hb`````Jg`a`6Tcg@ ~+s\``fy$ S@5@YN@ZA:V^`` HWy6rC+1oxD7`v`Xvz&fq=@&2` &{^j@ 8S With careful preoperative testing and thoughtful consideration of the type of anesthesia, including the type of intubation, preparation for surgery can be optimized. They are typically not dangerous unless cancer cells develop in the goitrous thyroid enlargement. It is important to note that numbness and tingling may be caused by something other than a parathyroid problem. The average blood loss for this operation is less than a tablespoon and the chance of needing a blood transfusion is extremely rare. 2009;146:104855. Surg Endosc. The vast majority of patients do not require narcotic pain medications. While the majority of patients accept a thyroidectomy scar, a certain percentage of patients are not satisfied with a visible scar on the neck. The most recent trend has been to perform thyroid surgery while avoiding any neck incision at all. Patients in two groups underwent thyroidectomy through a supraclavicular lateral collar incision (approximately 5 cm). 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. Thyroidectomy is the most common endocrine surgical procedure performed throughout the world.1 In the city of . Call (212) 305-0444 or request an appointment online. Once at home, patients and their friends/family should watch for signs such as difficulty breathing, a high squeaky voice, swelling in the neck that continues to get bigger, and a feeling that something bad is happening. Google Scholar. Goiters may be a result of the over or underproduction of the thyroid hormone or the presence of nodules in the thyroid gland. . The midline fascia was divided and strap muscles separated from the thyroid gland. 2016;23:40238. A questionnaire regarding the sensory changes around the anterior chest, paralysis of the SCM, and satisfaction with cosmesis was used to evaluate the quality of life in enrolled patients. Incomplete removal of the thyroid and complications in preserving all the critical structures beneath and around the thyroid gland are frequent events among inexperienced and occasional thyroid surgeons. Patients will receive general anesthesia. Jsls. After a completion thyroidectomy, patients will need to take thyroid hormone replacement pills (one pill a day for the rest of their lives). TR}Iu9!'\2q/ low collar incision To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Rarely, a patient may have temporary changes in the voice such as fluctuations in volume and clarity (hoarseness). (PDF) Comparison of Supraclavicular Oblique Incision - ResearchGate However, bleeding in the neck is potentially life-threatening because as the blood pools, it can push on the windpipe or trachea causing difficulty breathing.