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BackTable / ENT / Podcast / Episode #200

Identifying Parathyroid Glands: Challenges & Innovations

with Dr. Michael Singer

Can technology improve the accuracy of parathyroid tissue identification during surgery? In this episode of Backtable ENT Podcast, Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Michael Singer, an otolaryngologist specializing in minimally invasive parathyroid and thyroid surgery at Henry Ford Health in Michigan

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Identifying Parathyroid Glands: Challenges & Innovations  with Dr. Michael Singer on the BackTable ENT Podcast)
Ep 200 Identifying Parathyroid Glands: Challenges & Innovations with Dr. Michael Singer
00:00 / 01:04

BackTable, LLC (Producer). (2024, November 19). Ep. 200 – Identifying Parathyroid Glands: Challenges & Innovations [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Michael Singer discusses Identifying Parathyroid Glands: Challenges & Innovations  on the BackTable 200 Podcast

Dr. Michael Singer

Dr. Michael Singer is an otolaryngologist at Henry Ford Health in Detroit, Michigan.

Dr. Gopi Shah discusses Identifying Parathyroid Glands: Challenges & Innovations  on the BackTable 200 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.

Dr. Ashley Agan discusses Identifying Parathyroid Glands: Challenges & Innovations  on the BackTable 200 Podcast

Dr. Ashley Agan

Dr. Ashley Agan is an otolaryngologist in Dallas, TX.

Synopsis

First, Dr. Singer discusses various aspects of identifying parathyroid glands during surgery, differentiating between hypoparathyroidism and hypocalcemia, and the impact of concurrent thyroid disease on patient outcomes. He highlights the importance of continuous improvement and being open to new technologies, specifically the use of autofluorescence and fluorescence imaging to enhance surgical accuracy and patient safety. The conversation also addresses the practical applications of these technologies, including the Medtronic PTeye parathyroid detection system, and their potential to change the approach to thyroid and parathyroid surgeries. Throughout the discussion, Dr. Singer emphasizes the importance of being honest with oneself as a surgeon in order to improve skills and provide the best care for patients.

Timestamps

00:00 - Introduction
04:37 - Challenges in Identifying Parathyroid Glands
12:14 - Preoperative Workup and Imaging
16:41 - Understanding Hypoparathyroidism and Hypocalcemia
23:25 - Surgical Techniques and Identifying Parathyroid Glands
33:48 - New Technologies in Parathyroid Surgery
43:15 - Challenges and Benefits of New Surgical Technologies
44:49 - Practical Applications and Personal Experiences
59:33 - Impact of Technology on Surgical Practices
01:08:40 - Final Thoughts and Continuous Learning

Resources

Transcript Preview

[Dr. Michael Singer] What happens with fluorescence imaging is you inject say an agent like indocyanine green that flows to the tissue. Then in fluorescence imaging, what happens is you have say a camera. The camera is stimulating that agent at a certain wavelength of light, and that then gives off a different wavelength of light, which can be say picked up by a camera. Again, some of your listeners are probably familiar with this, ICG is pretty commonly used now in surgical fields, whether in plastic surgery, colorectal surgery, any of your listeners who do say free flaps will probably be familiar with this. That's used for looking at vascularity of tissue, okay?

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Articles

Identifying Parathyroid vs Thyroid Conditions to Optimize Surgery

Identifying Parathyroid vs Thyroid Conditions to Optimize Thyroid Surgery

Medtronic PTEye Probe: New Tech to Identify Parathyroid Glands in Thyroid Surgery

Medtronic PTEye Probe: New Tech to Identify Parathyroid Glands in Thyroid Surgery

Topics

Thyroidectomy Procedure Prep

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