Related Experiment Video
Updated: May 15, 2025
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Comparing surgical outcomes of subcutaneous-flap vs. subplatysmal-flap techniques in total open thyroidectomy: a
Majid Samsami1, Behzad Nematihonar1, Mohammad Shafiei1
1Department of Surgery, Imam Hossein Medical and Educational Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Introduction:
Various minimally invasive open thyroidectomy techniques have been introduced in surgical centers worldwide, aiming to improve cosmetic outcomes. The conventional open thyroidectomy (CTT) method involves creating a subplatysmal flap through a horizontal incision, which requires cutting the platysma muscle and anterior jugular veins. This study evaluates a modified open total thyroidectomy technique that uses a subcutaneous flap instead of a subplatysmal flap and compares its outcomes with those of the conventional method.
Methods:
This observational cohort study included 120 patients from 10 years experience of tertiary medical center. Outcomes were compared between the subcutaneous flap (modified open thyroidectomy) group and the subplatysmal flap (CTT) group.
Results:
The modified technique increased the duration of surgery, with the flap type significantly affecting operation time (P = 0.016). However, there was no significant difference in hospital stay length between the two groups (P = 0.268). The incidence of hematoma and skin ischemia was lower with the subcutaneous flap. No significant differences were observed between the groups in terms of seroma formation, infection, keloid formation, or hypertrophic scars (P > 0.05).
Conclusion:
The findings suggest that the subcutaneous flap technique is safe and does not make additional risks or complications. Additionally, it appears to offer advantages in specific outcomes.
