Dr.Guttler’s comments: To prevent this serious complication, make sure you absolutely need the surgery. A total of 1000 RLNs from 574 patients were assessed in this review. Nearly one-quarter (23%) of the RLNs deviated from their...More info
Thyroid (1) 2022 Tuttle RM et al Dr.Guttler’s comments: Study looked at 943 lobectomy cases matched with 943 patients with a total thyroidectomy for outcomes. At ten years there was no difference what surgery they had. Previous article by...More info
2022 The Indication For Thyroid Surgery Decreases Further Due to Novel Ablation Procedures For Benign and Thyroid Tumors
Thyroid 32(1) 2022 Tufano RP et al “The year of technical advances in treating nodules and cancer” Dr.Guttler’s comments on this special article on thyroid advances. The number of surgeries for benign nodules has shown a...More info
Eur. Radiol. Jan 2022 JH Beak et al. Dr.Guttler’s comments: Another great study by Dr.Baek’s group on the use of ethanol for TGD cysts. 81 patients with with TGD cysts had PEI. 68/81 were seen in follow up. 55/68 81 % success rate...More info
Jan. 2022 J. of Personalized Medicine. Wei-Che Lin et al Dr.Guttler’s comments: 5 medical centers were involved in this study. Goiter nodules of different sizes had >50% reductions. Conclusion: thyroid RFA is safe and reliable to treat...More info
Why do Functional medicine physicians order this test when it has no clinical value in the diagnosis and treatment of thyroid disease? Thyroid May 2018 Lopresti J.L. et al DR.Guttler’s comments: Article from USC thyroid Lab on orders of...More info
Thyroid No Surgery: List of All Diseases With Low Risk Alternative Ablation Therapy Available at My Center
Benign thyroid nodules class 11 are good candidates for Ablation. However, Class III will need more studies to be sure you don’t have a nodule with potential for thyroid cancer. A suspicious needle biopsy alone can lead to unnecessary...More info
What the Patient Fears about Having a Thyroid Nodule Evaluation For Cancer and the Needed Treatment.
From the moment the lump in your neck is noted by you, family member or your primary physician, the first thought is do I have thyroid cancer? Will I see my kids grow up? The amount of anxiety, worry and fear increases when you are told you need...More info
Continuous Infusion of Dextrose to Protect Vital Structures During Thyroid Radiofrequency Ablation Procedures.
When do we need to use continuous infusion D5W for adequate hydrodissection protective effects? Ma Y. et al Eur. Thyroid Journal October 2021 DR. Guttler’s Comments on the article: Single bolus of D5W has a short half life in the body...More info
Skin involvement with recurrent thyroid cancer.More info
RF Medical GeneratorMore info