Quan-Yang Duh, MD FACS

Parathyroid autofluorescence: A conditionally cost-effective tool to reduce postoperative hypocalcemia after total thyroidectomy Postoperative hypocalcemia due to parathyroid removal/injury remains a major source of morbidity after thyroidectomy. Technologies using autofluoresce…

www.sciencedirect.com/science/arti...

Unpacking the Benefits and Trade-offs of Scarless Thyroidectomy Remote access thyroidectomy, particularly the transoral endoscopic technique via vestibular approach (TOETVA), offers a compelling alternative to avoid a visible anterior neck scar, but questions rema...

urldefense.com/v3/__https:/...
TOETVA is safe and cosmetic but more risk of capsule disruption that can affect pathology. @jama.com @ucsfhealth.bsky.social

Unpacking the Benefits and Trade-offs of Scarless Thyroidectomy Remote access thyroidectomy, particularly the transoral endoscopic technique via vestibular approach (TOETVA), offers a compelling alternative to avoid a visible anterior neck scar, but questions rema...

urldefense.com/v3/__https:/...

Potential use for intraoperative recurrent laryngeal nerve monitoring?

Image of the laryngeal health monitor patch deployed onto the neck.

A noninvasive, continuous monitoring system for the larynx can diagnose conditions like dysphagia and dysphonia, help tweak treatments and provide biofeedback during rehab exercises.

In PNAS: www.pnas.org/doi/10.1073/...

This potentially can be modified to be used for intraoperative monitoring of recurrent laryngeal nerve (IONM) during thyroid and other neck operations. The current setup requires either wires on the endotracheal tube directly touching the vocal cords or a needle electrode in the vocal cord muscles.

It is not a diagnosis familiar to most physicians. Data from Alberta Canada and from the VA show that specialists are more likely to think about the diagnosis and to work it up. Perhaps with increasing use of decision aid in electronic medical record this will improve.

For more details about the work on how the gut microbiome relates to human social networks, and how you can identify friends through their poop, as featured in this interview today on @scifri.bsky.social www.sciencefriday.com/segments/you... here is a thread:

Primary aldosteronism is under-diagnosed/treated.
All hypertensive patients can be screened by aldosterone:renin ratio (ARR).
Age 45 or younger with hypokalemia and unilateral adrenal tumor can proceed to laparoscopic adrenalectomy without adrenal vein sampling.
www.ahajournals.org/doi/10.1161/...

Cultural difference between East and West? Japanese surgeons pioneered active surveillance for low-risk <1 cm thyroid cancer, liberally biopsy small nodules. American surgeons discourage FNA biopsy for <1 cm thyroid nodule to avoid surgical demand pmc.ncbi.nlm.nih.gov/articles/PMC...