My standard technique of thyroidectomy is presented. This is a step-wise approach that is safe, effective and efficient. The technique, with contingency for possible roadblocks,  is as follows:

    1 – Skin incision
    2 – Elevation of skin flaps
    3 – Splitting of long strap muscles in the midline raphe
    4 – Horizontal division of sternothyroid muscle reflection of the divided ends
    5 – Identification of the trachea
    6 – Identification of the inferior parathyroid gland
    7 – Identification of the recurrent laryngeal nerve
    7 – Securing the superior pole vascular pedicle after identification of the external branch of the superior laryngeal nerve
    8 – Tracing the recurrent nerve to its insertion in the posterior aspect of the crico-thyroid joint
    9 – Identification and lateralization of the superior parathyroid gland
    10 – Dissection of the thyroid off the trachea
    11 – Securing the isthmus (if partial thyroidectomy is performed)
    12 – Hemostasis
    13 – Closure


Leave a Reply

  • Upcoming Events


    World Congress on Thyroid Cancer 3.5
    Rome, Italy | 2019

    World Congress on Thyroid Cancer 4.0
    July 29 – August 1, 2021
    Boston, Massachusetts