We recently began performing intraoperative electrophysiologic monitoring of the recurrent laryngeal nerve and the external branch of the superior laryngeal nerve during high-risk thyroidectomies. Neuromonitoring can detect stimulation of these nerves and thereby prevent a mechanical or thermal injury that can result in neurapraxia or axonotmesis. Monitoring is also useful during dissection in ...

Background An intrathoracic goiter (ITG) is defined as a thyroid extension below the sternal notch. Compared to cervical goiters, surgery for ITG more challenging, with higher risk of an extracervical approach. Ultrasound (US)-guided radiofrequency ablation (RFA) minimally invasive treatment modality. The purpose this study was prospectively evaluate safety and efficacy RFA in patients ITG.Meth...

BACKGROUND Thyrotoxicosis after total thyroidectomy is mostly iatrogenic. Rarely, a hyperfunctional thyroid remnant or ectopic tissue may be the cause. There are few cases of Graves' disease arising from thyroid tissue located in the mediastinum and none in which Graves' disease was diagnosed only after surgery. We report the case of a patient with Graves's disease in a mediastinal thyroid mass...

HYPOTHESIS A thoracic approach is commonly required in certain subsets of patients with a mediastinal thyroid mass. DESIGN A retrospective review. SETTING A tertiary referral center. PATIENTS Nine hundred seventy-six consecutive patients who underwent thyroid surgery by a single surgeon from June 1, 1991, to March 30, 1999. Symptoms of airway compression, including respiratory distress, d...

endovascular techniques (stents or selective embolization) or surgery (either open or laparoscopic in selected cases) in order to resect the aneurysm or ligate the splenic artery, while attempting to preserve the spleen. For the diagnosis of ruptured splenic aneurysms, computed tomography with intravenous contrast is the best option in the emergency setting in hemodynamically stable patients. H...