World Congress on Thyroid Cancer 4.0
July 29 – August 1, 2021
EP102 – Endoscopic Hemithyroidectomy Via Retroauricular Approach: First Case in Peru
Moscoso, Edgar Salas¹; Diaz, Juan Postigo¹; Kowalski, Luiz Paulo²
1 Department of Head and Neck Surgery, Oncosalud-AUNA, San Borja, Lima 41, Peru
2 Department of Head and Neck Surgery and Otorhinolaryngology, A. C. Camargo Cancer Center, São Paulo, São Paulo, Brazil
Background: Postoperative quality of life after thyroidectomy is considered as important an issue as disease control (1). Several operative techniques to decrease postoperative scarring have been investigated. (2,3). Recent guidelines for the management of thyroid nodules and cancers show that hemithyroidectomy may be performed in a selected group of patients (4). To further improve cosmetic outcomes and patient satisfaction, endoscopic approaches have been developed using incisions made outside the neck (5). Transaxillary and Retroauricular thyroidectomies have garnered immense interest, and various groups have reported initial successful experiences (6-10).
Methods: This is a 10 year old patient who have been diagnosed a benign lesion in the right lobe of her thyroid with compressive symptoms and cosmetic concerns.
Results: The patient underwent a right hemithyroidectomy and isthmusectomy via endoscopic retroauricular approach, with a time of 90 minutes and minimal bleeding. No complications occurred intraoperatively or postoperatively compared to the conventional surgical technique. The patient presented mild hypoesthesia of the earlobe with complete recovery within the first 48 hours. No bruising or changes in voice tone. Diet was initiated after 6 hours after surgery. Laryngeal nasofibroscopy was performed postoperatively, observing adequate mobility of both vocal cords.
Discussion: Surgeons must be accustomed to the endoscopic surgical view and the handling of the instruments in order to prevent significant local complications, surgical accident or need for conversion into conventional open procedure.(29).
Conclusion: Surgical management of the thyroid gland via Endoscopic retroauricular approach offer safety and comparable results with conventional open thyroidectomy, followed by better postoperative cosmetic outcomes and quality of life.
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