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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제14권 제2호
- 발행연도
- 2021.1
- 수록면
- 169 - 178 (10page)
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초록· 키워드
오류제보하기
Transoral thyroidectomy via the vestibular approach has become popular worldwide, with advantages including less surgical morbidity, excellent postoperative cosmesis, and superior functional voice outcomes. Several studies have reported that the surgical outcomes of the transoral approach were comparable to those of the conventional transcervical approach in selected patients. However, unusual complications, such as CO2 embolism, mental nerve injury, surgical space infection, skin perforation, burns, and trauma have been noted in transoral thyroidectomy. This paper aims to review and provide updated information on these complications and their management. Routine intraoperative neural monitoring is required to avoid laryngeal nerve palsy in the transoral approach. To prevent CO2 embolism, surgeons need to be careful not to injure the anterior jugular vein, and the CO2 insufflation pressure should be set as low as 4?6 mmHg. To avoid mental nerve injury, vestibular incisions should be placed in the safety zone, and dissection of the vestibular area and chin should be minimized. In conclusion, recognizing the possibility of complications and understanding their prevention and management are important for patient safety and the success of the transoral approach.
목차
등록된 정보가 없습니다.
참고문헌 (60)
참고문헌 신청
태경 / 2019 / Robotic and Endoscopic Thyroid Surgery: Evolution and Advances / Clinical and Experimental Otorhinolaryngology 12(1):1~11
태경 / 2020 / Transoral Thyroidectomy: Is It a Real Game Changer? / Clinical and Experimental Otorhinolaryngology 13(2):93~94
Witzel K / 2008 / Transoral access for endoscopic thyroid resection / Surg Endosc 22(8):1871~1875
Wilhelm T / 2011 / Endoscopic minimally invasive thyroidectomy (eMIT): a prospective proof-of-concept study in humans / World J Surg 35(3):543~551
Fu J / 2018 / Transoral endoscopic thyroidectomy: review of 81 cases in a single institute / J Laparoendosc Adv Surg Tech A 28(3):286~291
태경 / 2020 / Transoral Thyroidectomy: Is It a Real Game Changer? / Clinical and Experimental Otorhinolaryngology 13(2):93~94
Witzel K / 2008 / Transoral access for endoscopic thyroid resection / Surg Endosc 22(8):1871~1875
Wilhelm T / 2011 / Endoscopic minimally invasive thyroidectomy (eMIT): a prospective proof-of-concept study in humans / World J Surg 35(3):543~551
Fu J / 2018 / Transoral endoscopic thyroidectomy: review of 81 cases in a single institute / J Laparoendosc Adv Surg Tech A 28(3):286~291
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