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Guideline for the Surgical Management of Locally Invasive Differentiated Thyroid Cancer From the Korean Society of Head and Neck Surgery

Authors
 Jun-Ook Park  ;  Joo Hyun Kim  ;  Young Hoon Joo  ;  Sang-Yeon Kim  ;  Geun-Jeon Kim  ;  Hyun Bum Kim  ;  Dong-Hyun Lee  ;  Hyun Jun Hong  ;  Young Min Park  ;  Eun-Jae Chung  ;  Yong Bae Ji  ;  Kyoung Ho Oh  ;  Hyoung Shin Lee  ;  Dong Kun Lee  ;  Ki Nam Park  ;  Myung Jin Ban  ;  Bo Hae Kim  ;  Do Hun Kim  ;  Jae-Keun Cho  ;  Dong Bin Ahn  ;  Min-Su Kim  ;  Jun Girl Seok  ;  Jeon Yeob Jang  ;  Hyo Geun Cho  ;  Hee Jin Kim Sung Joon Park  ;  Eun Kyung Jung  ;  Yeon Soo Kim  ;  Yong Tae Hong  ;  Young Chan Lee  ;  Ho-Ryun Won  ;  Sung-Chan Shin  ;  Seung-Kuk Baek  ;  Soon Young Kwon 
Citation
 CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, Vol.16(1) : 1-19, 2023-02 
Journal Title
CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY
ISSN
 1976-8710 
Issue Date
2023-02
Keywords
Esophagus ; Guidelines ; Lymph Nodes ; Recurrent Laryngeal Nerve ; Thyroidectomy ; Trachea
Abstract
The aim of this study was to develop evidence-based recommendations for determining the surgical extent in patients with locally invasive differentiated thyroid cancer (DTC). Locally invasive DTC with gross extrathyroidal extension invading surrounding anatomical structures may lead to several functional deficits and poor oncological outcomes. At present, the optimal extent of surgery in locally invasive DTC remains a matter of debate, and there are no adequate guidelines. On October 8, 2021, four experts searched the PubMed, Embase, and Cochrane Library databases; the identified papers were reviewed by 39 experts in thyroid and head and neck surgery.The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the quality of evidence, and to develop and report recommenda-tions. The strength of a recommendation reflects the confidence of a guideline panel that the desirable effects of an inter-vention outweigh any undesirable effects, across all patients for whom the recommendation is applicable. After completing the draft guidelines, Delphi questionnaires were completed by members of the Korean Society of Head and Neck Surgery. Twenty-seven evidence-based recommendations were made for several factors, including the preoperative workup; surgical extent of thyroidectomy; surgery for cancer invading the strap muscles, recurrent laryngeal nerve, laryngeal framework, trachea, or esophagus; and surgery for patients with central and lateral cervical lymph node involvement. Evidence-based guidelines were devised to help clinicians make safer and more efficient clinical decisions for the optimal surgical treatment of patients with locally invasive DTC. © 2023 by Korean Society of Otorhinolaryngology-Head and Neck Surgery.
Files in This Item:
T202301915.pdf Download
DOI
10.21053/ceo.2022.01732
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Joo Hyun(김주현) ORCID logo https://orcid.org/0000-0002-8533-9649
Park, Young Min(박영민) ORCID logo https://orcid.org/0000-0002-7593-8461
Hong, Hyun Jun(홍현준) ORCID logo https://orcid.org/0000-0002-7808-7877
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/194075
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