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Related Experiment Video

Updated: May 7, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Defining anatomical landmarks for robotic facelift thyroidectomy.

Michael C Singer1, Andrew Heffernan, David J Terris

  • 1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Hospital, Detroit, MI, USA, msinger1@hfhs.org.

World Journal of Surgery
|October 9, 2013
PubMed
Summary
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This study maps key anatomical landmarks for robotic facelift thyroidectomy (RFT). Understanding these relationships, including the great auricular nerve and recurrent laryngeal nerve, enhances surgical safety and efficiency in RFT procedures.

Area of Science:

  • Surgical Anatomy
  • Minimally Invasive Surgery

Background:

  • Robotic facelift thyroidectomy (RFT) is a remote access technique.
  • Familiarity with the surgical approach vector is crucial for safe RFT.
  • Defining anatomical relationships aids RFT performance.

Purpose of the Study:

  • To determine the relationships of key anatomical landmarks during RFT.
  • To facilitate safe and efficient RFT procedures.

Main Methods:

  • Eight cadaver dissections were performed.
  • Robotic facelift thyroidectomy (RFT) was conducted.
  • Morphologic assessments of the great auricular nerve (GAN), omohyoid (OH) muscle, inferior constrictor (IC) muscle, and recurrent laryngeal nerve (RLN) were performed.

Main Results:

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  • Distances from incision to GAN, OH muscle, and RLN were measured.
  • The GAN was located at mean distances of 3.8 ± 1.2 cm and 7.7 ± 0.8 cm.
  • The RLN was identified 1.2 ± 0.2 cm lateral to its origin on the cricoid cartilage, deep to the IC muscle.

Conclusions:

  • Characterizing anatomical landmarks like GAN, OH muscle, and RLN is vital for RFT.
  • Rapid recognition of critical structures improves surgical outcomes.
  • Surgeons should be familiar with these anatomical relationships for RFT.