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Thyroid RFA and connection to voice and swallow: Dr Vaninder Dhillon - #69

Today’s guest is Dr. Vaninder Dhillon, an assistant professor of Otolaryngology - Head and Neck Surgery at Johns Hopkins University School of Medicine, practicing in Bethesda, Maryland. She is dual fellowship trained with expertise in thyroid and parathyroid surgery and radiofrequecy ablation for benign and malignant lesions, as well as laryngology which includes voice and swallowing disorders. She has a clinical interest in laryngeal outcomes after thyroid and parathyroid surgery, as well as radiofrequency ablation. Contact Dr. Vaninder Dhillon: Vaninder K Dhillon MD Johns Hopkins University Department of Otolaryngology- Head and Neck Surgery Bethesda, Maryland https://www.hopkinsmedicine.org/profi... Timestamps: 00:00 Introduction music 00:44 Dr. Dhillon introduction 01:44 What is a laryngologist? 02:57 Where is the larynx in relation to the thyroid? 05:38 The location of the recurrent laryngeal nerve and the "danger triangle" 11:45 Injury to the recurrent laryngeal nerve 14:55 Mitigation strategies during RFA for voice change 20:22 The role of the larynx in swallowing function 20:28 Difficulty swallowing 28:38 Recommendations for patients seeking RFA 33:43 Professional singers undergoing RFA 37:57 Dr. Dhillon's experience with RFA at Johns Hopkins 39:29 Final thoughts Links to some good research related to laryngeal function outcomes: 👉Dhillon, VK, Randolph, GW, Stack, BC, et al. Immediate and partial neural dysfunction after thyroid and parathyroid surgery: Need for recognition, laryngeal exam, and early treatment. Head & Neck. 2020; 42: 3779– 3794. https://doi.org/10.1002/hed.26472 👉Orloff, LA, Noel, JE, Stack, BC, et al. Radiofrequency ablation and related ultrasound-guided ablation technologies for treatment of benign and malignant thyroid disease: An international multidisciplinary consensus statement of the American Head and Neck Society Endocrine Surgery Section with the Asia Pacific Society of Thyroid Surgery, Associazione Medici Endocrinologi, British Association of Endocrine and Thyroid Surgeons, European Thyroid Association, Italian Society of Endocrine Surgery Units, Korean Society of Thyroid Radiology, Latin American Thyroid Society, and Thyroid Nodules Therapies Association. Head & Neck. 2022; 44( 3): 633- 660. doi:10.1002/hed.26960 👉Pietsch K et al. Early assessment of laryngeal dysfunction after thyroid surgery: a narrative review on detection and treatment considerations and the role of speech language pathology. AOT. Jan 2023. Disclaimer: None of the statements made in this or any other video by "Its me Jen again" should be considered medical advice. 👉Find a thyroid thermal ablation provider: https://www.saveyourthyroid.org/ 👉Join our FB community, Save Your Thyroid:   / saveyourthyroidnonsurgical   👉Donate to the Save Your Thyroid community via our fiscal sponsor ThyCa: https://civi.thyca.org/donate/ *Please send an email to [email protected] and let them know your donation is for SYT. 👉Follow me on Spotify: https://spoti.fi/3ZbeDCU 👉Subscribe to my Substack: https://itsmejenagain.substack.com/ 👉Follow me on IG/FB for more patient focused information (I'm a patient too!): FB:   / itsmejenagain   IG:   / itsme_jenag.  . 👉Subscribe to this channel, Its me Jen again: / itsmejenagain 👉If you value this content, please consider donating to my efforts to spread this message: https://www.paypal.com/paypalme/itsme... #advocate #nonprofit #saveyourthyroid #thyroidnodule #thyroidcancer #parathyroid #thyroidsurgery #nonsurgical #thermalablation #thyroidectomy #patient #advocate #itsmejenagain #thyroidrfa #otolaryngology #laryngology #ENT #surgeon #JohnsHopkinsMedicine Music Credits: No attribution required Grut - Patrick Patrickios    • Grut - Patrick Patrikios (Extended Ve...