Thyroid surgery

Abstract Diseases of the thyroid are common and surgical treatment is often the preferred option. Thyroid surgery is becoming subspecialised and falls within the repertoire of maxillofacial, and head and neck surgeons. Multidisciplinary management of most patients with diseases of the thyroid is key...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2012-10, Vol.50 (7), p.585-591
Main Authors: Cheng, Leo H.-H, Hutchison, Iain L
Format: Article
Language:English
Subjects:
Advances
Dentistry
History
Humans
Neck Dissection - instrumentation
Neck Dissection - methods
Parathyroid gland
Parathyroid Glands - surgery
Postoperative Complications - prevention & control
Recurrent laryngeal nerve
Recurrent Laryngeal Nerve - surgery
Surgery
Technique
Thyroid Diseases - surgery
Thyroid Neoplasms - surgery
Thyroid surgery
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Summary:Abstract Diseases of the thyroid are common and surgical treatment is often the preferred option. Thyroid surgery is becoming subspecialised and falls within the repertoire of maxillofacial, and head and neck surgeons. Multidisciplinary management of most patients with diseases of the thyroid is key to providing the best care particularly for those with malignancies and retrosternal extension. To reduce postoperative complications a meticulous search for, and protection of the recurrent laryngeal nerve and parathyroid glands, with an incision along the skin crease in the lower neck, which can be extended for neck dissection, are paramount. Recent advances in thyroid surgery include ultrasound-guided cervical plexus block, use of the Harmonic Scalpel® (Ethicon Endo-Surgery, Inc., USA), intraoperative nerve stimulation to monitor the recurrent laryngeal nerve, use of TissuePatch™ 3 (Tissuemed Ltd., Leeds, UK) adhesive sealant, and minimal access surgery.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2011.11.002