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Minimal incision for open thyroidectomy.

Mark Rafferty1, Ian Miller, Conrad Timon

  • 1Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Dublin 2, Ireland.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|August 8, 2006
PubMed
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A 4 cm incision offers sufficient access for most thyroid surgeries, improving cosmetic outcomes. This minimal incision thyroidectomy is a valuable technique for surgeons.

Area of Science:

  • Endocrine Surgery
  • Surgical Oncology
  • Thyroidology

Background:

  • Optimizing surgical access and cosmetic results in thyroidectomy is crucial.
  • Determining the ideal incision length balances operative efficiency with aesthetic patient outcomes.

Purpose of the Study:

  • To establish the optimal incision length for thyroid surgery that enhances both surgical access and cosmetic results.
  • To evaluate the efficacy of smaller incisions in thyroidectomy procedures.

Main Methods:

  • Prospective study conducted from January 2003 to June 2004, including all thyroidectomies.
  • Exclusion of cases with concomitant neck dissections, prior surgeries, or endoscopic approaches.
  • Comparison of 5 cm and 4 cm incision lengths in two groups of 40 patients each, correlating incision size with thyroid gland weight and histology.

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Main Results:

  • A total of 80 thyroidectomies were performed: 2 subtotal, 22 total, and 56 hemithyroidectomies.
  • In the 5 cm incision group (first 40 cases), the median gland weight was 39.5 gm, with 62.5% of glands removed.
  • In the 4 cm incision group (second 40 cases), the median gland weight was 34 gm, with 75% of glands successfully removed.

Conclusions:

  • A 4 cm incision provides adequate surgical access for the majority of thyroidectomies within this patient cohort.
  • Minimal incision thyroidectomy represents a valuable and effective addition to the surgical techniques available for thyroid surgeons.