Thyroid No Surgery 101: Cold Dextrose infusion Helps Recovery from nerve damage during thyroid RFA for benign thyroid nodules.

Thyroid No Surgery 101: Cold Dextrose infusion Helps Recovery from nerve damage during thyroid RFA for benign thyroid nodules.

Thyroid No Surgery 101: Cold Dextrose infusion Helps Recovery from nerve damage during thyroid RFA for benign thyroid nodules.
 DRt.Guttler’s comments:
THyroid RFA is safe with few serious complications out of thousands of patient treatments.
complications
1. 17 patients had issues with nerves during thyroid RFA.
2. If there were issues during the Procedure cold dextrose infusion was given right away.
3. 12/17 had dextrose infusion as an emergency during the procedure.
4. All 17 recovered completely with no residual damage.
5. However the 12 that had a quick dextrose infusion recovered faster.
6. 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.
7. Thyroid RFA is the treatment of choice for large benign thyroid nodules.
8. Call me for details on Ethanol PE or RFA treatments for your nodule. 310-393-8860 or thyroid.manager@protonmail.com.
ABSTRACT
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 = 0.041).
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.
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