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dc.contributor.authorKo, How-Yunen_US
dc.contributor.authorLu, I-Chengen_US
dc.contributor.authorChang, Pi-Yingen_US
dc.contributor.authorWang, Ling-Fengen_US
dc.contributor.authorWu, Che-Weien_US
dc.contributor.authorYu, Wing-Hei Violaen_US
dc.contributor.authorHwang, Tzer Zenen_US
dc.contributor.authorWang, Chien Chungen_US
dc.contributor.authorHuang, Tzu-Yenen_US
dc.contributor.authorChiang, Feng-Yuen_US
dc.date.accessioned2020-07-01T05:21:13Z-
dc.date.available2020-07-01T05:21:13Z-
dc.date.issued2020-04-01en_US
dc.identifier.issn2227-684Xen_US
dc.identifier.urihttp://dx.doi.org/10.21037/gs.2020.02.20en_US
dc.identifier.urihttp://hdl.handle.net/11536/154307-
dc.description.abstractBackground: 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.en_US
dc.language.isoen_USen_US
dc.subjectU-shaped strap musde flap (USMF)en_US
dc.subjectthyroiden_US
dc.subjectvoiceen_US
dc.subjectswallowingen_US
dc.subjectthyroidectomyen_US
dc.titleU-shaped strap muscle flap for difficult thyroid surgeryen_US
dc.typeArticleen_US
dc.identifier.doi10.21037/gs.2020.02.20en_US
dc.identifier.journalGLAND SURGERYen_US
dc.citation.volume9en_US
dc.citation.issue2en_US
dc.citation.spage372en_US
dc.citation.epage379en_US
dc.contributor.department生物科技學系zh_TW
dc.contributor.departmentDepartment of Biological Science and Technologyen_US
dc.identifier.wosnumberWOS:000530133600024en_US
dc.citation.woscount0en_US
Appears in Collections:Articles