A 42-year-old man presented with a 6-cm mass in the left lobe of his thyroid. There was no palpable adenopathy. The patient had no dysphagia, hoarseness or other symptoms. Laryngoscopy showed normal vocal cord function. Thyroid function tests were normal. Thyrocalcitonin was normal and the patient was normotensive.
The patient was taken to the operating room for total thyroidectomy. The patient was placed in semi-Fowler’s position (flexed at waist and knees). The collar incision line was marked with a ligature pressed into the skin 1 cm above the clavicles.
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