What muscles are cut in thyroidectomy?
Background. Cutting the sternothyroid (ST) muscle is a useful technique to expose the superior pole of thyroid gland during thyroidectomy.
What anatomical structures should be preserved during thyroid surgery?
Thyroid surgery is a prototype of operations requiring thorough knowledge of surgical anatomy. There are many vital and delicate anatomical structures such as recurrent laryngeal nerve, superior laryngeal nerve, parathyroid glands, and distinct fascial planes surrounding the thyroid gland.
What are the other anatomical structures that can be damaged during thyroidectomy?
The main structures that are jeopardized during thyroid surgery are those arising from the vagus nerve at various heights: the external branch of the superior laryngeal nerve (EB-SLN) and the inferior laryngeal nerve.
Where is the incision for a thyroidectomy?
A thyroidectomy is traditionally a minimally invasive surgery performed through a small horizontal incision in the front of the neck. The entire thyroid gland may be removed or just a single lobe, a portion of a lobe and the isthmus or other structures.
What are complications of thyroidectomy?
Major postoperative complications include wound infection, bleeding, airway obstruction (compressing hematoma, tracheomalacia), hypocalcemia, thyroid storm (uncommon, usually associated with Grave’s disease) and recurrent laryngeal nerve injury. Incidence is 3-5%.
What nerve must be protected during a thyroidectomy?
Both the RLN and the EBSLN are anatomically close to the thyroid and are therefore at risk of injury during thyroidectomy. These 2 laryngeal nerves must be carefully preserved during surgery to ensure that the function of the vocal cord is not impaired.
What are the five types of thyroidectomy?
Options for surgical management of thyroid cancer as defined by the American Thyroid Association Guidelines include total thyroidectomy, subtotal thyroidectomy, hemi-thyroidectomy, and completion thyroidectomy.
What are three major life threatening complications postoperatively of a thyroidectomy?
What is the most common post op complication of thyroidectomy?
The two most common early complications of thyroid surgery are hypocalcemia (20-30%) and recurrent laryngeal nerve injury (5-11%).
How big is the incision for a thyroidectomy?
Results Mean length of the incision was 5.5 cm for total thyroidectomy, 4.6 cm for lobectomy, and 3.5 cm for parathyroidectomy (P<. 001).
What is life like after thyroid surgery?
You will need to take at least one or two weeks to recover before you return to work and other daily activities. You should not lift any heavy objects for about 2 weeks after your operation to avoid any strain on your neck. Your neck is likely to be swollen and may feel hard and numb right after the surgery.
What are the side effects of thyroid removal?
Post-thyroid removal surgery, most patients experience chronic constipation as a side effect. The rate of digestion is controlled by the thyroid, and as thyroid hormone in the blood decreases, so does the speed at which food digests, causing less frequent bowel movements.
What happens after thyroid surgery?
After Surgery. Thyroid surgery usually takes place without problems. You will have pain in the neck area, but medicine will help. You may also have a hoarse voice or sore throat for a few days. There may be a drain from the site of the incision. It helps with healing and will later be removed.
Is thyroidectomy major surgery?
Since the thyroidectomy is considered a major surgery, it has the risks of all surgeries, including problems with general anesthesia, bleeding complications and local or systemic infection. Other complications unique to a thyroidectomy can include the following.