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Introducing ethanol ablation as a treatment for thyroid cysts in the emergency setting

Published online by Cambridge University Press:  17 August 2022

L Robb Open the ORCID record for L Robb [Opens in a new window] ,
S Y Hey ,
H Reid  and
I J Nixon
L Robb*
Affiliation:
Department of Plastic and Reconstructive Surgery, Ninewells Hospital, NHS Tayside, Dundee, Scotland, UK
S Y Hey
Affiliation:
Department of Otolaryngology, St John's Hospital at Howden, NHS Lothian, Livingston, Scotland, UK
H Reid
Affiliation:
Department of Radiology, St John's Hospital at Howden, NHS Lothian, Livingston, Scotland, UK
I J Nixon
Affiliation:
Department of Otolaryngology, St John's Hospital at Howden, NHS Lothian, Livingston, Scotland, UK
*
Author for correspondence: Ms Lydia Robb, Plastic Surgery Department, NHS Tayside, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK E-mail: [email protected]
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Abstract

Background

Ethanol ablation for the treatment of thyroid cysts has been well documented in the literature as a safe, effective treatment option in the elective setting. This study demonstrates the use of ethanol ablation in the emergency setting.

Methods

Three patients presenting with airway-threatening compressive symptoms secondary to a thyroid cyst were treated with ethanol ablation within 24 hours of presentation to hospital.

Results

All patients had symptom resolution at a median of nine months follow up post procedure. Sixty-six per cent of patients required only one treatment. There was a median of 100 per cent radiological resolution of the cystic component. The median Glasgow Benefit Inventory score was +27.7, similar to that for tonsillectomy.

Conclusion

Ethanol ablation is a safe, cost-effective and efficient treatment option for thyroid cysts in the acute setting.

Keywords

OtolaryngologyThyroid DiseasesAblation Techniques
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 4 , April 2023 , pp. 467 - 470
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Ms L Robb takes responsibility for the integrity of the content of the paper

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