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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

6.1K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
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Related Experiment Video

Updated: Dec 4, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

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Microscopic Thyroidectomy: The Way We Do It.

Satish Jain1, Nitika Gupta2, Rohan Gupta3

  • 1Jain ENT Hospital, Jaipur, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|October 22, 2020
PubMed
Summary
This summary is machine-generated.

Microscope-assisted thyroidectomy significantly reduces complications like hypocalcemia and nerve injury. This study recommends routine microscope use in all thyroid surgeries for improved patient outcomes and reduced morbidity.

Keywords:
MicroscopicParathyroidRecurrent laryngealThyroidectomy

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Area of Science:

  • Otolaryngology
  • Endocrine Surgery
  • Surgical Oncology

Background:

  • Thyroidectomy is a common surgical procedure with potential complications.
  • Minimizing morbidity, such as recurrent laryngeal nerve (RLN) injury and hypocalcemia, is crucial for patient well-being.
  • The role of surgical microscopy in thyroidectomy outcomes requires further documentation.

Purpose of the Study:

  • To evaluate the effectiveness of microscope-assisted thyroidectomy in reducing postoperative complications.
  • To document the incidence of hypocalcemia and injury to the recurrent laryngeal nerve (RLN) and external branch of the superior laryngeal nerve (EBSLN) during microscope-assisted thyroidectomy.

Main Methods:

  • A retrospective study of 878 patients undergoing thyroidectomy (hemi, total, completion) over three years.
  • Detailed dissection and identification of RLN and EBSLN in 1118 nerves.
  • Documentation of temporary and permanent paresis/palsy of RLN and incidence of temporary and permanent hypocalcemia.

Main Results:

  • Temporary RLN paresis occurred in 1.52% and permanent palsy in 0.36% of cases.
  • Temporary hypocalcemia was observed in 8.12% and permanent hypocalcemia in 0.6% of patients.
  • EBSLN was identified in 1082 out of 1118 dissected nerves.

Conclusions:

  • Microscope-assisted thyroidectomy is associated with significantly reduced morbidity, including lower rates of hypocalcemia and nerve injury.
  • Routine use of microscopy in all thyroid surgeries is recommended to enhance patient safety and surgical outcomes.
  • The enhanced visualization provided by the microscope aids in precise nerve identification and preservation.