Comparative study of different operative approachs for the treatment of upper thyroid gland
10.19538/j.cjps.issn1005-2208.2019.03.13
- Author:
Li-gong ZHANG
1
;
Jun QIAN
1
;
Zhi-xiang LI
1
Author Information
1. Department of Oncological Surgery, the First Affiliated Hospital of Bengbu Medical College Bengbu 233000,China
- Publication Type:Journal Article
- Keywords:
thyroid neoplasms;
viacervical strap muscles approach;
superior laryngeal nerve;
cricothyroid approach
- From:
Chinese Journal of Practical Surgery
2019;39(03):240-242
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To explore the feasibility of different operative approaches for the treatment of upper thyroid gland. METHODS: The clinical data of 87 patients underwent lobectomy in Department of Oncological Surgery, the First Affiliated Hospital of Bengbu Medical College from January 2016 to December 2018 were analyzed retrospectively.Preoperative ultrasound was used to evaluate the location of the tumor in the upper thyroid gland or thyroid gland hypertrophy.According to the operative approach,87 cases were divided into two groups including 42 cases of the cricothyroid approach and 45 cases of viacervical strap muscles approach. The intraoperative exposure of superior laryngeal nerve and postoperative complications of superior laryngeal nerve function and parathyroid gland were compared. RESULTS: Compared with the superior laryngeal nerve finding rate(83.3%)in the cricothyroid approach,the superior laryngeal nerve finding rate was higher(95.6%)(P<0.05)in the viacervical strap muscles approach. The searching time of superior laryngeal nerve was(5.75±0.24)min in the cricothyroid approach group,through viacervical strap muscles approach group was(3.83±0.37)min(P<0.05). In the group of viacervical strap muscles approach,the incidence of cough and low pronunciation was less than that in the group of cricothyroid approach(P<0.05). There was no difference between the two groups in the symptoms of numbness of hand and foot(P >0.05). CONCLUSION: The viacervical strap muscles approach compares the cricothyroid approach to the laryngeal nerve with a high rate of finding and a short searching time. Applying viacervical strap muscles approach in the case of an upper thyroid tumor and glandular hypertrophy helps to expose the upper pole and protect the external nerve branch of the larynx.
