collar incision for thyroidectomy
The Procedure of Traditional Low Collar Incision Thyroidectomy The patient was placed in the supine position neck hyperextension. A more in-depth study of the learning curve of the procedure via the TA approach is urgently needed. The patients were placed in a supine position while the lesion side limb was extended 90 degrees after general anesthesia. As the working space is crucial to the surgery and time-consuming, the time of working space makes and thyroidectomy were calculated separately. The surgeon makes a cut (incision) in the lower part of the neck just above the collar bone to determine if the mass can be removed without opening the chest. Objective: To verify the effectiveness and cosmetic results of thyroidectomy through a lateral supraclavicular incision. C and D, Both the right and the left neck may be thoroughly dissected with appropriate retraction assistance. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases, https://doi.org/10.1186/s12957-021-02484-z, https://doi.org/10.1007/s00464-021-08424-y, https://doi.org/10.1007/s00464-020-07814-y, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. In any case, the incision should be parallel to relaxed skin tension lines, following classic cosmetic principles. It is nearly always preferable to identify and utilize a preexisting skin crease (if present), as this will result in the most optimally camouflaged scar. Introduction: The standard approach to thyroidectomy is a collar incision via the anterior neck, and the neck scar has always been a source of worry for patients. Meanwhile, the postoperative stiffness and paraesthesia of the SCM can also be ameliorated due to the shorter surgical time, and improved surgical techniques. Patients should discuss with their doctors when and if they should restart these medications. Huang Z, Qin H, Liao J, Meng L, Qin Y, Li B, et al. Kim SK, Park I, Hur N, Lee JH, Choe JH, Kim JH, et al. The hockey-stick incision (C) avoids trifurcations and provides plentiful exposure for a comprehensive neck dissection. A thyroidectomy is the surgical removal of all (total thyroidectomy) or part (partial thyroidectomy) of your thyroid gland the butterfly-shaped organ in your neck. From July 2020 to March 2021, 51 patients (49 females and 2 males) underwent operations by gasless, endoscopic trans-axillary approaches, with one patient whose operation was converted to open surgery because of internal jugular vein injury. Application of lateral supraclavicular incision in unilateral thyroid The dissected area is marked in blue, The procedure of thyroidectomy and central neck dissection (CND). However, depending on the presence of any visible skin crease, a higher incision at the cricoid level along the visible skin crease is sometimes preferred to enhance the cosmetic outcome (Fig. There are two nerves called the recurrent laryngeal nerves that run just behind the thyroid. 2021;19:23. reported the endoscopic trans-axillary technique. Minimally invasive thyroid surgery refers to certain types of surgery in which the thyroid is removed through very small incisions using special techniques. The internal jugular vein was injured in two of the patients during the making of working space, one patients operation was converted to open surgery. https://doi.org/10.1186/s12957-021-02484-z, DOI: https://doi.org/10.1186/s12957-021-02484-z. Patient concern about cosmetic appearance has led surgeons to explore performing surgery through smaller incisions to extract tumors. Some people experience a dull ache, while others feel a sharp pain. The recurrent laryngeal nerves were clearly identified and preserved in all cases. Please see the Expert Consult website for more discussion of this topic, including Figures 42-2, 42-3, 42-4, and 42-5. It is rare for them to appear after 72 hours. C, D Step two, sternocleidomastoid muscle (SCM) was dissected longitudinally and the sternal head of SCM was elevated by the retractor to expose the strap muscles. 55 0 obj <>/Filter/FlateDecode/ID[<92107CDBA3A8D84ABDC22C73C8947E84>]/Index[32 48]/Info 31 0 R/Length 106/Prev 453493/Root 33 0 R/Size 80/Type/XRef/W[1 2 1]>>stream 2010;24:18897. As the radical operations of the 1960s and 1970s gave way to the more selective operations of the 1980s and 1990s, neck incisions for thyroid and neck dissection evolved. 2011;25:135863. With careful preoperative testing and thoughtful consideration of the type of anesthesia, including the type of intubation, preparation for surgery can be optimized. No evidence of recurrence was found during the follow-up period. 0 Most thyroid nodules are small, and performing a full collar incision is not necessary to provide needed surgical exposure to safely remove the thyroid lobe. Supraclavicular lateral collar incision versus conventional approach As the sternal head of the SCM was elevated by the retractor during the procedure, the decreased VRSs may be partly due to the shorter surgical time and improved surgical techniques. 87 Xiangya Road, Changsha, 410008, China, Rong Cong,Xinying Li,Hui Ouyang,Wenbo Xue,Zeyu Zhang&Fada Xia, You can also search for this author in The operation is longer, requires the surgeon operate off a video monitor, and requires assistants to retract the tissues and another assistant to hold the endoscope. The primary advantage of this surgical procedure is avoidance of an incision on the neck. Chen GZ, Zhang X, Shi WL, Zhuang ZR, Chen X, Han H. Systematic comparison of cervical and extra-cervical surgical approaches for endoscopic thyroidectomy. With this type of anesthesia, you are completely asleep during the operation, and you will have a breathing tube placed temporarily to protect your airway and lungs. 2016;23:694700. A comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors' initial experience. There are a number of factors that affect suitability for this procedure. When the goiter is caused by a noncancerous. Closure of skin incision after thyroidectomy through a supraclavicular Salt Prayer Points Mfm,
Renville County Jail Roster,
Articles C |
|
collar incision for thyroidectomy