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Related Experiment Video

Updated: Dec 21, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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U-shaped strap muscle flap for difficult thyroid surgery.

How-Yun Ko1, I-Cheng Lu2,3, Pi-Ying Chang3

  • 1Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Gland Surgery
|May 19, 2020
PubMed
Summary
This summary is machine-generated.

The U-shaped strap muscle flap (USMF) technique offers excellent surgical exposure for complex thyroidectomies. This method ensures comparable voice and swallowing outcomes to the traditional midline approach.

Keywords:
U-shaped strap muscle flap (USMF)swallowingthyroidthyroidectomyvoice

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Area of Science:

  • Surgery
  • Otolaryngology
  • Endocrinology

Background:

  • Conventional midline open thyroidectomy can present challenges in complex cases.
  • The U-shaped strap muscle flap (USMF) technique is proposed to enhance surgical field exposure.

Purpose of the Study:

  • To evaluate the efficacy and safety of the USMF technique in open thyroidectomy.
  • To compare surgical outcomes between the USMF and conventional midline approaches.

Main Methods:

  • Total thyroidectomy was performed using the USMF technique in 20 patients.
  • Surgical outcomes were compared with 40 patients who underwent thyroidectomy via the midline approach.

Main Results:

  • No significant differences were observed in postoperative complications such as hematoma, vocal cord paralysis, or hypocalcemia.
  • Voice and swallowing function assessments at 2 months post-surgery showed no significant differences between the USMF and midline groups.

Conclusions:

  • The USMF technique provides superior surgical field exposure in thyroidectomy.
  • USMF is a safe and feasible alternative for complex thyroid surgeries, with outcomes comparable to the midline approach.