title: How to do it: the difficult thyroid.
abstract: There is a paucity of publications detailing how to deal with the difficult thyroid cancer. When compared to other cancers, it is relatively rare with several histopathological subtypes which run differing clinical courses and respond to different therapies. It is a condition predominately treated by specifically trained General and now ENT surgeons who already have a thorough knowledge of vocal fold assessment and rehabilitation as well as emergency airways management both to avoid and treat common complications should they occur.Good surgery involves a team effort to produce good results consistently. All members of the team are essential to quality service delivery. Communication with the team and the patient is paramount. We describe our approach to the difficult thyroid.
authors.affiliation: Department of ENT/Head and Neck Surgery, Barnet and Chase Farm Hospitals NHS Trust, Enfield, UK. mrtupile@yahoo.com
authors.forename: Tahwinder
authors.initials: T
authors.lastname: Upile
authors.forename: Waseem
authors.initials: W
authors.lastname: Jerjes
authors.forename: Jaspal
authors.initials: J
authors.lastname: Mahil
authors.forename: Hitesh
authors.initials: H
authors.lastname: Tailor
authors.forename: Ramkishan
authors.initials: R
authors.lastname: Balakumar
authors.forename: Anuja
authors.initials: A
authors.lastname: Rao
authors.forename: Yassar
authors.initials: Y
authors.lastname: Qureshi
authors.forename: Iain
authors.initials: I
authors.lastname: Bowman
authors.forename: Suchana
authors.initials: S
authors.lastname: Mukhopadhyay
mesh_terms: D006801:Humans; D013961:Thyroid Gland / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000379:methods*