標題: U-shaped strap muscle flap for difficult thyroid surgery
作者: Ko, How-Yun
Lu, I-Cheng
Chang, Pi-Ying
Wang, Ling-Feng
Wu, Che-Wei
Yu, Wing-Hei Viola
Hwang, Tzer Zen
Wang, Chien Chung
Huang, Tzu-Yen
Chiang, Feng-Yu
生物科技學系
Department of Biological Science and Technology
關鍵字: U-shaped strap musde flap (USMF);thyroid;voice;swallowing;thyroidectomy
公開日期: 1-四月-2020
摘要: Background: Open thyroidectomy via conventional midline approach can be challenging in complex thyroid surgeries. This study proposes a U-shaped strap muscle flap (USMF) technique that provides adequately wide exposure of the surgical field. Methods: Strap muscles were cut close to the clavicle and along the anterior margin of both sternocleidomastoid muscles followed by total thyroidectomy in 20 patients as USMF group, and surgical outcomes were compared with 40 patients who had received total thyroidectomy via midline approach. Results: No patient had postoperative hematoma, vocal cord paralysis, permanent hypocalcaemia, wound infection or flap necrosis. At 2 months post-surgery, objective voice analysis and subjective assessment of voice and swallowing showed no significant difference between groups. Conclusions: USMF provides superb surgical field exposure, and the voice and swallowing functions after USMF are comparable to those obtained by midline approach. The USMF approach is a feasible option for selective difficult thyroid surgery.
URI: http://dx.doi.org/10.21037/gs.2020.02.20
http://hdl.handle.net/11536/154307
ISSN: 2227-684X
DOI: 10.21037/gs.2020.02.20
期刊: GLAND SURGERY
Volume: 9
Issue: 2
起始頁: 372
結束頁: 379
顯示於類別:期刊論文