Management strategy for nerve damage during radiofrequency ablation of thyroid nodules
Objective: The aim of this study was to introduce a management strategy for nerve damage occurring during radiofrequency ablation (RFA). Methods: From January 2016 to October 2017, 17 patients who experienced the symptoms of nerve damage during RFA were enrolled in this study. If damage to nerves wa...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Taylor & Francis Group
2019-01-01
|
Series: | International Journal of Hyperthermia |
Subjects: | |
Online Access: | http://dx.doi.org/10.1080/02656736.2018.1554826 |
id |
doaj-f87bf6d18f414d0cb2af3522cbf873a7 |
---|---|
record_format |
Article |
spelling |
doaj-f87bf6d18f414d0cb2af3522cbf873a72020-11-24T21:25:09ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572019-01-0136120320910.1080/02656736.2018.15548261554826Management strategy for nerve damage during radiofrequency ablation of thyroid nodulesSae Rom Chung0Jung Hwan Baek1Young Jun Choi2Jeong Hyun Lee3University of Ulsan College of MedicineUniversity of Ulsan College of MedicineUniversity of Ulsan College of MedicineUniversity of Ulsan College of MedicineObjective: The aim of this study was to introduce a management strategy for nerve damage occurring during radiofrequency ablation (RFA). Methods: From January 2016 to October 2017, 17 patients who experienced the symptoms of nerve damage during RFA were enrolled in this study. If damage to nerves was suspected during RFA, ablation was stopped immediately, and a cold solution of 5% dextrose was injected directly into the space where the nerves were located until symptoms improved. Patients were followed up after the procedure until symptoms had resolved. The clinical data of patients who received a cold dextrose solution injection for nerve damage were compared with those who did not receive such an injection. Results: Of 17 patients who experienced nerve damage, 12 received an injection of cold dextrose solution shortly after the emergence of symptoms. While resolution of symptoms was seen in all 17 patients, the mean time to recovery was significantly faster in the 12 patients who received treatment with an injection of cold dextrose solution than in those patients who did not receive such a treatment (p value = .041). Conclusions: In the event of thermal damage to adjacent nerve structures during RFA, the direct injection of a cold dextrose solution is a simple and effective treatment that can result in rapid symptom resolution.http://dx.doi.org/10.1080/02656736.2018.1554826thyroid nodulerecurrent thyroid cancerultrasonographysafetycatheter ablationcomplication |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sae Rom Chung Jung Hwan Baek Young Jun Choi Jeong Hyun Lee |
spellingShingle |
Sae Rom Chung Jung Hwan Baek Young Jun Choi Jeong Hyun Lee Management strategy for nerve damage during radiofrequency ablation of thyroid nodules International Journal of Hyperthermia thyroid nodule recurrent thyroid cancer ultrasonography safety catheter ablation complication |
author_facet |
Sae Rom Chung Jung Hwan Baek Young Jun Choi Jeong Hyun Lee |
author_sort |
Sae Rom Chung |
title |
Management strategy for nerve damage during radiofrequency ablation of thyroid nodules |
title_short |
Management strategy for nerve damage during radiofrequency ablation of thyroid nodules |
title_full |
Management strategy for nerve damage during radiofrequency ablation of thyroid nodules |
title_fullStr |
Management strategy for nerve damage during radiofrequency ablation of thyroid nodules |
title_full_unstemmed |
Management strategy for nerve damage during radiofrequency ablation of thyroid nodules |
title_sort |
management strategy for nerve damage during radiofrequency ablation of thyroid nodules |
publisher |
Taylor & Francis Group |
series |
International Journal of Hyperthermia |
issn |
0265-6736 1464-5157 |
publishDate |
2019-01-01 |
description |
Objective: The aim of this study was to introduce a management strategy for nerve damage occurring during radiofrequency ablation (RFA). Methods: From January 2016 to October 2017, 17 patients who experienced the symptoms of nerve damage during RFA were enrolled in this study. If damage to nerves was suspected during RFA, ablation was stopped immediately, and a cold solution of 5% dextrose was injected directly into the space where the nerves were located until symptoms improved. Patients were followed up after the procedure until symptoms had resolved. The clinical data of patients who received a cold dextrose solution injection for nerve damage were compared with those who did not receive such an injection. Results: Of 17 patients who experienced nerve damage, 12 received an injection of cold dextrose solution shortly after the emergence of symptoms. While resolution of symptoms was seen in all 17 patients, the mean time to recovery was significantly faster in the 12 patients who received treatment with an injection of cold dextrose solution than in those patients who did not receive such a treatment (p value = .041). Conclusions: In the event of thermal damage to adjacent nerve structures during RFA, the direct injection of a cold dextrose solution is a simple and effective treatment that can result in rapid symptom resolution. |
topic |
thyroid nodule recurrent thyroid cancer ultrasonography safety catheter ablation complication |
url |
http://dx.doi.org/10.1080/02656736.2018.1554826 |
work_keys_str_mv |
AT saeromchung managementstrategyfornervedamageduringradiofrequencyablationofthyroidnodules AT junghwanbaek managementstrategyfornervedamageduringradiofrequencyablationofthyroidnodules AT youngjunchoi managementstrategyfornervedamageduringradiofrequencyablationofthyroidnodules AT jeonghyunlee managementstrategyfornervedamageduringradiofrequencyablationofthyroidnodules |
_version_ |
1725984554451206144 |