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Updated: May 3, 2026
Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Retrograde thyroidectomy: a technique for visualization and preservation of the external branch of superior laryngeal
Vijay Naraynsingh1, Shamir O Cawich1, Ravi Maharaj1
1Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago.
Introduction:
The external branch of the superior laryngeal nerve (EBSLN) should be identified during thyroidectomy to prevent injury and post-operative voice change. Identification is rendered difficult during a standard thyroidectomy where there is a large gland with upper pole enlargement. We describe the retrograde thyroidectomy technique to facilitate nerve preservation.
Presentation Of Case:
A retrograde thyroidectomy was performed in a 53-year old woman with a difficult goiter. Operative steps are described.
Discussion:
This technique allows the upper pole to be completely mobilized caudally providing unparalleled visualization of the upper pole vascular pedicle, thereby preserving the EBSLN.
Conclusion:
There is better visualization of the superior thyroid pedicle and the EBSLN with retrograde thyroidectomy, potentially reducing the incidence of EBSLN injury during a difficult thyroidectomy.
