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Catheterization of the thyroid or parathyroid region is a common practice to optimize postoperative pain management and access for injection of drugs into the thyroid region. The parathyroid catheter described by Inoue and Malig is the only catheter currently available to provide direct access to the parathyroid region. Another type of catheter available from Argyle International has been described and is being marketed as Thyrobone. We evaluated two types of catheters for their use in thyroid surgery: a parathyroid catheter from Argyle and a Thyrobone catheter from AmeriSurgical. The parathyroid catheter and Thyrobone catheter were compared in a prospective study of 150 patients undergoing thyroid surgery. The end points of this study were the incidence of bleeding, pain, and nerve injury. Each patient underwent the surgical procedure, and thyroid pathology was determined. Subcutaneous access was successfully obtained in 145 (97%) of 150 patients using the parathyroid catheter and in 144 (96%) of the 150 patients using the Thyrobone catheter. Pain management was significantly less for patients having Thyrobone catheters implanted (p = 0.04). Those patients having thyroid carcinoma experienced less pain than those having benign thyroid pathologies. There was no statistically significant difference in the incidence of bleeding or nerve injury between the parathyroid catheter and Thyrobone catheter. The use of the Thyrobone catheter in thyroid surgery was associated with a significantly lower incidence of pain management in the postoperative period compared with the parathyroid catheter. This reduction in pain was more pronounced in patients having thyroid carcinoma. Further studies are required to determine if the benefit of the less painful postsurgical period outweighs the increased risk of nerve injury that has been reported with the use of the Thyrobone catheter.HOUSTON — Thirty-six hours after Draymond Green walked off the court complaining of a sprained left ankle and sending the rest of the Warriors on their way from the first round of the NBA playoffs, he lay across a chair in an office at the University of Houston’s M.D. Anderson Cancer Center, surrounded by Warriors employees.
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