She regained her health with thyroid surgery through the mouthIN ANTALYA, goiter patient Şerife Demir was operated on with a method applied through the mouth for the first time in the world.
She Regained Her Health With Thyroid Surgery Through The Mouth
In ANTALYA, goiter patient Şerife Demir was operated on with a method applied through the mouth for the first time in the world. The patient’s fear of a surgical scar and hoarseness was eliminated with this method.
At Antalya Kepez State Hospital, General Surgeon Mehmet İlker Turan and Assoc. Prof. Dr. Bülent Dinç from Antalya Training and Research Hospital performed the ‘Fluorescence light-assisted scarless thyroid and parathyroid surgery through the mouth,’ which was applied for the first time in the world, on a patient diagnosed with ‘multinodular goiter and parathyroid adenoma’ in an operation that lasted 2.5 hours.
Specialist Dr. Mehmet İlker Turan stated that when they told patient Şerife Demir that this method would be applied to her for the first time in the world, she was very excited and immediately accepted, saying, "Three years ago, the patient was diagnosed with multiple nodules in the thyroid gland and a lentil-sized disease in the parathyroid gland, which we call an adenoma, in the thyroid gland that ensures calcium balance in the body. Surgery was recommended for the patient. Our patient avoided surgery for about three years due to fear of a scar remaining in the neck and throat region. Afterwards, she applied to us after hearing about the closed thyroid and parathyroid surgeries we performed at Kepez State Hospital from the press," he said.
Fluorescence Light-Assisted Surgery
Turan stated that as a result of their evaluations, the patient was considered suitable for closed parathyroid surgery through the mouth and said, "In the technique we applied this time, we used a special drug to find the parathyroid gland. We performed fluorescence light-assisted closed parathyroid surgery. Thanks to the drug we administered, it became easier to visualize and remove the parathyroid gland," he said.
Indocyanine Substance
Assoc. Prof. Dr. Bülent Dinç said that this surgical method is based on the visualization of certain tissues by administering a substance called indocyanine intravenously to the patient, and said, "It is a method used in thoracic and brain surgery. It is especially used in organ transplants and intestinal surgeries. We planned to use this method in parathyroid patients. We found it appropriate to add this method to the thyroid surgery through the mouth that we had previously started. It is a surgery aimed at identifying the parathyroid gland and removing it by administering a special substance intravenously while the patient is asleep and using special cameras that follow it," he said.
The First Case In The World In The Literature
Stating that this method applied through the mouth has the feature of being the first case in the world in the literature, Assoc. Prof. Dr. Dinç said, "Surgeries performed using this method before were interventions performed with the open surgical method. This method applied through the mouth is the first case we have identified in the literature. Thanks to a space we create inside the lip from the front part of the lower teeth, it allows us to reach the thyroid and parathyroid glands and intervene in them. The biggest difficulty in this surgery is that it is very difficult to separate the thyroid glands from the parathyroid glands. The method we use, along with special devices and cameras, helps separate the parathyroid gland from the thyroid gland. This surgery was completely recorded. We will evaluate it in medical journals abroad," he said.
Patients’ Fear Is Scarring And Hoarseness
Law office employee Şerife Demir said that after the surgery she was very worried about a scar remaining in the neck and throat region, and therefore she postponed the surgery for a long time. Demir said, "I was very afraid of having a scar and experiencing hoarseness after surgery. I did not experience any problems before or after the surgery. I had the surgery last Thursday. Two days after the surgery, I returned to my normal life," she said.
