Thyroidectomy - Steps

Steps

Main steps of Thyroidectomy:

  1. Horizontal anterior neck incision (if possible, within a skin crease)
  2. Create upper and lower flaps between the platysma and strap muscles
  3. Divide vertically between the strap muscles and anterior jugular veins
  4. Separate the strap muscles from the thyroid gland
  5. Divide the middle thyroid vein
  6. Mobilize the superior pole of the thyroid lobe. Divide the superior thyroid artery and vein close to the thyroid gland (avoid injury to the external branch of the superior laryngeal nerve and the superior parathyroid gland)
  7. Identify the recurrent laryngeal nerve whenever possible using the nerve monitoring device
  8. Identify the inferior parathyroid artery
  9. Divide the inferior thyroid artery and vein
  10. Separate the thyroid lobe and isthmus from the trachea
  11. Repeat this process for the other thyroid lobe. Remove the thyroid gland
  12. Reapproximate the strap muscles
  13. Reapproximate the platysma muscle
  14. Close the skin with a subcuticular stitch

Read more about this topic:  Thyroidectomy

Famous quotes containing the word steps:

    “He hung out of the window a long while looking up and down the street. The world’s second metropolis. In the brick houses and the dingy lamplight and the voices of a group of boys kidding and quarreling on the steps of a house opposite, in the regular firm tread of a policeman, he felt a marching like soldiers, like a sidewheeler going up the Hudson under the Palisades, like an election parade, through long streets towards something tall white full of colonnades and stately. Metropolis.”
    —John Dos Passos (1896–1970)

    “Freedom of religion, freedom of the press, and freedom of person under the protection of habeas corpus, and trial by juries impartially selected. These principles form the bright constellation which has gone before us, and guided our steps through an age of revolution and reformation.”
    —Thomas Jefferson (1743–1826)

    “Surely it is one of the requisites of a tasteful garb that the expression of effort to please shall be wanting in it; that the mysteries of the toilet shall not be suggested by it; that the steps to its completion shall be knocked away like the sculptor’s ladder from the statue, and the mental force expended upon it be swept away out of sight like the chips on the studio floor.”
    —Elizabeth Stuart Phelps (1844–1911)