Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Feb 26, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

5.1K

The lateral "backdoor" approach to open thyroid surgery: A comparative study.

R M Singaporewalla1, B C Tan1, A D Rao1

  • 1Endocrine Surgical Service, Department of Surgery, Khoo Teck Puat Hospital, Singapore.

Asian Journal of Surgery
|July 12, 2017
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of land surface characteristics on coastal compound flooding using a coupled hydrodynamic-hydraulic modelling framework.

Scientific reports·2026
Same author

Robust and Deterministic Preparation of Bosonic Logical States in a Trapped Ion.

Physical review letters·2024
Same author

Direct observation of geometric-phase interference in dynamics around a conical intersection.

Nature chemistry·2023
Same author

[Application of acellular dermal matrix in periodontal soft tissue augmentation surgery].

Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology·2023
Same author

Interannual variability of internal tides in the Andaman Sea: an effect of Indian Ocean Dipole.

Scientific reports·2022
Same author

[Evaluation of the effects of plaque and inflammation control on treatment of gingival enlargement].

Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology·2021

The lateral approach (LA) for thyroidectomy offers similar safety and operative times to the traditional midline approach (MA) but with significantly less post-operative pain. This technique also reduces the need for strap muscle transection, especially for large goiters.

Area of Science:

  • Surgical Oncology
  • Endocrine Surgery
  • Anatomy and Surgical Approaches

Background:

  • Conventional open thyroidectomy typically uses a midline approach (MA), involving strap muscle splitting.
  • The lateral approach (LA) utilizes the same incision but accesses the thyroid between the sternocleidomastoid (SCM) muscle and strap muscles, often reserved for re-do surgeries.
  • This study compares MA and LA in primary conventional open thyroidectomy patients.

Purpose of the Study:

  • To compare the outcomes of the midline approach (MA) versus the lateral approach (LA) in conventional open thyroidectomy.
  • To evaluate post-operative pain, operative time, complications, and the need for strap muscle division between the two surgical techniques.

Main Methods:

  • A case-control study involving 90 patients undergoing conventional open thyroidectomy between 2012 and 2014.
Keywords:
BackdoorLateral approachOpen throidectomySternomastoid

More Related Videos

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

2.0K
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
04:01

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Published on: September 15, 2023

1.6K

Related Experiment Videos

Last Updated: Feb 26, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

5.1K
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

2.0K
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
04:01

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Published on: September 15, 2023

1.6K
  • 45 patients underwent the midline approach (MA), and 45 patients underwent the lateral approach (LA).
  • Data collected included demographics, operative time, incision length, gland weight, strap muscle transection, and complications. Patients received local anesthetic infiltration.

    • Main Results:

    • No significant differences were observed in demographics, operative time, gland weight, or incision length between the MA and LA groups.
    • The lateral approach (LA) group reported significantly lower post-operative pain scores compared to the midline approach (MA) group.
    • Strap muscle transection was required in 11% of MA patients versus 2.2% of LA patients for large goiters. No major complications occurred in either group.

    Conclusions:

    • The lateral approach (LA) is a safe alternative to the midline approach (MA) for conventional open thyroidectomy.
    • LA offers comparable operative efficiency to MA but with significantly reduced post-operative pain.
    • LA minimizes strap muscle separation and division, particularly beneficial for removing large goiters.