Atlas of Thyroid Surgery

Madan KapreConsultant ENT Surgeon; Director, Neeti Clinics, Nagpur, Maharashtra, IndiaDevendra MahoreAssociate Professor ENT, Government Medical College, Nagpur, Maharashtra, IndiaAshutosh MangalgiriProfessor Anatomy, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India

• Assessing the Vocal Cord MobilitySome Worrisomes of Solitary Thyroid NoduleConfirming the Lower Limit of Thyroid GlandAssessment of RetrosternalityMinimal Retrosternal ExtensionMassive Retrosternal ExtensionSurface Marking for Thyroid SurgeryForewarned is ForearmedBenign Tumors Often Push the TracheaBenign Pathology Often Push the TracheaMarking of IncisionHorses for CoursesIncision and Mobilization of Skin LayersExtension of IncisionRaising of Skin—Platysma FlapPlatysma is Usually Deficient in the MidlineExternal Jugular VeinAnterior Jugular VeinMedian Cervical VeinVariants of Anterior Jugular VeinLandmarks for MidlinePyramidal Lobe and Levator Glandulae ThyroideaeDivision of Deep Fascia in MidlineLoose Areolar TissueAvoid Superficial Capsular VeinsStrap MusclesGeneral Layout of Strap MusclesStrap MusclesSurgical Relevance of Ansa CervicalisDividing Strap MusclesAnsa Cervicalis Segmental SupplyNerve Supply of Strap MuscleMimicking the Deep FasciaElevation of Strap SuperiorlyLateral ApproachPosterolateral MobilizationMiddle Thyroid VeinMiddle Thyroid Vein (Short, Stumpy and Wide)Middle Thyroid VeinLearn your Anatomy of Middle Thyroid Vein in Neck DissectionsThyroid VeinsKocher’s VeinFourth Veins of KocherThe Communicating VesselSuperior Thyroid PedicleUpper Pole—Superior Thyroid PedicleReconsider the Old Dictum—Superior Thyroid ArteryAnterior Branch of Superior Thyroid ArteryRespect the Tenor of the SpeechA Nerve that sets you apartSuperior Thyroid VeinAdditional Superior Thyroid VeinChanging Axioms—Inferior Thyroid ArteryBranches of Inferior Thyroid ArteryReasons to Protect the Inferior Thyroid ArteryThe Saviour Artery of Both the Parathyroids—Inferior Thyroid ArteryInferior Thyroid Artery Supplying Both ParathyroidsInferior Thyroid ArteryNormal Anatomy of Recurrent Laryngeal NerveRecurrent Laryngeal Nerve (The Embryology-I)Recurrent Laryngeal Nerve (The Embryology-II)Revisiting the Anatomy of Recurrent Laryngeal Nerve/Inferior Thyroid ArteryBeginer’s Guide to Recurrent laryngeal nerve—Beahr’s TriangleBeahr’s TriangleIdentifying the Recurrent Laryngeal Nerve at Cricothyroid JointRecurrent Laryngeal Nerve in Tracheoesophageal Groove Behind Inferior Thyroid ArteryLeft Recurrent Laryngeal NerveWatch the Emissary at Cricothyroid JointRecurrent Laryngeal Nerve passing through the Branches of Inferior Thyroid ArteryUsual Variations of Recurrent Laryngeal Nerve and Inferior Thyroid ArteryThe Cornerstone of SurgeryDivisions of Recurrent Laryngeal NerveLow Division of Recurrent Laryngeal NerveMisadventure at Cricothyroid JointConstant Guides to Recurrent Laryngeal NerveNodule of ZuckerkandlA Less Emphasized: Cricothyroid JointThe Rule of the Parallel LineMagnification Helps HereLet the Sleeping Dog Lie—Ligament of BerryLigament of Berry—Posterior Condensation of Deep FasciaWhere the Nerve Enters—Emissary VesselsRare Variation—Non-recurrent Laryngeal NerveSetting the Bench MarkRespecting the Neighbours—ParathyroidsIdentification of Superior ParathyroidsVascular Loop of Parathyroid (Superior Thyroid Artery)Vascular Loop of Parathyroid (Inferior Thyroid Artery)Unclear Yet Desirable DissectionThe Fascia Protects the MicrovasculatureMedial to Lateral DissectionThe New CommandmentInferior Thyroid Artery—New CommandmentsBranch of Inferior Thyroid Artery Supplying Superior Parathyroid GlandTime Well SpentInferior ParathyroidsPreserved Till the Last for a Reason—Inferior Thyroid VeinsInferior Thyroid VeinsThyroidea Ima ArteryTo Draw the Last Straw—Division of IsthmusIsthmus is Removed Along with the LobeCervical Sympathetic ChainThoracic DuctA Job Well DoneTotal Thyroidectomy with Left Radical Neck Dissection—Five Years Postoperative PictureBack to the ClinicsThyroglossal Cyst/Aberrant ThyroidPuberty GoiterHashimoto’s ThyroiditisInflammatory Diseases of ThyroidMetabolic—Autonomic Nodule (Toxic)Surgery for ThyrotoxicosisGraves’ Disease (Uncontrolled)Suspicious NodulesNot so Happy Solitary Thyroid NoduleClinical Application of Various Risk Stratification SchemesThe Jigsaw of High and Low-riskLow-risk PatientsIntermediate-risk PatientsHigh-risk PatientsLow-risk Patient with Low-risk TumorLow-risk Patient with High-risk TumorUnilateral Multinodular Goiter in Low-risk PatientBilateral Multinodular Goiter in Low-risk PatientsLarge Bilateral Multinodular Goiter in Low-risk PatientsMultinodular Goiter in High-risk PatientCompressiveHigh-risk Tumor with High-risk PatientHigh-risk Patient with High-risk TumorFollicular Carcinoma of ThyroidThe Treatment Options in Medullary Thyroid CarcinomaWell-differentiated Thyroid Carcinoma in ChildrenWell-differentiated Thyroid Carcinoma in PregnancyAnaplastic CancersA Case that Taught us to Respect ParathyroidsTechnique of Parathyroid ImplantationThis at Best Should be AvoidedA Common Sad StoryBranding is a Common Tribal Treatment with little BenefitCervical Epidural AnesthesiaOptimal Anesthesia for Thyroid Surgery (Melghat, India)