Where are the critical Structures?
1.A medial located vagus nerve can be up against the nodule. It is usually located lateral to the carotid in 75%. The middle cervical sympathetic ganglion also can be near the nodule. Recurrent laryngeal nerve can be posterior to the lower half of the right thyroid lobe.
2.The danger triangle on the right and left with the usual location of the esophagus on the left.
3. The posterior half of the thyroid gland is a Danger Zone.
4. An experienced operator will be able to assess the possible dangers during the initial RFA evaluation and neck ultrasound.
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