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Thyroid, Parathyroid, and Parotid Surgery

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Abstract

Surgery of the thyroid, parathyroid, and parotid glands requires a coordinated team of an experienced surgeon and anesthesiologist familiar with the challenges of each procedure. Surgery of the parathyroid, thyroid, and parotid is distinct with regard to the surgical concerns, anesthetic priorities, and postoperative management. Unlike parotid surgery, which is typically performed under general anesthesia, thyroidectomy and parathyroidectomy can be performed under local, regional, or general anesthesia.

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References

  1. Greene AB, Butler RS, McIntyre S, et al. National trends in parathyroid surgery from 1998 to 2008: a decade of change. J Am Coll Surg. 2009;209(3):332–43.

    Article  PubMed  Google Scholar 

  2. Wittekindt C, Streabel K, Arnold G, Stennert E, Guntinas O. Recurrent pleomorphic adenoma of the parotid gland: analysis of 108 consecutive patients. Head Neck. 2007;29(9):822–8.

    Article  PubMed  Google Scholar 

  3. Ringel MD. Management of hyothyroidism and hyperthyroidism in the intensive care unit. Crit Care Clin. 2001;17:59–74.

    Article  PubMed  CAS  Google Scholar 

  4. Bennett-Guerrero E, Kramer DC, Schwinn DA. Effect of chronic and acute thyroid hormone reduction on perioperative outcome. Anesth Analg. 1997;85:30–6.

    PubMed  CAS  Google Scholar 

  5. Kohl BA, Schwartz S. Surgery in the patient with endocrine ­dysfunction. Anesthesiology Clin. 2009;27:687–703.

    Article  Google Scholar 

  6. Klein I, Danzi S. Thyroid disease and the heart. Circulation. 2007;116:1725–35.

    Article  PubMed  Google Scholar 

  7. Amathieu R, Combes X, Abdi W, et al. An algorithm for difficult airway management, modified for modern optical devices (Airtraq laryngoscope; LMA CTrach): a 2-year prospective validation in patients for elective abdominal, gynecologic, and thyroid surgery. Anesthesiology. 2011;114(1):25–33.

    Article  PubMed  Google Scholar 

  8. Miller MR, Pincock AC, Oates GD. Upper airway obstruction due to goiter: detection, prevalence and the results of surgical management. Q J Med. 1990;74:177.

    PubMed  CAS  Google Scholar 

  9. Prescott PT. Disorders of the thyroid. In: Lubin MF, Smith RB, Dodson TF, et al., editors. Medical management of the surgical patient. 4th ed. New York: Cambridge University Press; 2006. p. 367–73.

    Chapter  Google Scholar 

  10. Klein I. Endocrine disorders and cardiovascular disease. In: Zipes DP, Libby P, Bonow R, Braunwald E, editors. Braunwald’s heart disease: a textbook of cardiovascular medicine. 7th ed. Philadelphia: W.B. Saunders; 2005. p. 2051–65.

    Google Scholar 

  11. Seybt MW, Terris DJ. Minimally invasive thyroid and parathyroid surgery: where are we now and where are we going? Otolaryngol Clin North Am. 2010;43(2):375–80.

    Article  PubMed  Google Scholar 

  12. Honings J, et al. The management of thyroid carcinoma invading the larynx or trachea. Laryngoscope. 2010;120(4):682–9.

    Article  PubMed  Google Scholar 

  13. Steffen T, Warschkow R, Brandle M, Tarantino I, Clerici T. Randomized controlled trial of bilateral cervical plexus block versus placebo in thyroid surgery. Br J Surg. 2010;97:1000–6.

    Article  PubMed  CAS  Google Scholar 

  14. Mulroy MF. Peripheral nerve blockade. In: Barash PG, Cullen BF, Stoetling RK, editors. Clinical anesthesia. 5th ed. Philadelphia: Lipincott, Williams and Wilkins; 2006. p. 723–4.

    Google Scholar 

  15. Stoetling RK, Dierdorf SF. Endocrine diseases. In: Stoetling RK, Dierdorf SF, editors. Anesthesia and co-existing disease. 4th ed. Philadelphia: Churchill Livingstone; 2002. p. 395–440.

    Google Scholar 

  16. Randolph GW, et al. Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement. Laryngoscope. 2011;121:S1–S16.

    Article  PubMed  Google Scholar 

  17. Chu KS, Tsai CJ, Lu IC, et al. Influence of NDMR on intraoperative neuromonitoring during thyroid surgery. J Otolaryngol Head Neck Surg. 2010;39:397–402.

    PubMed  Google Scholar 

  18. Snyder S, Hendricks J. Intraoperative neurophysiology testing of the RLN: plaudits and pitfalls. Surgery. 2005;138:1183–92.

    Article  PubMed  Google Scholar 

  19. Pott L, Swick JT, Stack BC. Assessment of recurrent laryngeal nerve during thyroid surgery with laryngeal mask airway. Arch Otolayngol Head Neck Surg. 2007;133:266–69.

    Article  Google Scholar 

  20. Wall III RT. Endocrine disease. In: Hines RL, Marschall KE, ­editors. Stoetling’s Anesthesia and co-existing disease. 5th ed. Philadelphia: Churchill Livingstone; 2008. p. 365–406.

    Chapter  Google Scholar 

  21. Worni M, Schudel HH, Seifert E, et al. Randomized controlled trial on single dose steroid before thyroidectomy for benign disease to improve postoperative nausea, pain, and vocal function. Ann Surg. 2008;248:1060–6.

    Article  PubMed  Google Scholar 

  22. Wall III RT. Endocrine disease. In: Hines RL, Marschall KE, ­editors. Stoetling’s Anesthesia and co-existing disease. 5th ed. Philadelphia: Churchill Livingstone; 2008. p. 365–406.

    Chapter  Google Scholar 

  23. Miller RD, editor. Anesthesia. 7th ed. Elsevier; 2010 [Chapter 35: Diseases involving the endocrine system and disorders of nutrition].

    Google Scholar 

  24. Wagner HE, Seiler C. Recurrent laryngeal nerve palsy after thyroid gland surgery. Br J Surg. 1994;81:226–8.

    Article  PubMed  CAS  Google Scholar 

  25. Chiang FY, et al. RLN palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve. Surgery. 2005;137:342–7.

    Article  PubMed  Google Scholar 

  26. Calò PG, Pisano G, Piga G, et al. Postoperative hematomas after thyroid surgery. Incidence and risk factors in our experience. Ann Ital Chir. 2010;81(5):343–7.

    PubMed  Google Scholar 

  27. Wermers RA, Khosla S, Atkinson EJ, et al. Incidence of primary hyperparathyroidism in Rochester, Minnesota, 1993–2001: an update on the changing epidemiology of the disease. J Bone Miner Res. 2006;21:171–7.

    Article  PubMed  Google Scholar 

  28. American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons. Position statement on the diagnosis and management of primary hyperparathyroidism. Endocr Pract. 2005;11:49–54.

    Google Scholar 

  29. Stoetling RK, Dierdorf SF. Endocrine diseases. In: Stoetling RK, Dierdorf SF, editors. Anesthesia and co-existing disease. 4th ed. Philadelphia: Churchill Livingstone; 2002. p. 421–5.

    Google Scholar 

  30. Silverberg SJ, Bilezikian JP. The diagnosis and management of asymptomatic primary hyperparathyroidism. Nat Clin Pract Endocrinol Metab. 2006;2(9):494–503.

    Article  PubMed  Google Scholar 

  31. Bilezikian JP, Silverberg SJ. Clinical practice. Asymptomatic ­primary hyperparathyroidism. N Engl J Med. 2004;350:1746–51.

    Article  PubMed  CAS  Google Scholar 

  32. Silverberg SJ, Bilezikian JP. Evaluation and management of primary hyperparathyroidism. J Clin Endocrinol Metab. 1996;81:2036–40.

    Article  PubMed  CAS  Google Scholar 

  33. Andersson P, Rydberg E, Willenheimer R. Primary hyperparathyroidism and heart disease—a review. Eur Heart J. 2004;25:1776–81.

    Article  PubMed  CAS  Google Scholar 

  34. Walker MD, Fleischer J, Rundek T, et al. Carotid vascular abnormalities in primary hyperparathyroidism. J Cln Endocrinol Metab. 2009;94:3849–56.

    Article  CAS  Google Scholar 

  35. Adler JT, Sippel RS, Chen H. New trends in parathyroid surgery. Curr Probl Surg. 2010;47(12):958–1017.

    Article  PubMed  Google Scholar 

  36. Cheong YT, Taib NA, Normayah K, Hisham AN. Total parathryoidectomy under local anesthesia for renal hyperparathyroidism. Asian J Surg. 2009;32:51–4.

    Article  PubMed  CAS  Google Scholar 

  37. Mandell DL, Genden EM, Mechanick JI, Bergman DA, Diamond EJ, Urken ML. The influence of intraoperative parathyroid homone monitoring on the surgical management of hyperparathyroidism. Arch Otolaryngol Head Neck Surg. 2001;127:821–27.

    PubMed  CAS  Google Scholar 

  38. Sippel RS, Becker YT, Odorico JS, Springman SR, Chen H. Does propofol anesthesia affect intraoperative parathyroid hormone levels? A randomized, prospective trial. Surgery. 2004;136:1138–42.

    Article  PubMed  Google Scholar 

  39. Mahajna A, Barak M, Mekel M, Ish-Shalom S, Krausz MM. Parathyroid hormone response to tracheal intubation in ­hyperparathyroid patients and normal subjects. Endocr J. 2005;52:715–9.

    Article  PubMed  CAS  Google Scholar 

  40. Koch M, Zenk J, Iro H. Long-term results of morbidity after parotid gland surgery in benign disease. Laryngoscope. 2010;120(4):724–30.

    Article  PubMed  Google Scholar 

  41. Braverman, Utiger, editors.Werner and Ingbar’s the thyroid: a ­fundamental and clinical text. 8th ed. p. 516.

    Google Scholar 

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Correspondence to Samuel DeMaria Jr. M.D. .

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Porter, S., Schwartz, A., DeMaria, S., Genden, E.M. (2013). Thyroid, Parathyroid, and Parotid Surgery. In: Levine, A., Govindaraj, S., DeMaria, Jr., S. (eds) Anesthesiology and Otolaryngology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4184-7_14

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  • DOI: https://doi.org/10.1007/978-1-4614-4184-7_14

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