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Br J Oral Maxillofac Surg. 2012 Oct;50(7):585-91. doi: 10.1016/j.bjoms.2011.11.002. Epub 2011 Dec 21.

Thyroid surgery.

Author information

1
Oral and Maxillofacial Surgery, St Bartholomew's & The Royal London, United Kingdom; Homerton University Hospitals, London, United Kingdom. leo.cheng@bartsandthelondon.nhs.uk

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.

PMID:
22192610
DOI:
10.1016/j.bjoms.2011.11.002
[Indexed for MEDLINE]

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