Thyroid surgery

  • Leo H.-H. Cheng
    Correspondence
    Corresponding author at: Oral and Maxillofacial Surgery, St Bartholomew's Hospital, Ground Floor, Dominion House, 59 Bartholomew Close, London EC1A 7ED, United Kingdom. Tel.: +44 0203465 6756; fax: +44 0203465 7292.
    Affiliations
    Oral and Maxillofacial Surgery, St Bartholomew's & The Royal London, United Kingdom

    Homerton University Hospitals, London, United Kingdom
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  • Iain L. Hutchison
    Affiliations
    Oral and Maxillofacial Surgery, St Bartholomew's & The Royal London, United Kingdom
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Published:December 23, 2011DOI:https://doi.org/10.1016/j.bjoms.2011.11.002

      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.

      Keywords

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