A Case of Transoral Endoscopic Thyroidectomy Combined with Facelift Modified Radical Neck Dissection
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We recently experienced a case of transoral endoscopic thyroidectomy combined with a modifiedradical neck dissection (MRND) using a facelift approach in a patient with keloid-proneskin. A 35-year-old female was diagnosed with a papillary thyroid carcinoma, which was 1.2cm in diameter and showed level II-III lateral cervical metastases. The patient required totalthyroidectomy and MRND; however, she was concerned about the neck incision because shehad keloid-prone skin. We first performed a transoral, endoscopic total thyroidectomy combinedwith bilateral central node dissection via a tri-vestibular approach, and then followed itby MRND (II-V) using a facelift approach with the Da Vinci robotic system. We noted no significantcomplications, such as vocal cord palsy, hypoparathyroidism, or permanent loss of thelower lip or auricle. This new method of combining transoral and facelift approaches will beuseful for patients with small thyroid cancers and lateral neck metastases.
Abstract
We recently experienced a case of transoral endoscopic thyroidectomy combined with a modifiedradical neck dissection (MRND) using a facelift approach in a patient with keloid-proneskin. A 35-year-old female was diagnosed with a papillary thyroid carcinoma, which was 1.2cm in diameter and showed level II-III lateral cervical metastases. The patient required totalthyroidectomy and MRND; however, she was concerned about the neck incision because shehad keloid-prone skin. We first performed a transoral, endoscopic total thyroidectomy combinedwith bilateral central node dissection via a tri-vestibular approach, and then followed itby MRND (II-V) using a facelift approach with the Da Vinci robotic system. We noted no significantcomplications, such as vocal cord palsy, hypoparathyroidism, or permanent loss of thelower lip or auricle. This new method of combining transoral and facelift approaches will beuseful for patients with small thyroid cancers and lateral neck metastases.
참고문헌 (10)
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