Successful localization of abnormal parathyroid tissue with ultrasound-guided methylene blue dye injection before surgery for metastatic or recurrent thyroid cancers and parathyroid adenomas

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dc.authoridAslan, Mehmet/0000-0002-0707-9984
dc.authoridAslan, Mehmet/0000-0002-0707-9984
dc.authoridKoca, cigdem fırat/0000-0001-8990-0651
dc.authorwosidAslan, Mehmet/ABI-8036-2020
dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.authorwosidAslan, Mehmet/AED-5913-2022
dc.authorwosidKoca, cigdem fırat/ABK-7472-2022
dc.contributor.authorKoca, Cigdem Firat
dc.contributor.authorYildirim, Ismail Okan
dc.contributor.authorCicek, Mehmet Turan
dc.contributor.authorAslan, Mehmet
dc.date.accessioned2024-08-04T20:53:07Z
dc.date.available2024-08-04T20:53:07Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: A surgery to be performed on a previously operated neck includes difficulties such as increased risk of complications and prolonged operation time. The aim of the present study is to analyze the benefit of pre -anesthetic ultrasound-guided injection of methylene blue into parathyroid adenomas and abnormal lymph nodes to simplify their safe and satisfactory extraction. Methods: We analyzed the case series records of 14 patients who were operated for reoperative neck surgery due to recurrent thyroid cancer (8 patients) and parathyroid adenoma (6 patients) and in the technique; 0.2 ml of a 1:5 dilution of 1 % methylene blue solution was injected directly onto the target during real-time ultrasound guidance before the operating room. Results: In adenomas, ultrasound-guided methylene blue injection was successfully applied in all cases, an average of 33.1 min before entering the operating room (range = 28-38 min). There were no complications related to dye injection. For patients with recurrent thyroid tumors, preoperative ultrasound-guided methylene blue injection was successfully applied in all patients, on average 27.5 min before entering the operating room (range = 20-35 min). No complications occurred due to dye injection. The blue stained lesion was easily identified during surgery. Conclusions: We analyzed the feasibility of the injection process, the certainty of defining pathological lymph nodes, and the complications of the procedure. Preoperative administration of methylene blue preserved its intraoperative efficacy and maintained the easy the detection of reoperative or primary pathologies. The present study suggest that methylene blue dye injection is a safe, sufficient, and quietly effective method for identifying recurrent tumors and parathyroid adenomas in scarred reoperative neck surgeries. Our cases had comparatively short operative times and lower complication rates.en_US
dc.identifier.doi10.1016/j.amjoto.2022.103678
dc.identifier.issn0196-0709
dc.identifier.issn1532-818X
dc.identifier.issue1en_US
dc.identifier.pmid36335660en_US
dc.identifier.scopus2-s2.0-85141661823en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.amjoto.2022.103678
dc.identifier.urihttps://hdl.handle.net/11616/100984
dc.identifier.volume44en_US
dc.identifier.wosWOS:000885315500007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal of Otolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMethylene blueen_US
dc.subjectRecurrent thyroid canceren_US
dc.subjectParathyroid adenomaen_US
dc.titleSuccessful localization of abnormal parathyroid tissue with ultrasound-guided methylene blue dye injection before surgery for metastatic or recurrent thyroid cancers and parathyroid adenomasen_US
dc.typeArticleen_US

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