Aesthetic thyroid surgery
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 8
Abstract
Cosmesis after thyroid surgery has always been a concern for patients approaching for thyroid surgery by conventional cervical approach. To avoid a scar in the neck, various non cervical approaches for thyroidectomy have been described in literature. These approaches include endoscopic techniques like minimally-invasive video-assisted thyroidectomy (MIVAT), endoscopic anterior chest/breast approach, transaxillary approach, axillary-breast approach, and other novel experimental approaches like posterior auricular approach, and transoral approach. Some of these approaches can also be done with the assistance of the robot (ie, robotic-assisted thyroidectomy). Each technique or approach has its own benefits and weaknesses and the choice seems to be determined by the surgeon’s own experience and the patient’s preference. Selection of patient is of paramount importance and currently such surgical procedures should be performed only by experienced surgeons in high volume centers for good surgical outcome.
Authors and Affiliations
Vivek Aggarwal, Deepak Khandelwal, Deep Dutta, Monika Garg
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