There was a concern on the cosmetic perspective of conventional thyroidectomy that usually left a transcervical incision scar. To solve this problem, the endoscopic thyroidectomy approaches were developed. However, there were no generally accepted recommendations exist for which approach is the best choice. The choice for a particular case depended mainly on the surgeon's experience and preference.The authors attempted to develop a new technique called postauricular–submental approach (PSA) endoscopic thyroidectomy. The advantages of this method are as follows: firstly, it can avoid the paraesthesia around the nipple, chest wall and chin. Secondly, the midline endoscopic view can provide the better orientation of surgical landmarks. And lastly, the scars are hidden in the natural neck position.Technical descriptionPatient selectionThe eligibility criteria include the following: benign thyroid mass <4 cm in its largest diameter, papillary thyroid carcinoma not >1 cm with low risk, follicular neoplasm <3 cm and parathyroid adenoma localised preoperatively.Patient position and operating room settingThe patient was placed in supine position on the operating table with the pillow underneath the shoulders. The patient's neck was extended to expose the operative field. The arms were placed naturally on the operating table. The patient was put under general anaesthesia using nasal intubation.
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
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