c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Thyroidectomy: 4

A D V E R T I S E M E N T

   
 

The fascia of the strap muscles is carefully incised in the midline avoiding entry into the thyroid capsule. Crossing veins between anterior jugulars are divided.       

Notes:

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Thyroidectomy: 5

A D V E R T I S E M E N T

   
 

Two fingers are used to elevate both strap muscles on each side to the level of the thyroid lobes. It is important to not push too deeply posteriorly before direct visualization is achieved to avoid tearing the middle thyroid veins. Mobilization of the straps is usually more than sufficient for safe exposure of even a moderately enlarged gland. For a massive goiter, division of the straps is prudent.      

Notes:

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Thyroidectomy: 6

A D V E R T I S E M E N T

   
 

Lateral retraction of the straps exposes the thyroid lobes and middle thyroid veins on either side (1).       

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This page was last modified on 3/28/1999.