Professor Gregory W. RandolphHarvard Medical School & Massachusetts Eye & Ear Infirmary, Boston, USA
Gregory W. Randolph MD FACS FACE FEBS (Endocrine) is a Professor of Otolaryngology Head and Neck Surgery and the Claire and John Bertucci Endowed Chair in Thyroid Surgical Oncology at Harvard Medical School in the Department of Otolaryngology Head and Neck Surgery and Surgeon at Massachusetts Eye & Ear Infirmary. He trained at Cornell and Harvard Medical Schools. He founded and directs the Division of Thyroid and Parathyroid Endocrine Surgery. Dr Randolph has a thyroid and parathyroid surgical practice focused on thyroid cancer, benign thyroid surgery and hyperparathyroidism exclusively and sees patients and operating at both Mass Eye and Ear Infirmary and Mass General Hospital.
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Dr Randolph has focused the bulk of his research on recurrent laryngeal nerve anatomy, preservation and monitoring during thyroid cancer surgery with focus on importance of laryngeal exam, recognition of lymph node metastasis and revision cancer surgery. He has lead thyroid surgical missions to thyroid surgical units in St. Petersburg, Russia, Guangzhou, China, Kenya, rural India and in the Chernobyl region of the Ukraine. He founded and directs the Harvard Thyroid and Parathyroid Surgery Course for surgeons and has directed international surgical courses in Italy, Germany, Switzerland and Russia. He has received board certification from the European Union’s Board of Surgery in Neck Endocrine Surgery.
He has published an endocrine surgical text: “Surgery of the Thyroid and Parathyroid Glands” published by Elsevier Saunders now in its second edition as well as a text centered on surgery of the recurrent laryngeal nerve “The Recurrent and Superior Laryngeal Nerves” published by Springer Publishers. He served as President and Director of International Affairs for the American Academy of Otolaryngology Head and Neck Surgery. He has served as Treasurer and on the executive board of the American Thyroid Association. He has served as chair of the Endocrine Surgery Section of the American Head and Neck Society and currently is the Chair of the Administration Division of the American Head and Neck Society and has served on the Board of Directors, Surgical Liaison for the American Association of Clinical Endocrinology. Currently he is the President of the International Thyroid Oncology Group.
He has published an endocrine surgical text: “Surgery of the Thyroid and Parathyroid Glands” published by Elsevier Saunders now in its second edition as well as a text centered on surgery of the recurrent laryngeal nerve “The Recurrent and Superior Laryngeal Nerves” published by Springer Publishers. He served as President and Director of International Affairs for the American Academy of Otolaryngology Head and Neck Surgery. He has served as Treasurer and on the executive board of the American Thyroid Association. He has served as chair of the Endocrine Surgery Section of the American Head and Neck Society and currently is the Chair of the Administration Division of the American Head and Neck Society and has served on the Board of Directors, Surgical Liaison for the American Association of Clinical Endocrinology. Currently he is the President of the International Thyroid Oncology Group.
Trouble Shooting in RLN Monitoring
Neural monitoring is now well established in modern thyroid and parathyroid surgical practices. I will present data suggesting that with adherence to modern monitoring algorithms the IONM dataset is now mature, accurate and reliable. Because of this I will present guideline recommendations for the inclusion of monitoring data in the surgical strategy of planned bilateral thyroid surgery.
We will discuss the sources of variability in obtaining quality monitoring data including 1.) – endotracheal tube placement and 2.) – Loss of signal troubleshooting algorithms to be utilized intraoperatively.
Also we will briefly discuss literature relating to EBSLN monitoring and the most recent International Neural Monitoring Study Group Guidelines of 2018.
Neural monitoring is now well established in modern thyroid and parathyroid surgical practices. I will present data suggesting that with adherence to modern monitoring algorithms the IONM dataset is now mature, accurate and reliable. Because of this I will present guideline recommendations for the inclusion of monitoring data in the surgical strategy of planned bilateral thyroid surgery.
We will discuss the sources of variability in obtaining quality monitoring data including 1.) – endotracheal tube placement and 2.) – Loss of signal troubleshooting algorithms to be utilized intraoperatively.
Also we will briefly discuss literature relating to EBSLN monitoring and the most recent International Neural Monitoring Study Group Guidelines of 2018.