Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
To study the variations in anatomy in thyroid surgery and reducing the morbidity caused by recurrent laryngeal nerve (RLN), external branch of Superior laryngeal nerve (EBSLN) paralysis and postoperative hypocalcemia in post thyroidectomy patients using microscopic aid. A total of 15 patients with different thyroid lesions were operated upon for a period of one year from February 2023 to February 2024 in department of ENT, Head and Neck surgery, Government Medical college, Haldwani, Uttrakhand, India with microscopic guidance. The anatomical variations in recurrent laryngeal nerve branching pattern, relation of Inferior thyroid artery (ITA) with Recurrent laryngeal nerve and likely locations of superior and inferior Parathyroids were identified with identification of external branch of Superior laryngeal nerve at the superior pole in cases of benign and malignant thyroid lesions. Neck dissection was performed wherever indicated. In our study the postoperative RLN palsy was reported in one case of Papillary carcinoma and EBSLN palsy was not reported in any case, two patients (0.3%) developed transient hypocalcemia with one case (0.15%) developing permanent hypocalcemia. RLN was found to be branched in all cases as it ascends superiorly towards cricothyroid joint. Up‐to 5 branches of RLN were identified with differing relation of it with ITA. Thyroidectomies under the guidance of microscope is highly recommended as it improves the dexterity in dissection, reduces morbidity caused by damage of critical structures and also improves field of vision. It is good teaching tool as well.
How to cite this article:
Achin Pant, Richa Garg, Shashank Adhikari and Ashutosh Singh Rajput. Thyroidectomy Under Microscopic Guidance Our Experience.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.549.554
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.549.554