Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Bern, Switzerland.
Head and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Adv Ther. 2019 Oct;36(10):2541-2546. doi: 10.1007/s12325-019-01048-8. Epub 2019 Aug 10.
In the United States of America (US), most departments of otorhinolaryngology head and neck surgery have been performing thyroid surgery for many years. In contrast to the US, thyroid surgery is still dominated by general surgeons in most European countries. In numerous university centers, there continues to be friction regarding thyroid surgery. The focus of this editorial is to demonstrate that there is objective data in the literature to suggest that otorhinolaryngologists with appropriate training in head and neck surgery are well suited to perform the entire spectrum of thyroid surgery. The question of who is qualified to perform thyroid surgery is not determined by the basic specialty certification of the surgeon-general or otolaryngology; rather it depends on the training, skill and experience in surgery of the neck, of post-surgical and post-irradiated necks, and of neighboring structures.
在美国，大多数耳鼻喉头颈外科部门已经进行了多年的甲状腺手术。与美国不同，甲状腺手术在大多数欧洲国家仍由普通外科医生主导。在许多大学中心，甲状腺手术仍然存在摩擦。本社论的重点是展示文献中有客观数据表明，经过适当的头颈外科培训的耳鼻喉科医生非常适合进行整个甲状腺手术范围。谁有资格进行甲状腺手术的问题不是由普通外科医生或耳鼻喉科医生的基本专业认证决定的；而是取决于颈部、手术后和放疗后的颈部以及相邻结构的手术培训、技能和经验。
