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Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve

Technological advances in thyroid surgery have rapidly increased in recent decades. Specifically, recently developed energy-based devices (EBDs) enable simultaneous dissection and sealing tissue. EBDs have many advantages in thyroid surgery, such as reduced blood loss, lower rate of post-operative h...

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Autores principales: Wang, Jia Joanna, Huang, Tzu-Yen, Wu, Che-Wei, Lin, Yi-Chu, Tseng, Hsin-Yi, Liu, Cheng-Hsin, Lu, I-Cheng, Chang, Pi-Ying, Chen, Hui-Chun, Chen, Hsiu-Ya, Dionigi, Gianlorenzo, Chiang, Feng-Yu, Wang, Ling-Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662988/
https://www.ncbi.nlm.nih.gov/pubmed/34899616
http://dx.doi.org/10.3389/fendo.2021.793431
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author Wang, Jia Joanna
Huang, Tzu-Yen
Wu, Che-Wei
Lin, Yi-Chu
Tseng, Hsin-Yi
Liu, Cheng-Hsin
Lu, I-Cheng
Chang, Pi-Ying
Chen, Hui-Chun
Chen, Hsiu-Ya
Dionigi, Gianlorenzo
Chiang, Feng-Yu
Wang, Ling-Feng
author_facet Wang, Jia Joanna
Huang, Tzu-Yen
Wu, Che-Wei
Lin, Yi-Chu
Tseng, Hsin-Yi
Liu, Cheng-Hsin
Lu, I-Cheng
Chang, Pi-Ying
Chen, Hui-Chun
Chen, Hsiu-Ya
Dionigi, Gianlorenzo
Chiang, Feng-Yu
Wang, Ling-Feng
author_sort Wang, Jia Joanna
collection PubMed
description Technological advances in thyroid surgery have rapidly increased in recent decades. Specifically, recently developed energy-based devices (EBDs) enable simultaneous dissection and sealing tissue. EBDs have many advantages in thyroid surgery, such as reduced blood loss, lower rate of post-operative hypocalcemia, and shorter operation time. However, the rate of recurrent laryngeal nerve (RLN) injury during EBD use has shown statistically inconsistent. EBDs generate high temperature that can cause iatrogenic thermal injury to the RLN by direct or indirect thermal spread. This article reviews relevant medical literatures of conventional electrocauteries and different mechanisms of current EBDs, and compares two safety parameters: safe distance and cooling time. In general, conventional electrocautery generates higher temperature and wider thermal spread range, but when applying EBDs near the RLN adequate activation distance and cooling time are still required to avoid inadvertent thermal injury. To improve voice outcomes in the quality-of-life era, surgeons should observe safety parameters and follow the standard procedures when using EBDs near the RLN in thyroid surgery
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spelling pubmed-86629882021-12-11 Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve Wang, Jia Joanna Huang, Tzu-Yen Wu, Che-Wei Lin, Yi-Chu Tseng, Hsin-Yi Liu, Cheng-Hsin Lu, I-Cheng Chang, Pi-Ying Chen, Hui-Chun Chen, Hsiu-Ya Dionigi, Gianlorenzo Chiang, Feng-Yu Wang, Ling-Feng Front Endocrinol (Lausanne) Endocrinology Technological advances in thyroid surgery have rapidly increased in recent decades. Specifically, recently developed energy-based devices (EBDs) enable simultaneous dissection and sealing tissue. EBDs have many advantages in thyroid surgery, such as reduced blood loss, lower rate of post-operative hypocalcemia, and shorter operation time. However, the rate of recurrent laryngeal nerve (RLN) injury during EBD use has shown statistically inconsistent. EBDs generate high temperature that can cause iatrogenic thermal injury to the RLN by direct or indirect thermal spread. This article reviews relevant medical literatures of conventional electrocauteries and different mechanisms of current EBDs, and compares two safety parameters: safe distance and cooling time. In general, conventional electrocautery generates higher temperature and wider thermal spread range, but when applying EBDs near the RLN adequate activation distance and cooling time are still required to avoid inadvertent thermal injury. To improve voice outcomes in the quality-of-life era, surgeons should observe safety parameters and follow the standard procedures when using EBDs near the RLN in thyroid surgery Frontiers Media S.A. 2021-11-24 /pmc/articles/PMC8662988/ /pubmed/34899616 http://dx.doi.org/10.3389/fendo.2021.793431 Text en Copyright © 2021 Wang, Huang, Wu, Lin, Tseng, Liu, Lu, Chang, Chen, Chen, Dionigi, Chiang and Wang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Wang, Jia Joanna
Huang, Tzu-Yen
Wu, Che-Wei
Lin, Yi-Chu
Tseng, Hsin-Yi
Liu, Cheng-Hsin
Lu, I-Cheng
Chang, Pi-Ying
Chen, Hui-Chun
Chen, Hsiu-Ya
Dionigi, Gianlorenzo
Chiang, Feng-Yu
Wang, Ling-Feng
Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve
title Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve
title_full Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve
title_fullStr Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve
title_full_unstemmed Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve
title_short Improving Voice Outcomes After Thyroid Surgery – Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve
title_sort improving voice outcomes after thyroid surgery – review of safety parameters for using energy-based devices near the recurrent laryngeal nerve
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662988/
https://www.ncbi.nlm.nih.gov/pubmed/34899616
http://dx.doi.org/10.3389/fendo.2021.793431
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