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1Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
2Chang Gung University, College of Medicine, Taoyuan, Taiwan
Copyright © 2024 Korean Endocrine Society
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CONFLICTS OF INTEREST
No potential conflict of interest relevant to this article was reported.
Techniques | Clinical application |
---|---|
Perithyroidal lidocaine injection | Minimization of pain by local anesthesia of the thyroid capsule and strap muscle |
Moving shot technique | Most efficient way to achieve the largest ablation volume |
HD technique | Retained needle for continuous HD |
Antero-lateral | Pain-relieving effect, protection of the middle CSG and vagus nerve |
Pre-tracheal | Ablation of isthmus lesions |
Danger triangle | Prevention of injury of RLN and esophagus |
Posterior | Protection of the thyroid bed, especially for right lobe |
Vascular ablation technique | |
Artery-first ablation | Reduction of the heat-sink effect and hemorrhagic risk |
Marginal venous ablation | Prevention of marginal regrowth |
Zigzag moving technique | Transitioning of the electrode needle between conceptual ablation units |
Alienate maneuver | Prevention of thermal injury to the danger triangle and posterior compartment |
HD, hydrodissection; CSG, cervical sympathetic ganglion; RLN, recurrent laryngeal nerve.