Transient Aphonia After Mediastinoscopy

Velez-Cubian, Frank O.; Toosi, Kavian; Glover, J.; Pancholy, Bharat; Hong, Edward

doi:10.1016/j.athoracsur.2017.01.027

Cited by 3 publications

(1 citation statement)

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“…The reason for the absence of temporary or permanent postoperative recurrent nerve paresis in our cases may be explained by avoidance of electrocautery or local anesthesia usage. 27 The prevalence of major procedure-related bleeding was reported to be in the range of 0.1% to 0.4%. 25 Absence of any cases having undergone previous radiotherapy may be the reason for not observing major bleeding in our population.…”

Section: Discussionmentioning

confidence: 99%

The role of mediastinoscopy in the diagnosis of non-lung cancer diseases

Onat

Ateş²,

Avcı

et al. 2017

TCRM

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BackgroundMediastinoscopy is a good method to evaluate mediastinal lesions. We sought to determine the current role of mediastinoscopy in the investigation of non-lung cancer patients with mediastinal lymphadenopathy.Materials and methodsWe retrospectively reviewed clinical parameters (age, gender, histological diagnosis, morbidity, mortality) of all patients without lung cancer who consecutively underwent mediastinoscopy in Hospital of Faculty of Medicine of Dicle University between June 2003 and December 2016.ResultsTwo-hundred twenty nine patients without lung cancer who underwent mediastinoscopy for the pathological evaluation of mediastinum during the study period were included. There were 156 female (68%) and 73 male (32%) patients. Mean age was 52.6 years (range, 16 to 85 years). Mean operative time was 41 minutes (range, 25 to 90 minutes). Mean number of biopsies was 9.3 (range, 5 to 24). Totally, 45 patients (19.6%) had previously undergone a nondiagnostic bronchoscopic biopsy such as transbronchial needle aspiration or endobronchial ultrasound-guided transbronchial needle aspiration. Mediastinoscopy was diagnostic for all patients. Diagnosis included sarcoidosis (n=100), tuberculous lymphadenitis (n=66), anthracosis lymphadenitis (n=44), lymphoma (n=11) metastatic carcinoma (n=5), and Castleman’s disease (n=1); there was a diagnosis of silicosis in one patient and tymoma in one patient. Neither operative mortality nor major complication developed. The only minor complication was wound infection which was detected in three patients.ConclusionAlthough newer diagnostic modalities are being increasingly used to diagnose mediastinal diseases, mediastinoscopy continues to be a reliable method for the investigation of mediastinal lesions.

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Section: Discussionmentioning

confidence: 99%