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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Epub ahead of print

doi: https://doi.org/10.3342/kjorl-hns.2024.00339    [Epub ahead of print]
Surgeon-Performed Radiofrequency Ablation for Benign and Malignant Thyroid Tumors
Dongbin Ahn , Hyowon Ahn, Soobi Ham
Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea
양악성 갑상선 종양에서 두경부 외과의에 의해 시행되는 고주파 소작술
안동빈 , 안효원, 함수비
경북대학교 의과대학 이비인후-두경부외과학교실
Correspondence  Dongbin Ahn ,Tel: +82-53-200-5781, Fax: +82-53-423-4524, Email: godlikeu@naver.com
Received: 10 July 2024; Revised: August 10, 2024   Accepted: 16 August 2024.  Published online: 14 November 2024.
ABSTRACT
Radiofrequency ablation (RFA) has gained recognition as a highly effective and safe minimally invasive alternative treatment for well-selected patients with benign thyroid nodules and recurrent thyroid cancer. Despite the well-known efficacy of RFA, head and neck surgeons have had minimal involvement in both establishing clinical evidence and developing most RFA guidelines. This is partly due to the challenges surgeons face in understanding and applying these imaging-guided interventions. However, head and neck surgeons possess extensive knowledge of surgical anatomy and have significant clinical experience with the anatomical relationships of surrounding structures, which could enhance the safety and effectiveness of RFA. Their expertise allows for better management of rare but serious complications such as bleeding, airway compression, recurrent laryngeal nerve paralysis, and tumor rupture. Drawing from my experience as a head and neck surgeon with RFA, this article aims to elucidate the principles, indications, preparation, and procedure of RFA for benign and malignant thyroid tumors.
Keywords: Radiofrequency ablation Surgeons Thyroid Thyroid nodule Treatment
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