Atlas of Thyroid Surgery

Madan Kapre Consultant ENT Surgeon; Director, Neeti Clinics, Nagpur, Maharashtra, India Devendra Mahore Associate Professor ENT, Government Medical College, Nagpur, Maharashtra, India Ashutosh Mangalgiri Professor Anatomy, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India  

Assessing the Vocal Cord Mobility
Some Worrisomes of Solitary Thyroid Nodule
Confirming the Lower Limit of Thyroid Gland
Assessment of Retrosternality
Minimal Retrosternal Extension
Massive Retrosternal Extension
Surface Marking for Thyroid Surgery
Forewarned is Forearmed
Benign Tumors Often Push the Trachea
Benign Pathology Often Push the Trachea
Marking of Incision
Horses for Courses
Incision and Mobilization of Skin Layers
Extension of Incision
Raising of Skin—Platysma Flap
Platysma is Usually Deficient in the Midline
External Jugular Vein
Anterior Jugular Vein
Median Cervical Vein
Variants of Anterior Jugular Vein
Landmarks for Midline
Pyramidal Lobe and Levator Glandulae Thyroideae
Division of Deep Fascia in Midline
Loose Areolar Tissue
Avoid Superficial Capsular Veins
Strap Muscles
General Layout of Strap Muscles
Strap Muscles
Surgical Relevance of Ansa Cervicalis
Dividing Strap Muscles
Ansa Cervicalis Segmental Supply
Nerve Supply of Strap Muscle
Mimicking the Deep Fascia
Elevation of Strap Superiorly
Lateral Approach
Posterolateral Mobilization
Middle Thyroid Vein
Middle Thyroid Vein (Short, Stumpy and Wide)
Middle Thyroid Vein
Learn your Anatomy of Middle Thyroid Vein in Neck Dissections
Thyroid Veins
Kocher’s Vein
Fourth Veins of Kocher
The Communicating Vessel
Superior Thyroid Pedicle
Upper Pole—Superior Thyroid Pedicle
Reconsider the Old Dictum—Superior Thyroid Artery
Anterior Branch of Superior Thyroid Artery
Respect the Tenor of the Speech
A Nerve that sets you apart
Superior Thyroid Vein
Additional Superior Thyroid Vein
Changing Axioms—Inferior Thyroid Artery
Branches of Inferior Thyroid Artery
Reasons to Protect the Inferior Thyroid Artery
The Saviour Artery of Both the Parathyroids—Inferior Thyroid Artery
Inferior Thyroid Artery Supplying Both Parathyroids
Inferior Thyroid Artery
Normal Anatomy of Recurrent Laryngeal Nerve
Recurrent Laryngeal Nerve (The Embryology-I)
Recurrent Laryngeal Nerve (The Embryology-II)
Revisiting the Anatomy of Recurrent Laryngeal Nerve/Inferior Thyroid Artery
Beginer’s Guide to Recurrent laryngeal nerve—Beahr’s Triangle
Beahr’s Triangle
Identifying the Recurrent Laryngeal Nerve at Cricothyroid Joint
Recurrent Laryngeal Nerve in Tracheoesophageal Groove Behind Inferior Thyroid Artery
Left Recurrent Laryngeal Nerve
Watch the Emissary at Cricothyroid Joint
Recurrent Laryngeal Nerve passing through the Branches of Inferior Thyroid Artery
Usual Variations of Recurrent Laryngeal Nerve and Inferior Thyroid Artery
The Cornerstone of Surgery
Divisions of Recurrent Laryngeal Nerve
Low Division of Recurrent Laryngeal Nerve
Misadventure at Cricothyroid Joint
Constant Guides to Recurrent Laryngeal Nerve
Nodule of Zuckerkandl
A Less Emphasized: Cricothyroid Joint
The Rule of the Parallel Line
Magnification Helps Here
Let the Sleeping Dog Lie—Ligament of Berry
Ligament of Berry—Posterior Condensation of Deep Fascia
Where the Nerve Enters—Emissary Vessels
Rare Variation—Non-recurrent Laryngeal Nerve
Setting the Bench Mark
Respecting the Neighbours—Parathyroids
Identification of Superior Parathyroids
Vascular Loop of Parathyroid (Superior Thyroid Artery)
Vascular Loop of Parathyroid (Inferior Thyroid Artery)
Unclear Yet Desirable Dissection
The Fascia Protects the Microvasculature
Medial to Lateral Dissection
The New Commandment
Inferior Thyroid Artery—New Commandments
Branch of Inferior Thyroid Artery Supplying Superior Parathyroid Gland
Time Well Spent
Inferior Parathyroids
Preserved Till the Last for a Reason—Inferior Thyroid Veins
Inferior Thyroid Veins
Thyroidea Ima Artery
To Draw the Last Straw—Division of Isthmus
Isthmus is Removed Along with the Lobe
Cervical Sympathetic Chain
Thoracic Duct
A Job Well Done
Total Thyroidectomy with Left Radical Neck Dissection—Five Years Postoperative Picture
Back to the Clinics
Thyroglossal Cyst/Aberrant Thyroid
Puberty Goiter
Hashimoto’s Thyroiditis
Inflammatory Diseases of Thyroid
Metabolic—Autonomic Nodule (Toxic)
Surgery for Thyrotoxicosis
Graves’ Disease (Uncontrolled)
Suspicious Nodules
Not so Happy Solitary Thyroid Nodule
Clinical Application of Various Risk Stratification Schemes
The Jigsaw of High and Low-risk
Low-risk Patients
Intermediate-risk Patients
High-risk Patients
Low-risk Patient with Low-risk Tumor
Low-risk Patient with High-risk Tumor
Unilateral Multinodular Goiter in Low-risk Patient
Bilateral Multinodular Goiter in Low-risk Patients
Large Bilateral Multinodular Goiter in Low-risk Patients
Multinodular Goiter in High-risk Patient
Compressive
High-risk Tumor with High-risk Patient
High-risk Patient with High-risk Tumor
Follicular Carcinoma of Thyroid
The Treatment Options in Medullary Thyroid Carcinoma
Well-differentiated Thyroid Carcinoma in Children
Well-differentiated Thyroid Carcinoma in Pregnancy
Anaplastic Cancers
A Case that Taught us to Respect Parathyroids
Technique of Parathyroid Implantation
This at Best Should be Avoided
A Common Sad Story
Branding is a Common Tribal Treatment with little Benefit
Cervical Epidural Anesthesia
Optimal Anesthesia for Thyroid Surgery (Melghat, India)