Lee Doh Young, Baek Seung-Kuk, Jung Kwang-Yoong
Department of Otorhinolaryngology-Head and Neck Surgery, Korea University, College of Medicine, Seoul 136-705, South Korea.
Gland Surg. 2016 Jun;5(3):327-35. doi: 10.21037/gs.2015.10.01.
The incidence of thyroid cancer has abruptly increased recently, with a female predominance. Conventional thyroidectomy using transcervical incision inevitably leaves an unfavorable neck scar; therefore, various extracervical approaches have been introduced to improve cosmetic satisfaction after thyroidectomy. Several reports demonstrated that these extracervical approaches have advantages not only in terms of cosmesis but also in terms of surgical outcomes and postoperative functional preservation. The retroauricular approach has advantages as the dissection area is smaller than that in the transaxillary approach (TA) and surgical anatomy is familiar to the head and neck surgeons. In addition, there is no concern about paresthesia around the nipple or anterior chest, and surgical direction makes central neck dissection easier than with the other extracervical approaches. Herein, we aim to introduce the surgical procedure of retroauricular approach thyroidectomy and present our experiences of postoperative outcomes.
甲状腺癌的发病率最近急剧上升，且女性居多。采用经颈切口的传统甲状腺切除术不可避免地会留下不理想的颈部瘢痕；因此，已引入各种颈外入路以提高甲状腺切除术后的美容满意度。一些报告表明，这些颈外入路不仅在美容方面有优势，而且在手术效果和术后功能保留方面也有优势。耳后入路具有优势，因为其解剖区域比经腋窝入路（TA）小，且头颈外科医生对其手术解剖结构较为熟悉。此外，无需担心乳头或前胸周围的感觉异常，并且手术方向使中央区颈部清扫比其他颈外入路更容易。在此，我们旨在介绍耳后入路甲状腺切除术的手术步骤，并展示我们的术后结果经验。
