{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:01:12Z","timestamp":1790398872142,"version":"4.1.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":3315,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1998,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215100141076_sec01\"><jats:title>Objective<\/jats:title><jats:p>To report the results of thyroid surgery in a University department of ENT \u2013 head and neck surgery, and to evaluate the benefits of the use of the surgical microscope in thyroid surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215100141076_sec02\"><jats:title>Design<\/jats:title><jats:p>A retrospective evaluation of the records of all patients who underwent thyroid surgery in the 10-year period 1987\u20131996.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215100141076_sec03\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>In addition to standard surgical principles the Zeiss multi-discipline universal surgical microscope with a 250 mm ocular lens was used in all cases. Total thyroidectomy was performed in all malignant cases, while unilateral lobectomy plus isthmus resection was the standard procedure in benign cases.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215100141076_sec04\"><jats:title>Patients<\/jats:title><jats:p>There were 573 patients, aged 11\u201387 years, 444 females and 129 males. Four hundred and fifty-one had benign lesions, 122 malignant. Four hundred and eighty-nine had primary surgery, 84 underwent completion surgery or surgery for recurrent disease.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215100141076_sec05\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Primary thyroid gland surgery in benign\/malignant disease resulted in permanent recurrent laryngeal nerve palsy in 0.6 per cent\/3.5 per cent of the patients respectively, when calculated as nerves at risk (NAR). In benign recurrent or malignant completion surgery this complication rate was 4.5 per cent\/2.9 per cent respectively.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215100141076_sec06\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Thyroid surgery in our University ENT \u2013 Head and Neck Department with the use of the surgical microscope provides pleasing results, especially considering the diversity of surgeons, due to the departments' teaching responsibilities.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215100141076","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T05:12:53Z","timestamp":1196399573000},"page":"556-560","source":"Crossref","is-referenced-by-count":23,"title":["Microsurgical technique in thyroid surgery \u2013 a 10-year experience"],"prefix":"10.1017","volume":"112","author":[{"given":"Torfinnur Rubek","family":"Nielsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrik Koks","family":"Andreassen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher Leigh","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viggo Hulthin","family":"Balle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Thomsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100141076_ref002","unstructured":"Andreassen U. K. , Nielsen T. R. , Balle V. H. , Thomsen J. C. (1997) Thyroid Surgery Using the Surgical Microscope. A 9- Year Review. Poster, Abstract Book, Sydney, XVI World Congress of Otorhinolaryngology \u2013 Head and Neck Surgery. p 338."},{"key":"S0022215100141076_ref007","first-page":"977","article-title":"The nonrecurrent inferior laryngeal nerve: Review of 33 cases, including two on the left side","volume":"104","author":"Henry","year":"1988","journal-title":"Surgery"},{"key":"S0022215100141076_ref004","first-page":"223","article-title":"La tiroidectomia totale nelle recidive di gozzo (Osservazioni anatomo-chirurgiche con l'ausilio del microscopio operatorio)","volume":"44","author":"Canino","year":"1992","journal-title":"Chirurgia Italiana"},{"key":"S0022215100141076_ref010","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1992.tb00003.x"},{"key":"S0022215100141076_ref005","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1992.tb00004.x"},{"key":"S0022215100141076_ref011","unstructured":"Kirsch J. P. (1997) Recurrent Laryngeal Nerve EMG Monitoring in Safe Thyroid and Parathyroid Surgery. Abstract Book, Sydney, XVI World Congress of Otorhinolaryngology Head and Neck Surgery. p 3."},{"key":"S0022215100141076_ref014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800811103"},{"key":"S0022215100141076_ref018","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100100325"},{"key":"S0022215100141076_ref001","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.290.6480.1490"},{"key":"S0022215100141076_ref012","first-page":"999","article-title":"The superior laryngeal nerve in thyroid surgery","volume":"102","author":"Lenquist","year":"1987","journal-title":"Surgery"},{"key":"S0022215100141076_ref006","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199604000-00010"},{"key":"S0022215100141076_ref009","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.289.6456.1412"},{"key":"S0022215100141076_ref003","first-page":"2136","article-title":"Forslag til thyreoideakirurgiens strukturering og visitationsforhold I Danmark","volume":"153","author":"Blichert-Toft","year":"1991","journal-title":"Ugeskrift for L\u00e6ger"},{"key":"S0022215100141076_ref008","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1996.tb14969.x"},{"key":"S0022215100141076_ref015","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1992.tb00002.x"},{"key":"S0022215100141076_ref016","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198508153130707"},{"key":"S0022215100141076_ref013","first-page":"28","article-title":"Kiagesager kan s\u00e6tte fokus p\u00e5 problemer","volume":"4","author":"Quist","year":"1997","journal-title":"Journal for Sundhedsv\u00e6sen"},{"key":"S0022215100141076_ref017","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199511000-00006"},{"key":"S0022215100141076_ref019","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810222"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215100141076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T16:47:31Z","timestamp":1557506851000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215100141076\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,6]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1998,6]]}},"alternative-id":["S0022215100141076"],"URL":"https:\/\/doi.org\/10.1017\/s0022215100141076","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,6]]}}}