Introducing ethanol ablation as a treatment for thyroid cysts in the emergency setting. Issue 4 (17th April 2023)

• Record Type: Journal Article
• Authors: Robb, L; Hey, S Y; Reid, H; Nixon, I J
• Is Part Of: Journal of laryngology & otology. Volume 137:Issue 4(2023)
• Page Start: 467
• Page End: 470
• Publication Date: 2023-04-17
• Subjects: Otolaryngology -- Thyroid Diseases -- Ablation Techniques; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S002221512200189X
• Languages: English
• ISSNs: 0022-2151

Abstract

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.