How-Yun Ko1, I-Cheng Lu2,3, Pi-Ying Chang3, Ling-Feng Wang1,2, Che-Wei Wu1,2, Wing-Hei Viola Yu1, Tzer Zen Hwang4,5, Chien Chung Wang5, Tzu-Yen Huang1,6, Feng-Yu Chiang4,5. 1. Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. 2. Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. 3. Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. 4. School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan. 5. Department of Otolaryngology, E-Da Hospital, Kaohsiung, Taiwan. 6. Department of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan.
Abstract
BACKGROUND: Open thyroidectomy via conventional midline approach can be challenging in complex thyroid surgeries. This study proposes a U-shaped strap muscle flap (USMF) technique that provides adequately wide exposure of the surgical field. METHODS: Strap muscles were cut close to the clavicle and along the anterior margin of both sternocleidomastoid muscles followed by total thyroidectomy in 20 patients as USMF group, and surgical outcomes were compared with 40 patients who had received total thyroidectomy via midline approach. RESULTS: No patient had postoperative hematoma, vocal cord paralysis, permanent hypocalcaemia, wound infection or flap necrosis. At 2 months post-surgery, objective voice analysis and subjective assessment of voice and swallowing showed no significant difference between groups. CONCLUSIONS: USMF provides superb surgical field exposure, and the voice and swallowing functions after USMF are comparable to those obtained by midline approach. The USMF approach is a feasible option for selective difficult thyroid surgery. 2020 Gland Surgery. All rights reserved.
BACKGROUND: Open thyroidectomy via conventional midline approach can be challenging in complex thyroid surgeries. This study proposes a U-shaped strap muscle flap (USMF) technique that provides adequately wide exposure of the surgical field. METHODS: Strap muscles were cut close to the clavicle and along the anterior margin of both sternocleidomastoid muscles followed by total thyroidectomy in 20 patients as USMF group, and surgical outcomes were compared with 40 patients who had received total thyroidectomy via midline approach. RESULTS: No patient had postoperative hematoma, vocal cord paralysis, permanent hypocalcaemia, wound infection or flap necrosis. At 2 months post-surgery, objective voice analysis and subjective assessment of voice and swallowing showed no significant difference between groups. CONCLUSIONS: USMF provides superb surgical field exposure, and the voice and swallowing functions after USMF are comparable to those obtained by midline approach. The USMF approach is a feasible option for selective difficult thyroid surgery. 2020 Gland Surgery. All rights reserved.
Authors: Caroline A Banks; Christopher M Ayers; Joshua D Hornig; Eric J Lentsch; Terry A Day; Shaun A Nguyen; M Boyd Gillespie Journal: Laryngoscope Date: 2011-12-06 Impact factor: 3.325
Authors: João Gonçalves Filho; Mark E Zafereo; Faisal I Ahmad; Iain J Nixon; Ashok R Shaha; Vincent Vander Poorten; Alvaro Sanabria; Avi Khafif Hefetz; K Thomas Robbins; Dipti Kamani; Gregory W Randolph; Andres Coca-Pelaz; Ricard Simo; Alessandra Rinaldo; Peter Angelos; Alfio Ferlito; Luiz P Kowalski Journal: Eur J Surg Oncol Date: 2018-08-13 Impact factor: 4.424