Image-guided Laser Ablation by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030217488
Publisher: Springer International Publishing

8.3.4 Safety and Complications

Complications and side effects are minimal in LA. The treatment was well tolerated at the present study [23]. Ninety eight (80.3%) out of one hundred and twelve patients reported a mild sensation of pain and regional discomfort. In patients with intense intraoperative local pain, radiating to the jaw, teeth, chest, or back, the laser was turned off which could be explained by thyroid capsule thermal damage, and regional discomfort, and self-limited neck swelling that were resolved without treatment within 2 weeks after LA. Prednisone administration was prolonged to reduce persisting pain. When a few of the patients complained of voice changes caused by recurrent laryngeal nerve injury, the “hydrodissection technique” may play an important role between the mass and the expected location of the recurrent laryngeal nerve. Some researchers reported a decreased serum thyroid-stimulating hormone level and increased free thyroxin possibly because of transient thyroid tissue damage by LA [40, 44]. In the two patients who experienced post-operative laryngeal dysfunction, reduction in vocal cord motility occurred 12–24 h after LA; direct laryngoscopy demonstrated vocal cord palsy. An additional course of corticosteroids (oral prednisone 25 mg for 2 weeks, 12.5 mg for 2 weeks, and 5 mg for 2 weeks) was administered, and vocal cord motility recovered after 6–10 weeks [23]. In the event of vagal symptoms with bradycardia occurred when the patient has no history of cardiovascular disease, the bed was tilted in Trendelenburg position and LA was temporarily interrupted until spontaneous recovery; otherwise further treatment must be taken immediately.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.