Future Directions in the Treatment of Thyroid and Parathyroid Disease

Otolaryngol Clin North Am. 2024 Feb;57(1):155-170. doi: 10.1016/j.otc.2023.07.013. Epub 2023 Aug 25.

Abstract

The surgical management of thyroid and parathyroid disease has evolved considerably since the era of Theodor Kocher. We review the current trends in thyroid and parathyroid surgery concerning robotic surgery for remote access, the use of parathyroid autofluorescence detection technology to aid in the prevention of hypocalcemia as well as the use of thermal ablation to target thyroid nodules in a minimally invasive way. We also discuss how artificial intelligence is being used to improve the workflow and diagnostics preoperatively as well as for intraoperative decision-making. We also discuss potential areas where future research may enhance outcomes.

Keywords: Artificial intelligence; Diagnostics; Parathyroid and thyroid disease; Parathyroid autofluorescence; Remote access robotic surgery; Thermal ablation.

Publication types

  • Review

MeSH terms

  • Artificial Intelligence
  • Humans
  • Parathyroid Diseases* / surgery
  • Parathyroid Glands / surgery
  • Thyroid Nodule* / surgery
  • Thyroidectomy