Technological Innovations in Thyroid Surgery

Dear Colleagues,

The current surgical approach of thyroid pathology is oriented toward the reduction in post-operative complications and the duration of hospitalization, with a faster return to the usual daily activities, as well as the implementation of the aesthetic result of the procedure, which results in an improvement the quality of life of patients.

All energy-based devices have technically evolved to favor ever greater ergonomics, manageability, and functionality of the instrument. They also produce heat but with less dissipation, which predominantly reduces the risk of nerve injury.

Furthermore, intraoperative neurophysiology or IONM, already in use in neurosurgery and ENT, has had an implementation in the last two decades also in thyroid surgery, thanks to the development of dedicated electromyography endotracheal tubes.

Intraoperative neurophysiology is aimed not only at the identification of functional anatomical structures (mapping), but also at the continuous evaluation of the functional nervous integrity potentially at risk during the surgical procedure (monitoring).

Dr. Fausto Famà
Guest Editor

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