society of Endocrine Surgery (SIUEC) was commissioned to review the position statement on diagnostic, therapeutic and health‑care management protocol in thyroid surgery published in 2016, at the light of new technologies, recent oncological concepts, and tailored approaches. The objective of this publication was to support surgeons with modern rational protocols of treatment that can be shared by health-care professionals, taking into account important clinical, healthcare and therapeutic aspects, as well as potential sequelae and complications. The task force consists of 13 members of the SIUEC highly trained and experienced in thyroid surgery. The main topics concern clinical evaluation and preoperative workup, patient preparation for surgery, surgical treatment, non-surgical options, postoperative management, prevention and management of major complications, outpatient care and follow-up.

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Outcomes of 1,327 patients operated on through twelve multispecialty surgical volunteerism missions: A retrospective cohort study

Latifi

Rivera

Gachabayov

et al. 2018

International Journal of Surgery

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Nasotracheal prolonged safe extubation in acute respiratory failure post-thyroidectomy: An efficacious technique to avoid tracheotomy? A retrospective analysis of a large case series

Cited by 4 publications

References 25 publications

Recurrent nerve damage following thyroid surgery: What can I do?

Recurrent nerve damage following thyroid surgery: What can I do?

Management of surgical diseases of thyroid gland indications of the United Italian Society of Endocrine Surgery (SIUEC)

Outcomes of 1,327 patients operated on through twelve multispecialty surgical volunteerism missions: A retrospective cohort study

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